Evidence map›Paper›PMID 38794147›Full record

ArticlePharmaceuticals (Basel, Switzerland)2024

Insulin Treatment Does Not Prevent EARLY Autonomic Cardiovascular and Diastolic Dysfunctions in Streptozotocin-Induced Diabetic Rats.

Sarah C F Freitas, Marina R H Dutra, Paulo M M Dourado, Victor Hugo de Martins Miranda, Camila P Dos Santos, Iris C Sanches, Maria-Cláudia Irigoyen, Kátia De Angelis

Abstract read
In one paragraph

Article in Pharmaceuticals (Basel, Switzerland), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Sarah C F FreitasTranslational Physiology Laboratory, Universidade Nove de Julho (UNINOVE), São Paulo 01525-000, Brazil.
Marina R H DutraTranslational Physiology Laboratory, Universidade Nove de Julho (UNINOVE), São Paulo 01525-000, Brazil.
Paulo M M DouradoHypertension Unit, Heart Institute (InCor), School of Medicine, University of São Paulo (USP), Sao Paulo 05403-000, Brazil.ORCID 0000-0002-6723-5758
Victor Hugo de Martins MirandaDepartment of Physiology, Federal University of Sao Paulo (UNIFESP), São Paulo 04023-062, Brazil.
Camila P Dos SantosDepartment of Physiology, Federal University of Sao Paulo (UNIFESP), São Paulo 04023-062, Brazil.
Iris C SanchesMovement Laboratory, Sao Judas Tadeu University (USJT), Sao Paulo 03166-000, Brazil.
Maria-Cláudia IrigoyenHypertension Unit, Heart Institute (InCor), School of Medicine, University of São Paulo (USP), Sao Paulo 05403-000, Brazil.
Kátia De AngelisTranslational Physiology Laboratory, Universidade Nove de Julho (UNINOVE), São Paulo 01525-000, Brazil.ORCID 0000-0002-3640-9049

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recent studies have found increased cardiovascular mortality risk in patients with type 1 diabetes when compared to normoglycemic people, even when they were kept under good glycemic control. However, the mechanisms underlying this condition have yet to be fully understood. Using streptozotocin (STZ)-induced diabetic rats, we evaluated the effects of insulin replacement therapy on cardiac, autonomic, inflammatory, and oxidative stress parameters. Daily treatment with insulin administrated subcutaneously in the STZ-diabetic rats showed a reduction in hyperglycemia (>250 mg/dL) to normalized values. The insulin treatment was effective in preventing alterations in cardiac morphometry and systolic function but had no impact on diastolic function. Also, the treatment was not able to prevent the impairment of baroreflex-tachycardic response and systolic arterial pressure variability (SAP-V). A correlation was found between improvement of these autonomic parameters and higher levels of IL-10 and lower levels of oxidized glutathione. Our findings show that insulin treatment was not able to prevent diastolic, baroreflex, and SAP-V dysfunction, suggesting an outstanding cardiovascular risk, even after obtaining a good glycemic control in STZ-induced diabetic rats. This study shed light on a relatively large population of diabetic patients in need of other therapies to be used in combination with insulin treatment and thus more effectively manage cardiovascular risk.

Indexed as

autonomic cardiovascular dysfunctioncardiac dysfunctiondiabetesglycemic controlinflammationinsulin replacement therapy

Identifiers

PMID38794147
PMCPMC11124310

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.