Evidence mapPaperPMID 29183908Full record

Trial reportDiabetes care2018

Modulation of GLP-1 Levels by a Genetic Variant That Regulates the Cardiovascular Effects of Intensive Glycemic Control in ACCORD.

Hetal S Shah, Mario Luca Morieri, Santica M Marcovina, Ronald J Sigal, Hertzel C Gerstein, Michael J Wagner, Alison A Motsinger-Reif, John B Buse, Peter Kraft, Josyf C Mychaleckyj and 1 more

Open access · bronzeAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Diabetes care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.6field-weighted citation impact, top 15% 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

12 citing papers in PubMed, 23 citations in OpenAlex.

  1. Diabetes · 2020
    Trial
  2. Article
  3. Article
  4. Review
  5. Precision Medicine in Type 2 Diabetes Mellitus: Utility and Limitations.Diabetes, metabolic syndrome and obesity : targets and therapy · 2023
    Review
  6. Review
  7. Pharmacogenetics of new classes of antidiabetic drugs.Bosnian journal of basic medical sciences · 2021
    Review
  8. Review
  9. Article
  10. The Need for Precision Medicine to be Applied to Diabetes.Journal of diabetes science and technology · 2020
    Article
  11. Review
  12. Article
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 8 institutions in 2 countries.

Hetal S ShahResearch Division, Joslin Diabetes Center, Boston, MA.
Mario Luca MorieriResearch Division, Joslin Diabetes Center, Boston, MA.
Santica M MarcovinaDepartment of Medicine, University of Washington, and Northwest Lipid Metabolism and Diabetes Research Laboratories, Seattle, WA.
Ronald J SigalDepartments of Medicine, Cardiac Sciences, and Community Health Sciences, Faculties of Medicine and Kinesiology, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.
Hertzel C GersteinDepartment of Medicine and the Population Health Research Institute, McMaster University, and Hamilton Health Sciences, Ontario, Hamilton, Canada.
Michael J WagnerCenter for Pharmacogenomics and Individualized Therapy, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Alison A Motsinger-ReifBioinformatics Research Center and Department of Statistics, North Carolina State University, Raleigh, NC.
John B BuseDepartment of Medicine, University of North Carolina School of Medicine, Chapel Hill, NC.
Peter KraftDepartment of Epidemiology and Biostatistics, Harvard T.H. Chan School of Public Health, Boston, MA.
Josyf C MychaleckyjCenter for Public Health Genomics, University of Virginia, Charlottesville, VA.
Alessandro DoriaResearch Division, Joslin Diabetes Center, Boston, MA alessandro.doria@joslin.harvard.edu.ORCID 0000-0002-3830-4304
Joslin Diabetes Center · USUniversity of North Carolina at Chapel Hill · USHarvard University · USNorth Carolina State University · USPopulation Health Research Institute · CAUniversity of Calgary · CAUniversity of Virginia · USUniversity of Washington · US

Funding

PILOT STUDY--SECRETORY TARGETING IN PANCREATIC B CELLSP30DK036836 · JOSLIN DIABETES CENTER · 1986 to 2025
$12.1M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095183 · MINNEAPOLIS MEDICAL RESEARCH FDN, INC. · 1999 to 2000
$1.9M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095181 · CASE WESTERN RESERVE UNIVERSITY · 1999 to 2000
$1.8M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095184 · COLUMBIA UNIVERSITY HEALTH SCIENCES · 1999 to 2000
$1.7M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095182 · WAKE FOREST UNIVERSITY · 1999 to 2000
$1.6M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUS-N01HC95178N01HC095178 · WAKE FOREST UNIVERSITY HEALTH SCIENCES · 1999 to 2005
$1.5M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETER MELLLITN01HC095180 · UNIVERSITY OF WASHINGTON · 1999 to 2000
$1.5M
PREVENTION OF CARDIOVASCULAR DISEASE IN DIABETES MELLITUN01HC095179 · MCMASTER UNIVERSITY · 1999 to 2000
$1.3M
Statistical Genetics of Outcomes and Drug Response in Patients with Type 2 Diabetes.ZIAES103338 · NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES · 2025 to 2025
$337k
NCATS NIH HHS UL1 TR001111NCATS NIH HHS UL1 TR002489NHLBI NIH HHS N01 HC095178NHLBI NIH HHS N01 HC095179NHLBI NIH HHS N01 HC095180NHLBI NIH HHS N01 HC095181NHLBI NIH HHS N01 HC095182NHLBI NIH HHS N01 HC095183NHLBI NIH HHS N01 HC095184NHLBI NIH HHS R01 HL110380NHLBI NIH HHS R01 HL110400NHLBI NIH HHS Y01 HC001010NHLBI NIH HHS Y01 HC009035NIDDK NIH HHS P30 DK036836
6 · The paper itself

Abstract

objectiveA genome-wide association study in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) trial identified two markers (rs57922 and rs9299870) that were significantly associated with cardiovascular mortality during intensive glycemic control and could potentially be used, when combined into a genetic risk score (GRS), to identify patients with diabetes likely to derive benefit from intensive control rather than harm. The aim of this study was to gain insights into the pathways involved in the modulatory effect of these variants. RESEARCH DESIGN AND

methodsFasting levels of 65 biomarkers were measured at baseline and at 12 months of follow-up in the ACCORD-Memory in Diabetes (ACCORD-MIND) MRI substudy (

resultsA significant association was observed between GRS and ΔGLP-1 (glucagon-like peptide 1, active) in the intensive arm (

conclusionsDifferences in GLP-1 axis activation may mediate the modulatory effect of variant rs57922 on the cardiovascular response to intensive glycemic control. These findings highlight the importance of GLP-1 as a cardioprotective factor.

Indexed as

Polymorphism, Single NucleotideAgedBlood GlucoseDiabetes Mellitus, Type 2Diabetic AngiopathiesFemaleGenetic Predisposition to DiseaseGenome-Wide Association StudyGenotypeGlucagon-Like Peptide 1HumansHypoglycemic AgentsMaleMiddle AgedRisk FactorsBlood GlucoseGlucagon-Like Peptide 1Hypoglycemic Agents

Identifiers

PMID29183908
PMCPMC5780047
OpenAlexW2770790027

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.