Evidence mapPaperPMID 33787922Full record

ArticleJournal of molecular cell biology2021

Diabetes pathogenesis and management: the endothelium comes of age.

Kaitlin M Love, Eugene J Barrett, Steven K Malin, Jane E B Reusch, Judith G Regensteiner, Zhenqi Liu

Open access · goldAbstract read
In one paragraph

Article in Journal of molecular cell biology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed
5.0field-weighted citation impact, top 4% 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

33 citing papers in PubMed, 44 citations in OpenAlex.

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  18. EndothelialCurrent diabetes reviews · 2025
    Review
  19. Review
  20. Impaired microvascular insulin-dependent dilation in women with a history of gestational diabetes.American journal of physiology. Heart and circulatory physiology · 2024
    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

6 authors at 3 institutions in 1 country.

Kaitlin M LoveDivision of Endocrinology and Metabolism, Department of Medicine, University of Virginia Health System, Charlottesville, VA 22908, USA.
Eugene J BarrettDivision of Endocrinology and Metabolism, Department of Medicine, University of Virginia Health System, Charlottesville, VA 22908, USA.
Steven K MalinDepartment of Kinesiology and Health, Rutgers University, New Brunswick, NJ, USA.
Jane E B ReuschCenter for Women's Health Research, University of Colorado School of Medicine, Aurora, CO, USA.
Judith G RegensteinerCenter for Women's Health Research, University of Colorado School of Medicine, Aurora, CO, USA.
Zhenqi LiuDivision of Endocrinology and Metabolism, Department of Medicine, University of Virginia Health System, Charlottesville, VA 22908, USA.ORCID 0000-0001-5077-0941
University of Virginia Health System · USUniversity of Colorado Anschutz Medical Campus · USRutgers, The State University of New Jersey · US

Funding

PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · UNIVERSITY OF COLORADO DENVER · 1995 to 2025
$7.7M
Institutional Career Development CoreKL2TR003016 · NCATS · UNIVERSITY OF VIRGINIA · PI Jason Papin, BRADFORD B WORRALL · 2022 to 2023
$2.1M
University of Colorado Anschutz Medical Campus DRCP30DK116073 · UNIVERSITY OF COLORADO DENVER · 2025 to 2025
$1.3M
Acute effects of hyperglycemia on heart and skeletal muscle microvasculatureR01HL142250 · NHLBI · UNIVERSITY OF VIRGINIA · PI EUGENE Joseph BARRETT · 2022 to 2022
$737k
Effects of Exercise and GLP-1R Agonism on Muscle Microvascular Perfusion and Insulin ActionR01DK125330 · UNIVERSITY OF VIRGINIA · 2025 to 2025
$657k
Interdisciplinary Training in Systems & Biomolecular Data ScienceT32GM145443 · UNIVERSITY OF VIRGINIA · 2025 to 2025
$321k
BLRD VA I01 BX002046NCATS NIH HHS KL2 TR003016NCATS NIH HHS UL1 TR000154NHLBI NIH HHS R01 HL142250NIDDK NIH HHS F32 DK121431NIDDK NIH HHS P30 DK048520NIDDK NIH HHS P30 DK116073NIDDK NIH HHS R01 DK102359NIDDK NIH HHS R01 DK125330NIGMS NIH HHS T32 GM145443
6 · The paper itself

Abstract

Endothelium, acting as a barrier, protects tissues against factors that provoke insulin resistance and type 2 diabetes and itself responds to the insult of insulin resistance inducers with altered function. Endothelial insulin resistance and vascular dysfunction occur early in the evolution of insulin resistance-related disease, can co-exist with and even contribute to the development of metabolic insulin resistance, and promote vascular complications in those affected. The impact of endothelial insulin resistance and vascular dysfunction varies depending on the blood vessel size and location, resulting in decreased arterial plasticity, increased atherosclerosis and vascular resistance, and decreased tissue perfusion. Women with insulin resistance and diabetes are disproportionately impacted by cardiovascular disease, likely related to differential sex-hormone endothelium effects. Thus, reducing endothelial insulin resistance and improving endothelial function in the conduit arteries may reduce atherosclerotic complications, in the resistance arteries lead to better blood pressure control, and in the microvasculature lead to less microvascular complications and more effective tissue perfusion. Multiple diabetes therapeutic modalities, including medications and exercise training, improve endothelial insulin action and vascular function. This action may delay the onset of type 2 diabetes and/or its complications, making the vascular endothelium an attractive therapeutic target for type 2 diabetes and potentially type 1 diabetes.

Indexed as

Age FactorsCardiovascular DiseasesComorbidityDiabetes Mellitus, Type 1Diabetes Mellitus, Type 2Endothelium, VascularExerciseFemaleHumansHypoglycemic AgentsInsulin ResistanceMaleRacial GroupsRisk FactorsSex FactorsHypoglycemic Agentsdiabetesendotheliuminsulin resistancevascular function

Identifiers

PMID33787922
PMCPMC8530521
OpenAlexW3144500731

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.