Evidence map›Paper›PMID 33042003›Full record

ArticleFrontiers in endocrinology2020

Ghrelin Protects Against Insulin-Induced Hypoglycemia in a Mouse Model of Type 1 Diabetes Mellitus.

Kripa Shankar, Deepali Gupta, Bharath K Mani, Brianna G Findley, Sherri Osborne-Lawrence, Nathan P Metzger, Chen Liu, Eric D Berglund, Jeffrey M Zigman

Open access · goldAbstract read
In one paragraph

Article in Frontiers in endocrinology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.8field-weighted citation impact, top 33% 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

9 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Review
  3. Strategies for optimization of hypoglycemia rat models.Animal models and experimental medicine · 2025
    Review
  4. Article
  5. Article
  6. Germline and conditional ghrelin knockout increases islet size.The Journal of clinical investigation · 2023
    Article
  7. Article
  8. Article
  9. 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

9 authors at 3 institutions in 1 country.

Kripa ShankarDepartment of Internal Medicine, Center for Hypothalamic Research, UT Southwestern Medical Center, Dallas, TX, United States.
Deepali GuptaDepartment of Internal Medicine, Center for Hypothalamic Research, UT Southwestern Medical Center, Dallas, TX, United States.
Bharath K ManiDepartment of Internal Medicine, Center for Hypothalamic Research, UT Southwestern Medical Center, Dallas, TX, United States.
Brianna G FindleyDepartment of Internal Medicine, Center for Hypothalamic Research, UT Southwestern Medical Center, Dallas, TX, United States.
Sherri Osborne-LawrenceDepartment of Internal Medicine, Center for Hypothalamic Research, UT Southwestern Medical Center, Dallas, TX, United States.
Nathan P MetzgerDepartment of Internal Medicine, Center for Hypothalamic Research, UT Southwestern Medical Center, Dallas, TX, United States.
Chen LiuDepartment of Internal Medicine, Center for Hypothalamic Research, UT Southwestern Medical Center, Dallas, TX, United States.
Eric D BerglundDepartment of Internal Medicine, Center for Hypothalamic Research, UT Southwestern Medical Center, Dallas, TX, United States.
Jeffrey M ZigmanDepartment of Internal Medicine, Center for Hypothalamic Research, UT Southwestern Medical Center, Dallas, TX, United States.
Southwestern Medical CenterThe University of Texas Southwestern Medical Center · USSouthwestern Medical Center · US

Funding

Hypothalamic Serotonin Receptors and Olanzapine-induced Metabolic SyndromeR01DK114036 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI Chen Liu · 2017 to 2026
$4.2M
CNS Pathways Regulating Ghrelin Effects on Body WeightR01DK071320 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI ELMQUIST, JOEL K. · 2005 to 2012
$2.5M
Role of Ghrelin in the Counter-Regulatory Response to Insulin-Induced HypoglycemiaR01DK119341 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI BERGLUND, ERIC, ZIGMAN, JEFFREY M · 2019 to 2022
$2.2M
Novel Insulin-Independent Gluco-Regulatory MechanismsR01DK109408 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI BERGLUND, ERIC · 2016 to 2020
$1.8M
Role of ghrelin in the counterregulatory response to insulin-induced hypoglycemiaR56DK071320 · NIDDK · UT SOUTHWESTERN MEDICAL CENTER · PI ZIGMAN, JEFFREY M · 2016 to 2016
$122k
NIDDK NIH HHS R01 DK071320NIDDK NIH HHS R01 DK109408NIDDK NIH HHS R01 DK114036NIDDK NIH HHS R01 DK119341NIDDK NIH HHS R56 DK071320
6 · The paper itself

Abstract

Insulin-induced hypoglycemia is a major limiting factor in maintaining optimal blood glucose in patients with type 1 diabetes and advanced type 2 diabetes. Luckily, a counterregulatory response (1) system exists to help minimize and reverse hypoglycemia, although more studies are needed to better characterize its components. Recently, we showed that the hormone ghrelin is permissive for the normal CRR to insulin-induced hypoglycemia when assessed in mice without diabetes. Here, we tested the hypothesis that ghrelin also is protective against insulin-induced hypoglycemia in the streptozotocin (2) mouse model of type 1 diabetes. STZ-treated ghrelin-knockout (KO) (3) mice as well as STZ-treated wild-type (WT) littermates were subjected to a low-dose hyperinsulinemic-hypoglycemic clamp procedure. The STZ-treated ghrelin-KO mice required a much higher glucose infusion rate than the STZ-treated WT mice. Also, the STZ-treated ghrelin-KO mice exhibited attenuated plasma epinephrine and norepinephrine responses to the insulin-induced hypoglycemia. Taken together, our data suggest that without ghrelin, STZ-treated mice modeling type 1 diabetes are unable to mount the usual CRR to insulin-induced hypoglycemia.

Indexed as

Blood GlucoseAnimalsDiabetes Mellitus, ExperimentalDiabetes Mellitus, Type 1EpinephrineGhrelinGlucagonHypoglycemiaInsulinMiceMice, KnockoutNorepinephrineBlood GlucoseEpinephrineGhrelinGlucagonInsulinNorepinephrineghrelinglucose clampglucose counterregulationhypoglycemiatype 1 diabetes

Identifiers

PMID33042003
PMCPMC7518392
OpenAlexW3085960055

What Socratic holds

Textmetadata
LicenceCC BY
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.