Evidence map›Paper›PMID 40436139›Full record

ArticleJournal of advanced research2026

In newly diagnosed diabetes, hyperglycemia is associated with increased brain iron deposition, measured by MRI-based Quantitative Susceptibility Mapping (QSM).

Maria Agnese Pirozzi, Fabrizio Esposito, Francesca Trojsi, Carla Passaniti, Irene Di Meo, Maria Chiara Auriemma, Antonella Chianese, Michele Cerasuolo, Giuseppe Paolisso, Mario Cirillo and 1 more

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Article in Journal of advanced research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

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4citing papers in PubMed
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1 · What the graph read from it

What it found

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3 · Its place in the literature

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4 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Maria Agnese PirozziDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy; Advanced MRI Research Center, University of Campania "Luigi Vanvitelli", Naples, Italy.
Fabrizio EspositoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy; Advanced MRI Research Center, University of Campania "Luigi Vanvitelli", Naples, Italy.
Francesca TrojsiDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy; First Division of Neurology, University Hospital "Luigi Vanvitelli", Naples, Italy.
Carla PassanitiDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy; First Division of Neurology, University Hospital "Luigi Vanvitelli", Naples, Italy.
Irene Di MeoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy; Division of Geriatrics and Internal Medicine, University Hospital "Luigi Vanvitelli", Naples, Italy.
Maria Chiara AuriemmaDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy; Division of Geriatrics and Internal Medicine, University Hospital "Luigi Vanvitelli", Naples, Italy.
Antonella ChianeseDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy; Division of Geriatrics and Internal Medicine, University Hospital "Luigi Vanvitelli", Naples, Italy.
Michele CerasuoloDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy; Division of Geriatrics and Internal Medicine, University Hospital "Luigi Vanvitelli", Naples, Italy.
Giuseppe PaolissoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy; Division of Geriatrics and Internal Medicine, University Hospital "Luigi Vanvitelli", Naples, Italy; UniCAMILLUS, International Medical University, Rome, Italy.
Mario CirilloDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy; Advanced MRI Research Center, University of Campania "Luigi Vanvitelli", Naples, Italy.
Maria Rosaria RizzoDepartment of Advanced Medical and Surgical Sciences, University of Campania "Luigi Vanvitelli", Naples, Italy; Division of Geriatrics and Internal Medicine, University Hospital "Luigi Vanvitelli", Naples, Italy. Electronic address: mariarosaria.rizzo@unicampania.it.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLong-term Type 2 diabetes mellitus (T2DM) affects multiple organs and systems throughout the body, including the cardiovascular, renal, and nervous systems. In the brain, T2DM impacts brain function, leading to cognitive impairment. Due to the faster progression of cognitive decline in diabetic patients, we aim to investigate the relationship between newly diagnosed T2DM and iron deposition by brain MRI technique.

methodsWe used Quantitative Susceptibility Mapping (QSM), an advanced brain MRI technique, to non-invasively quantify iron deposition in the brain of elderly patients and healthy control subjects. In all patients, blood glucose and iron levels and their correlates parameters were evaluated.

resultsQSM revealed increased iron deposition in the putamen of elderly diabetic patients although newly diagnosed compared to healthy controls. QSM significantly correlated with high blood glucose levels and insulin resistance, but not with blood iron levels.

conclusionsResults suggest that increased iron deposition in the putamen, as analyzed by QSM, is worsened by hyperglycemia and insulin resistance, already when diabetes is newly diagnosed. Addressing this issue could improve on the one clinical inertia towards diabetes hand newly diagnosed, with an improvement in diabetes management strategies itself, and on the other hand, it could focus attention on increased putamen iron deposition as a predictive indicator of neurocognitive impairment in T2DM.

Indexed as

BrainDiabetes Mellitus, Type 2HyperglycemiaIronMagnetic Resonance ImagingAgedBlood GlucoseCase-Control StudiesFemaleHumansInsulin ResistanceMaleMiddle AgedPutamenBlood GlucoseIronBrain Putamen Iron deposition and Cognitive impairmentHyperglycemia and Insulin resistance in agingIron deposition and Cognitive DeclineNewly diagnosed T2DM and Cognitive declineQuantitative Susceptibility Mapping and iron deposition

Identifiers

PMID40436139
PMCPMC12957831

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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.