Evidence mapPaperPMID 26864236Full record

Trial reportCardiovascular diabetology2016

Skin collagen fluorophore LW-1 versus skin fluorescence as markers for the long-term progression of subclinical macrovascular disease in type 1 diabetes.

David R Sell, Wanjie Sun, Xiaoyu Gao, Christopher Strauch, John M Lachin, Patricia A Cleary, Saul Genuth, DCCT/EDIC Research Group, Vincent M Monnier

2 registry-linked trialsOpen access · goldAbstract readClinical TrialComparative Study
In one paragraph

Trial report in Cardiovascular diabetology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT00360815 nacompletednot on this map

Diabetes Control and Complications Trial (DCCT)

TypeinterventionalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran1983 to 1993Enrolled1,441ConditionsType 1 Diabetes MellitusArmsInsulin
NCT00360893 active not recruitingnot on this map

Epidemiology of Diabetes Interventions and Complications (EDIC)

TypeobservationalSponsorGeorge Washington UniversityRan1994 to 2027Enrolled1,441ConditionsType 1 Diabetes Mellitus
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Review
  3. Association Between Serum Albumin Level and Microvascular Complications of Type 2 Diabetes Mellitus.Diabetes, metabolic syndrome and obesity : targets and therapy · 2022
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  5. Article
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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

9 authors at 3 institutions in 1 country.

David R SellDepartment of Pathology, Case Western Reserve University, Wolstein Research Bldg. 5-301, 2103 Cornell Road, Cleveland, OH, 44106, USA. drs7@case.edu.
Wanjie SunBiostatistics Center, George Washington University, Rockville, MD, 20852, USA. ws8021@hotmail.com.
Xiaoyu GaoBiostatistics Center, George Washington University, Rockville, MD, 20852, USA. xgao@bsc.gwu.edu.
Christopher StrauchDepartment of Pathology, Case Western Reserve University, Wolstein Research Bldg. 5-301, 2103 Cornell Road, Cleveland, OH, 44106, USA. cms52@case.edu.
John M LachinBiostatistics Center, George Washington University, Rockville, MD, 20852, USA. jml@bsc.gwu.edu.
Patricia A ClearyBiostatistics Center, George Washington University, Rockville, MD, 20852, USA. cleary@bsc.gwu.edu.
Saul GenuthDepartment of Medicine, Case Western Reserve University, Cleveland, OH, 44106, USA. smg15@case.edu.
DCCT/EDIC Research Group
Vincent M MonnierDepartment of Pathology, Case Western Reserve University, Wolstein Research Bldg. 5-301, 2103 Cornell Road, Cleveland, OH, 44106, USA. vmm3@case.edu.
George Washington University · USCornell University · USCase Western Reserve University · US

Funding

Epidemiology of Diabetes Interventions and Complications (EDIC) StudyU01DK094157 · CASE WESTERN RESERVE UNIVERSITY · 2025 to 2025
$8.0M
AMINO-CARBONYL REACTIONS IN THE AGING HUMAN LENSR01EY007099 · CASE WESTERN RESERVE UNIVERSITY · 1987 to 2001
$504k
NEI NIH HHS EY-07099NEI NIH HHS R01 EY007099NIDDK NIH HHS DK101123NIDDK NIH HHS DP3 DK101123NIDDK NIH HHS R21 DK079432NIDDK NIH HHS R21 DK-79432NIDDK NIH HHS U01 DK094157
6 · The paper itself

Abstract

backgroundSkin collagen Long Wavelength Fluorescence (LWF) is widely used as a surrogate marker for accumulation of advanced glycation end-products. Here we determined the relationship of LWF with glycemia, skin fluorescence, and the progression of complications during EDIC in 216 participants from the DCCT.

methodsLW-1 and collagen-linked fluorescence (CLF) were measured by either High Performance Liquid Chromatography (HPLC) with fluorescence detection (LW-1) or total fluorescence of collagenase digests (CLF) in insoluble skin collagen extracted from skin biopsies obtained at the end of the DCCT (1993). Skin intrinsic fluorescence (SIF) was noninvasively measured on volar forearm skin at EDIC year 16 by the SCOUT DS instrument.

resultsLW-1 levels significantly increased with age and diabetes duration (P < 0.0001) and significantly decreased by intensive vs. conventional glycemic therapy in both the primary (P < 0.0001) and secondary (P < 0.037) DCCT cohorts. Levels were associated with 13-16 year progression risk of retinopathy (>3 sustained microaneurysms, P = 0.0004) and albumin excretion rate (P = 0.0038), the latter despite adjustment for HbA1c. Comparative analysis for all three fluorescent measures for future risk of subclinical macrovascular disease revealed the following significant (P < 0.05) associations after adjusting for age, diabetes duration and HbA1c: coronary artery calcium with SIF and CLF; intima-media thickness with SIF and LW-1; and left ventricular mass with LW-1 and CLF.

conclusionsLW-1 is a novel risk marker that is robustly and independently associated with the future progression of microvascular disease, intima-media thickness and left ventricular mass in type 1 diabetes. Trial registration NCT00360815 and NCT00360893 at clinicaltrials.gov.

Indexed as

Age FactorsBiomarkersBiopsyCarotid Artery DiseasesChromatography, High Pressure LiquidCoronary Artery DiseaseDiabetes Mellitus, Type 1Diabetic AngiopathiesDiabetic CardiomyopathiesDisease ProgressionDNA-Binding ProteinsFluorometryForearmGlycation End Products, AdvancedHeat-Shock ProteinsHeat Shock Transcription FactorsBiomarkersDNA-Binding ProteinsGlycation End Products, AdvancedHeat-Shock ProteinsHeat Shock Transcription FactorsHSFX1 protein, humanHypoglycemic Agents

Identifiers

PMID26864236
PMCPMC4750185
OpenAlexW2257922032

What Socratic holds

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LicenceCC BY
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Registered trials

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.