Evidence map›Paper›PMID 24595857›Full record

ArticleDiabetologia2014

Genome-wide association study of urinary albumin excretion rate in patients with type 1 diabetes.

Niina Sandholm, Carol Forsblom, Ville-Petteri Mäkinen, Amy Jayne McKnight, Anne-May Osterholm, Bing He, Valma Harjutsalo, Raija Lithovius, Daniel Gordin, Maija Parkkonen and 20 more

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In one paragraph

Article in Diabetologia, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
3.7field-weighted citation impact, top 7% 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

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 52 citations in OpenAlex.

  1. Pooled it
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  3. Integrated multiomic analyses: An approach to improve understanding of diabetic kidney disease.Diabetic medicine : a journal of the British Diabetic Association · 2025
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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

30 authors at 11 institutions in 10 countries.

Niina SandholmFolkhälsan Institute of Genetics, Folkhälsan Research Center, Biomedicum Helsinki, Helsinki, Finland.
Carol Forsblom
Ville-Petteri Mäkinen
Amy Jayne McKnight
Anne-May Osterholm
Bing He
Valma Harjutsalo
Raija Lithovius
Daniel Gordin
Maija Parkkonen
Markku Saraheimo
Lena M Thorn
Nina Tolonen
Johan Wadén
Jaakko Tuomilehto
Maria Lajer
Emma Ahlqvist
Anna Möllsten
M Loredana Marcovecchio
Jason Cooper
David Dunger
Andrew D Paterson
Gianpaolo Zerbini
Leif Groop
SUMMIT Consortium
Lise Tarnow
Alexander P Maxwell
Karl Tryggvason
Per-Henrik Groop
FinnDiane Study Group
University of Helsinki · FIQueen's University Belfast · GBHelsinki University Hospital · FIUniversity of Cambridge · GBLund University · SESteno Diabetes Centers · DKUniversität für Weiterbildung Krems · ATBaker Heart and Diabetes Institute · AUHospital for Sick Children · CAKarolinska Institutet · SEUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aims/hypothesisAn abnormal urinary albumin excretion rate (AER) is often the first clinically detectable manifestation of diabetic nephropathy. Our aim was to estimate the heritability and to detect genetic variation associated with elevated AER in patients with type 1 diabetes.

methodsThe discovery phase genome-wide association study (GWAS) included 1,925 patients with type 1 diabetes and with data on 24 h AER. AER was analysed as a continuous trait and the analysis was stratified by the use of antihypertensive medication. Signals with a p value <10(-4) were followed up in 3,750 additional patients with type 1 diabetes from seven studies.

resultsThe narrow-sense heritability, captured with our genotyping platform, was estimated to explain 27.3% of the total AER variability, and 37.6% after adjustment for covariates. In the discovery stage, five single nucleotide polymorphisms in the GLRA3 gene were strongly associated with albuminuria (p < 5 × 10(-8)). In the replication group, a nominally significant association (p = 0.035) was observed between albuminuria and rs1564939 in GLRA3, but this was in the opposite direction. Sequencing of the surrounding genetic region in 48 Finnish and 48 UK individuals supported the possibility that population-specific rare variants contribute to the synthetic association observed at the common variants in GLRA3. The strongest replication (p = 0.026) was obtained for rs2410601 between the PSD3 and SH2D4A genes. Pathway analysis highlighted natural killer cell mediated immunity processes. CONCLUSIONS/

interpretationThis study suggests novel pathways and molecular mechanisms for the pathogenesis of albuminuria in type 1 diabetes.

Indexed as

AdultAlbuminuriaDiabetes Mellitus, Type 1FemaleGenome-Wide Association StudyGenotypeHumansMaleMiddle AgedPolymorphism, Single Nucleotide

Identifiers

PMID24595857
OpenAlexW1980453073

What Socratic holds

Textmetadata
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.