Evidence mapPaperPMID 25733201Full record

Trial reportMetabolism: clinical and experimental2015

Effect of insulin sensitizer therapy on amino acids and their metabolites.

Brian A Irving, Rickey E Carter, Mattias Soop, Audrey Weymiller, Husnain Syed, Helen Karakelides, Sumit Bhagra, Kevin R Short, Laura Tatpati, Rocco Barazzoni and 1 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Metabolism: clinical and experimental, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
4.1field-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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Brian A IrvingDivision of Endocrinology, Endocrinology Research Unit, Mayo Clinic College of Medicine, Rochester, MN. Electronic address: bairving@geisinger.edu.
Rickey E CarterDepartment of Health Sciences Research, Mayo Clinic College of Medicine, Rochester, MN.
Mattias SoopDivision of Endocrinology, Endocrinology Research Unit, Mayo Clinic College of Medicine, Rochester, MN.
Audrey WeymillerDepartment of Nursing, Mayo Clinic College of Medicine, Rochester, MN.
Husnain SyedDepartment of Family Medicine, Mayo Clinic College of Medicine, Rochester, MN.
Helen KarakelidesDivision of Endocrinology, Endocrinology Research Unit, Mayo Clinic College of Medicine, Rochester, MN.
Sumit BhagraDivision of Endocrinology, Endocrinology Research Unit, Mayo Clinic College of Medicine, Rochester, MN.
Kevin R ShortDivision of Endocrinology, Endocrinology Research Unit, Mayo Clinic College of Medicine, Rochester, MN.
Laura TatpatiDivision of Reproductive Endocrinology, Mayo Clinic College of Medicine, Rochester, MN.
Rocco BarazzoniDivision of Endocrinology, Endocrinology Research Unit, Mayo Clinic College of Medicine, Rochester, MN.
K Sreekumaran NairDivision of Endocrinology, Endocrinology Research Unit, Mayo Clinic College of Medicine, Rochester, MN. Electronic address: nair@mayo.edu.
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

MECHANISM OF MUSCLE WASTING IN AGING MANR01AG009531 · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · 1993 to 2005
$2.7M
IN VIVO REGULATION OF PROTEIN TURNOVER BY HORMONESR01DK041973 · UNIVERSITY OF VERMONT &ST AGRIC COLLEGE · 1989 to 2005
$2.2M
NCRR NIH HHS KL2 RR024151NCRR NIH HHS KL2-RR024151NCRR NIH HHS UL1 RR024150NCRR NIH HHS UL1-RR024150NIA NIH HHS R01 AG009531NIA NIH HHS R01-AG09531NIDDK NIH HHS R01 DK041973NIDDK NIH HHS R01-DK41973NIDDK NIH HHS U24 DK100469NIDDK NIH HHS U24DK100469
6 · The paper itself

Abstract

aimsPrior studies have reported that elevated concentrations of several plasma amino acids (AA), particularly branched chain (BCAA) and aromatic AA predict the onset of type 2 diabetes. We sought to test the hypothesis that circulating BCAA, aromatic AA and related AA metabolites decline in response to the use of insulin sensitizing agents in overweight/obese adults with impaired fasting glucose or untreated diabetes.

methodsWe performed a secondary analysis of a randomized, double-blind, placebo, controlled study conducted in twenty five overweight/obese (BMI ~30kg/m(2)) adults with impaired fasting glucose or untreated diabetes. Participants were randomized to three months of pioglitazone (45mg per day) plus metformin (1000mg twice per day, N=12 participants) or placebo (N=13). We measured insulin sensitivity by the euglycemic-hyperinsulinemic clamp and fasting concentrations of AA and AA metabolites using ultra-pressure liquid chromatography tandem mass spectrometry before and after the three-month intervention.

resultsInsulin sensitizer therapy that significantly enhanced insulin sensitivity reduced 9 out of 33 AA and AA metabolites measured compared to placebo treatment. Moreover, insulin sensitizer therapy significantly reduced three functionally clustered AA and metabolite pairs: i) phenylalanine/tyrosine, ii) citrulline/arginine, and iii) lysine/α-aminoadipic acid.

conclusionsReductions in plasma concentrations of several AA and AA metabolites in response to three months of insulin sensitizer therapy support the concept that reduced insulin sensitivity alters AA and AA metabolites.

Indexed as

AdultAmino AcidsBlood GlucoseDiabetes Mellitus, Type 2Double-Blind MethodFemaleGlucose Clamp TechniqueHumansHypoglycemic AgentsInsulinInsulin ResistanceMaleMetforminObesityOverweightPioglitazoneAmino AcidsBlood GlucoseHypoglycemic AgentsInsulinMetforminPioglitazoneThiazolidinedionesBiomarkersDiabetesInsulin resistanceMetabolomicsObesity

Identifiers

PMID25733201
PMCPMC4525767
OpenAlexW2010161473

What Socratic holds

Texttitle and abstract
LicenceTDM
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.