Evidence map›Paper›PMID 41457334›Full record

ArticleDiabetes, obesity & metabolism2026

Defective high-density lipoprotein lipoprotection in type 2 diabetes during acute myocardial infarction is rescued by apolipoprotein M/sphingosine-1-phosphate loading.

Jens Vogt, Marcel Benkhoff, Nathalie H Schröder, Hao Hu, Lisa Dannenberg, Petra Keul, Theresia Sarabhai, Kálmán Benedikt Bódis, Tobias Zeus, Philipp Wollnitzke and 3 more

Abstract read
In one paragraph

Article in Diabetes, obesity & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Jens VogtInstitute of Molecular Medicine III, University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Marcel BenkhoffDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty of the Heinrich Heine University Düsseldorf, Düsseldorf, Germany.ORCID 0000-0001-6107-7421
Nathalie H SchröderInstitute of Molecular Medicine III, University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Hao HuDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty of the Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Lisa DannenbergDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty of the Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Petra KeulInstitute of Molecular Medicine III, University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Theresia SarabhaiDepartment of Endocrinology and Diabetology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany.
Kálmán Benedikt BódisDepartment of Endocrinology and Diabetology, Medical Faculty and University Hospital Düsseldorf, Heinrich-Heine-University, Düsseldorf, Germany.
Tobias ZeusDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty of the Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Philipp WollnitzkeInstitute of Molecular Medicine III, University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Malte KelmDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty of the Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Amin PolzinDepartment of Cardiology, Pulmonology, and Vascular Medicine, Medical Faculty of the Heinrich Heine University Düsseldorf, Düsseldorf, Germany.
Bodo LevkauInstitute of Molecular Medicine III, University Hospital Düsseldorf, Heinrich Heine University Düsseldorf, Düsseldorf, Germany.

Funding

Deutsche Forschungsgemeinschaft 236177352-SFB1116Deutsche Forschungsgemeinschaft 530690968Deutsche Forschungsgemeinschaft 560579599Deutsche Forschungsgemeinschaft SFB TRR259
6 · The paper itself

Abstract

aimsMortality of patients with type 2 diabetes (T2D) after acute myocardial infarction (AMI) is tremendous and massively increased compared to non-T2D individuals. The reasons are unclear. High-density lipoprotein (HDL) conducts lipoprotection during AMI, leading to improved outcomes. We hypothesised that T2D-HDL lacks lipoprotective properties. MATERIALS AND

methodsHDL was isolated from healthy, non-T2D individuals and T2D patients. This human HDL was administered to mice undergoing AMI. Infarct size and cardiac function were assessed by histology and echocardiography. HDL composition was determined by mass spectrometry.

resultsHDL from healthy individuals but not from T2D patients reduced infarct size and improved cardiac function after AMI. Analysing HDL composition revealed lack of sphingosine-1-phosphate and Apolipoprotein M in T2D-HDL. Ex-vivo loading of HDL with these components rescued T2D-HDL lipoprotection.

conclusionsWe revealed that T2D-HDL lacks lipoprotection during AMI. This might be a reason for enhanced mortality of T2D patients after AMI. Furthermore, we found an option to rescue T2D-HDL lipoprotection.

Indexed as

Apolipoproteins MDiabetes Mellitus, Type 2Lipoproteins, HDLLysophospholipidsMyocardial InfarctionSphingosineAgedAnimalsFemaleHumansMaleMiceMice, Inbred C57BLMiddle AgedApolipoproteins MLipoproteins, HDLLysophospholipidsSphingosinesphingosine 1-phosphate

Identifiers

PMID41457334
PMCPMC12890772

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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.