Evidence map›Paper›PMID 20622173›Full record

ArticleDiabetes2010

Fetal exposure to maternal type 1 diabetes is associated with renal dysfunction at adult age.

Charbel Abi Khalil, Florence Travert, Sabrina Fetita, François Rouzet, Raphael Porcher, Jean-Pierre Riveline, Samy Hadjadj, Etienne Larger, Ronan Roussel, Patrick Vexiau and 3 more

Open access · hybridAbstract read
In one paragraph

Article in Diabetes, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
4.7field-weighted citation impact, top 6% of its field
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

22 citing papers in PubMed, 59 citations in OpenAlex.

  1. Review
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  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Frontiers in physiology · 2018
    Article
  13. Renal development in the fetus and premature infant.Seminars in fetal & neonatal medicine · 2017
    Review
  14. Article
  15. Review
  16. Review
  17. Article
  18. Nephron number and its determinants in early life: a primer.Pediatric nephrology (Berlin, Germany) · 2014
    Review
  19. Article
  20. Fetal programming of renal function.Pediatric nephrology (Berlin, Germany) · 2012
    Review
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 at 7 institutions in 1 country.

Charbel Abi KhalilDiabetes Department, Groupe Hospitalier Bichat–Claude Bernard, Assistance Publique-Hôpitaux de Paris, Paris, France.
Florence Travert
Sabrina Fetita
François Rouzet
Raphael Porcher
Jean-Pierre Riveline
Samy Hadjadj
Etienne Larger
Ronan Roussel
Patrick Vexiau
Dominique Le Guludec
Jean-François Gautier
Michel Marre
Université Paris Cité · FRAssistance Publique – Hôpitaux de Paris · FRDélégation Paris 7 · FRUniversité Claude Bernard Lyon 1 · FRCentre Hospitalier Sud Francilien · FRCentre Hospitalier Universitaire de Poitiers · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn animal studies, hyperglycemia during fetal development reduces nephron numbers. We tested whether this observation translates into renal dysfunction in humans by studying renal functional reserve in adult offspring exposed in utero to maternal type 1 diabetes. RESEARCH DESIGN AND

methodsWe compared 19 nondiabetic offspring of type 1 diabetic mothers with 18 offspring of type 1 diabetic fathers (control subjects). Glomerular filtration rate ((51)Cr-EDTA clearance), effective renal plasma flow ((123)I-hippurate clearance), mean arterial pressure, and renal vascular resistances were measured at baseline and during amino acid infusion, which mobilizes renal functional reserve.

resultsOffspring of type 1 diabetic mothers were similar to control subjects for age (median 27, range 18-41, years), sex, BMI (23.1 ± 3.7 kg/m(2)), and birth weight (3,288 ± 550 vs. 3,440 ± 489 g). During amino acid infusion, glomerular filtration rate and effective renal plasma flow increased less in offspring of type 1 diabetic mothers than in control subjects: from 103 ± 14 to 111 ± 17 ml/min (8 ± 13%) vs. from 108 ± 17 to 128 ± 23 ml/min (19 ± 7%, P = 0.009) and from 509 ± 58 to 536 ± 80 ml/min (5 ± 9%) vs. from 536 ± 114 to 620 ± 140 ml/min (16 ± 11%, P = 0.0035). Mean arterial pressure and renal vascular resistances declined less than in control subjects: 2 ± 5 vs. -2 ± 3% (P = 0.019) and 3 ± 9 vs. -14 ± 8% (P = 0.001).

conclusionsReduced functional reserve may reflect a reduced number of nephrons undergoing individual hyperfiltration. If so, offspring of type 1 diabetic mothers may be predisposed to glomerular and vascular diseases.

Indexed as

AdolescentAdultAgedAge of OnsetBlood Flow VelocityBlood PressureChildChild, PreschoolDiabetes Mellitus, Type 1Diabetic NephropathiesFathersFemaleGlomerular Filtration RateHumansKidney Function TestsMale

Identifiers

PMID20622173
PMCPMC3279566
OpenAlexW2165382124

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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 Socratic graph.