Evidence map›Paper›PMID 39252611›Full record

ArticleThe Journal of clinical endocrinology and metabolism2025

Relationship Between Radiation Dose and Markers of Insulin Resistance and Inflammation in Atomic Bomb Survivors.

Yoshimi Tatsukawa, Richard Sposto, Michiko Yamada, Waka Ohishi, Misa Imaizumi, Ayumi Hida, Ritsu Sakata, Saeko Fujiwara, Shuhei Nakanishi, Haruya Ohno

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Article in The Journal of clinical endocrinology and metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

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4 · The record

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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

10 authors.

Yoshimi TatsukawaDepartment of Clinical Studies, Radiation Effects Research Foundation, Hiroshima 732-0815, Japan.ORCID 0000-0001-9804-0569
Richard SpostoDepartment of Statistics, Radiation Effects Research Foundation, Hiroshima 732-0815, Japan.
Michiko YamadaDepartment of Clinical Studies, Radiation Effects Research Foundation, Hiroshima 732-0815, Japan.
Waka OhishiDepartment of Clinical Studies, Radiation Effects Research Foundation, Hiroshima 732-0815, Japan.ORCID 0000-0003-3195-4045
Misa ImaizumiDepartment of Clinical Studies, Radiation Effects Research Foundation, Nagasaki 850-0013, Japan.
Ayumi HidaDepartment of Clinical Studies, Radiation Effects Research Foundation, Nagasaki 850-0013, Japan.
Ritsu SakataDepartment of Epidemiology, Radiation Effects Research Foundation, Hiroshima 732-0815, Japan.
Saeko FujiwaraDepartment of Pharmacy, Faculty of Pharmacy, Yasuda Women's University, Hiroshima 731-0153, Japan.
Shuhei NakanishiDivision of Diabetes, Metabolism and Endocrinology, Kawasaki Medical School, Kurashiki 701-0192, Japan.
Haruya OhnoEndocrinology and Diabetic Medicine, Hiroshima University Hospital, Hiroshima 734-8551, Japan.

Funding

Ministry of Health, Labor and Welfare, Health and Labor Sciences 20FA1002Ministry of Health, Labor and Welfare, Health and Labor Sciences 23FA0501
6 · The paper itself

Abstract

contextIn recent studies of childhood cancer survivors, diabetes has been considered a late effect associated with high therapeutic doses of radiation therapy. Our recent study of atomic bomb (A-bomb) survivors also suggested an association between radiation dose and diabetes incidence, with exposure city and age at exposure as radiation dose effect modifiers. Insulin resistance mediated by systemic inflammation and abnormal body composition has been suggested as a possible primary mechanism for the incidence of diabetes after total body irradiation; however, no studies have examined low to moderate radiation exposure (<4 Gy) and insulin resistance in A-bomb survivors.

objectiveTo examine the association between radiation dose and markers of inflammation and insulin resistance.

methodsThis study investigated 3152 survivors who underwent a health examination between 2008 and 2012 and who were younger than 15 years at exposure. Multivariate linear regression analyses were used to evaluate the radiation effects on levels of markers of inflammation and insulin resistance.

resultsRadiation dose was significantly and positively associated with levels of C-reactive protein, triglycerides, homeostasis model assessment of β-cell function (HOMA-β), and HOMA of insulin resistance (HOMA-IR) after adjustment for relevant covariates including sex, city, and age at exposure. Adiponectin and high-density lipoprotein cholesterol levels were also associated significantly and negatively with radiation dose. However, city was not a dose modifier of the radiation response on these markers of inflammation and insulin resistance.

conclusionInsulin resistance might be a possible factor in radiation-related diabetes incidence in A-bomb survivors.

Indexed as

Atomic Bomb SurvivorsInflammationInsulin ResistanceRadiation DosageAdolescentAdultBiomarkersChildC-Reactive ProteinDiabetes MellitusDose-Response Relationship, RadiationFemaleHumansJapanMaleNuclear WeaponsBiomarkersC-Reactive ProteinA-bomb radiationepidemiologyinflammationinsulin resistance

Identifiers

PMID39252611
PMCPMC12086388

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LicenceCC BY-NC-ND
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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.