Evidence map›Paper›PMID 34437304›Full record

ArticleJCI insight2021

Diminished retinal complex lipid synthesis and impaired fatty acid β-oxidation associated with human diabetic retinopathy.

Patrice E Fort, Thekkelnaycke M Rajendiran, Tanu Soni, Jaeman Byun, Yang Shan, Helen C Looker, Robert G Nelson, Matthias Kretzler, George Michailidis, Jerome E Roger and 4 more

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in JCI insight, 2021. 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 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.9field-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.

NCT00340678 phase3completednot on this map

Renoprotection in Early Diabetic Nephropathy in Pima Indians

TypeinterventionalSponsorNational Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)Ran1995 to 2014Enrolled170ConditionsDiabetic NephropathyArmsLosartan, Placebo
NCT06914778 recruitingnot on this mapstarted 2025, after this paper: background citation

Investigating the Metabolic and Lipidomic Profiles That Are Associated With Varying Grades of Diabetic Maculopathy and Retinopathy in South Wales

TypeobservationalSponsorHywel Dda Health BoardRan2025 to 2030Enrolled120ConditionsDiabetic Retinopathy (DR), Diabetic Retinopathy Associated With Type 2 Diabetes Mellitus, Diabetic Macular Edema (DME)ArmsBlood draw for the laboratory assessment, Urine sample
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 33 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Diabetic retinal disease.Nature reviews. Disease primers · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Frontiers in diabetic retinal disease.Journal of diabetes and its complications · 2023
    Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Serum lipidomic determinants of human diabetic neuropathy in type 2 diabetes.Annals of clinical and translational neurology · 2022
    Article
  20. Acylcarnitines: Can They Be Biomarkers of Diabetic Nephropathy?Diabetes, metabolic syndrome and obesity : targets and therapy · 2022
    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

14 authors at 7 institutions in 3 countries.

Patrice E FortDepartment of Ophthalmology and Visual Sciences.
Thekkelnaycke M RajendiranMichigan Regional Comprehensive Metabolomics Resource Core.
Tanu SoniDepartment of Pathology, and.
Jaeman ByunDepartment of Internal Medicine-Nephrology, University of Michigan, Ann Arbor, Michigan, USA.
Yang ShanDepartment of Ophthalmology and Visual Sciences.
Helen C LookerChronic Kidney Disease Section, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), Phoenix, Arizona, USA.
Robert G NelsonChronic Kidney Disease Section, National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), Phoenix, Arizona, USA.
Matthias KretzlerDepartment of Internal Medicine-Nephrology, University of Michigan, Ann Arbor, Michigan, USA.
George MichailidisDepartment of Statistics and the Informatics Institute, University of Florida, Gainesville, Florida, USA.
Jerome E RogerParis-Saclay Institute of Neuroscience, CERTO-Retina France, CNRS, Université Paris-Saclay, Orsay, France.
Thomas W GardnerDepartment of Ophthalmology and Visual Sciences.
Steven F AbcouwerDepartment of Ophthalmology and Visual Sciences.
Subramaniam PennathurDepartment of Molecular and Integrative Physiology.
Farsad AfshinniaDepartment of Internal Medicine-Nephrology, University of Michigan, Ann Arbor, Michigan, USA.
University of Michigan · USNational Institute of Diabetes and Digestive and Kidney Diseases · USCentre National de la Recherche Scientifique · FRComprehensive Clinical Research · USDiabetes Australia · AULaboratoire d’immunologie intégrative du cancer · FRUniversity of Florida · US

Funding

Regional Pilot And Feasibility Study Grants ProgramP30DK020572 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Scott Soleimanpour · 2013 to 2026
$24.3M
Pilot and Feasibility (P and F) ProgramP30DK089503 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Karen Eileen Peterson · 2010 to 2026
$20.3M
VIVARIUM MODULEP30EY007003 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI David Antonetti · 1987 to 2026
$17.6M
Integrated Systems Biology Approach to Diabetic Microvascular ComplicationsR24DK082841 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ABCOUWER, STEVEN F, BROSIUS, FRANK C · 2008 to 2020
$13.1M
University of Michigan O'Brien Kidney Translational Core CenterP30DK081943 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI PENNATHUR, SUBRAMANIAM · 2008 to 2022
$12.9M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Progressive Impact of Diabetes on Retinal Neuroprotection by ?-CrystallinsR01EY020895 · NEI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FORT, PATRICE E. · 2012 to 2019
$3.2M
Prognostic Biomarkers in Chronic Kidney DiseaseK08DK106523 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AFSHINNIA, FARSAD · 2015 to 2019
$789k
Lipidomic Predictors of Diabetic Kidney Disease Progression in Patients with Type-1 DiabetesR03DK121941 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI AFSHINNIA, FARSAD · 2019 to 2020
$169k
NEI NIH HHS P30 EY007003NEI NIH HHS R01 EY020895NIDDK NIH HHS K08 DK106523NIDDK NIH HHS P30 DK020572NIDDK NIH HHS P30 DK081943NIDDK NIH HHS P30 DK089503NIDDK NIH HHS P30 DK092926NIDDK NIH HHS R03 DK121941NIDDK NIH HHS R24 DK082841
6 · The paper itself

Abstract

BACKGROUNDThis study systematically investigated circulating and retinal tissue lipid determinants of human diabetic retinopathy (DR) to identify underlying lipid alterations associated with severity of DR.METHODSRetinal tissues were retrieved from postmortem human eyes, including 19 individuals without diabetes, 20 with diabetes but without DR, and 20 with diabetes and DR, for lipidomic study. In a parallel study, serum samples from 28 American Indians with type 2 diabetes from the Gila River Indian Community, including 12 without DR, 7 with mild nonproliferative DR (NPDR), and 9 with moderate NPDR, were selected. A mass-spectrometry-based lipidomic platform was used to measure serum and tissue lipids.RESULTSIn the postmortem retinas, we found a graded decrease of long-chain acylcarnitines and longer-chain fatty acid ester of hydroxyl fatty acids, diacylglycerols, triacylglycerols, phosphatidylcholines, and ceramide(NS) in central retina from individuals with no diabetes to those with diabetes with DR. The American Indians' sera also exhibited a graded decrease in circulating long-chain acylcarnitines and a graded increase in the intermediate-length saturated and monounsaturated triacylglycerols from no DR to moderate NPDR.CONCLUSIONThese findings suggest diminished synthesis of complex lipids and impaired mitochondrial β-oxidation of fatty acids in retinal DR, with parallel changes in circulating lipids.TRIAL REGISTRATIONClinicalTrials.gov NCT00340678.FUNDINGThis work was supported by NIH grants R24 DK082841, K08DK106523, R03DK121941, P30DK089503, P30DK081943, P30DK020572, P30 EY007003; The Thomas Beatson Foundation; and JDRF Center for Excellence (5-COE-2019-861-S-B).

Indexed as

LipidomicsAdultAgedAmerican Indian or Alaska NativeArizonaBlack or African AmericanCarnitineCase-Control StudiesCeramidesDiabetes Mellitus, Type 2Diabetic RetinopathyDiglyceridesDisease ProgressionEstersFemaleHispanic or LatinoacylcarnitineCarnitineCeramidesDiglyceridesEstersPhosphatidylcholinesTriglyceridesDiabetesFatty acid oxidationOphthalmologyRetinopathy

Identifiers

PMID34437304
PMCPMC8525591
OpenAlexW3193343815

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.