Evidence mapPaperPMID 28608024Full record

ArticleHigh blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension2017

Long-term Saxagliptin Treatment Improves Endothelial Function but not Pulse Wave Velocity and Intima-Media Thickness in Type 2 Diabetic Patients.

Raffaella Dell'Oro, Alessandro Maloberti, Francesco Nicoli, Paolo Villa, Pierluigi Gamba, Michele Bombelli, Giuseppe Mancia, Guido Grassi

Abstract read
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In one paragraph

Article in High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 14% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Vascular Aging and Disease of the Large Vessels: Role of Inflammation.High blood pressure & cardiovascular prevention : the official journal of the Italian Society of Hypertension · 2019
    Review
  10. 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

8 authors at 2 institutions in 1 country.

Raffaella Dell'OroClinica Medica, Dipartimento di Medicina e Chirurgia, Università Milano-Bicocca, Via Pergolesi 33, 20090, Monza, Italy.
Alessandro MalobertiClinica Medica, Dipartimento di Medicina e Chirurgia, Università Milano-Bicocca, Via Pergolesi 33, 20090, Monza, Italy.
Francesco NicoliClinica Medica, Dipartimento di Medicina e Chirurgia, Università Milano-Bicocca, Via Pergolesi 33, 20090, Monza, Italy.
Paolo VillaClinica Medica, Dipartimento di Medicina e Chirurgia, Università Milano-Bicocca, Via Pergolesi 33, 20090, Monza, Italy.
Pierluigi GambaClinica Medica, Dipartimento di Medicina e Chirurgia, Università Milano-Bicocca, Via Pergolesi 33, 20090, Monza, Italy.
Michele BombelliClinica Medica, Dipartimento di Medicina e Chirurgia, Università Milano-Bicocca, Via Pergolesi 33, 20090, Monza, Italy.
Giuseppe ManciaClinica Medica, Dipartimento di Medicina e Chirurgia, Università Milano-Bicocca, Via Pergolesi 33, 20090, Monza, Italy.
Guido GrassiClinica Medica, Dipartimento di Medicina e Chirurgia, Università Milano-Bicocca, Via Pergolesi 33, 20090, Monza, Italy. guido.grassi@unimib.it.
University of Milano-Bicocca · ITMultiMedica · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPharmacological inhibition of dipeptidyl-peptidase-4 may represent a promising therapeutic approach for glucose control and vascular protection. No information is available on the effects of saxagliptin (S) on aortic pulse wave velocity, carotid intima-media thickness and flow-mediated dilation (FMD, brachial artery) in diabetes.

aimWe investigated the long-term effects of S, as add-on therapy to metformin, on the above mentioned variables.

methodsIn 16 patients with decompensated diabetes aortic pulse wave velocity, carotid intima-media thickness and FMD, office and 24-h ambulatory blood pressure, anthropometric, biochemical and metabolic parameters were measured at baseline and after 6 and 12 months of treatment. A group of 16 compensated diabetics served as controls.

resultsThe two groups showed superimposable values of the different parameters, with the exception of glycated hemoglobin, blood glucose significantly (P < 0.05) greater in the S-treated patients. In the S-group glucose metabolism and FMD significantly improved during the follow-up (from 169.3 ± 8 to 157.1 ± 9 mg/dl, P < 0.05, from 7.9 ± 0.1 to 6.9 ± 0.2%, P < 0.001 and from 3.6 ± 0.3 to 7.4 ± 0.8%, respectively P < 0.05). No significant difference was detected in the other parameters, including blood pressure.

conclusionsThus treatment with S added-on to metformin results in beneficial effects on endothelial function, related at least in part to the concomitant improvement in glucose metabolism. This may represent a first step in the chain of events leading to a reduction in the progression of the vascular atherogenic process.

Indexed as

Carotid Intima-Media ThicknessPulse Wave AnalysisAdamantaneBiomarkersBlood GlucoseCarotid ArteriesCase-Control StudiesDiabetes Mellitus, Type 2Diabetic AngiopathiesDipeptidesDipeptidyl-Peptidase IV InhibitorsDrug Administration ScheduleDrug Therapy, CombinationEndothelium, VascularFemaleGlycated HemoglobinAdamantaneBiomarkersBlood GlucoseDipeptidesDipeptidyl-Peptidase IV InhibitorsGlycated Hemoglobinhemoglobin A1c protein, humanHypoglycemic AgentsMetforminsaxagliptinArterial stiffnessEndothelial functionInhibitors of dipeptidyl-peptidase-4SaxagliptinShear stressUltrasonography

Identifiers

PMID28608024
OpenAlexW2626618613

What Socratic holds

Texttitle and abstract
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.