Evidence map›Paper›PMID 34556670›Full record

Trial reportNature communications2021

Berberine is an insulin secretagogue targeting the KCNH6 potassium channel.

Miao-Miao Zhao, Jing Lu, Sen Li, Hao Wang, Xi Cao, Qi Li, Ting-Ting Shi, Kohichi Matsunaga, Chen Chen, Haixia Huang and 2 more

Erratum issued Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IRandomized Controlled Trial
In one paragraph

Trial report in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03972215 (Effect of Berberine on Insulin Release at a High Blood Glucose Level in Normal Man), which is not on this map. Cited by 62 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 4 pooled it
12.3field-weighted citation impact, top 1% 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.

NCT03972215 early_phase1completednot on this map

Effect of Berberine on Insulin Release at a High Blood Glucose Level in Normal Man

TypeinterventionalSponsorJin-Kui YangRan2019 to 2020Enrolled15ConditionsDiabetes MellitusArmsBerberine Chloride, Placebo
3 · Its place in the literature

Who cites it

62 citing papers in PubMed, 4 syntheses or guidelines pooled it, 115 citations in OpenAlex.

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2 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 3 countries.

Miao-Miao ZhaoDepartment of Endocrinology, Beijing Tongren Hospital, Capital Medical University, 100730, Beijing, China.ORCID http://orcid.org/0000-0002-4671-2463
Jing LuDepartment of Endocrinology, Beijing Tongren Hospital, Capital Medical University, 100730, Beijing, China.
Sen LiBeijing Key Laboratory of Diabetes Research and Care, Beijing Diabetes Institute, 100730, Beijing, China.
Hao WangDepartment of Endocrinology, Beijing Tongren Hospital, Capital Medical University, 100730, Beijing, China.
Xi CaoDepartment of Endocrinology, Beijing Tongren Hospital, Capital Medical University, 100730, Beijing, China.
Qi LiBeijing Key Laboratory of Diabetes Research and Care, Beijing Diabetes Institute, 100730, Beijing, China.
Ting-Ting ShiDepartment of Endocrinology, Beijing Tongren Hospital, Capital Medical University, 100730, Beijing, China.
Kohichi MatsunagaLaboratory of Molecular Endocrinology and Metabolism, Department of Molecular Medicine, Institute for Molecular and Cellular Regulation, Gunma University, Maebashi, Japan.
Chen ChenSchool of Biomedical Sciences, University of Queensland, Brisbane, QLD, 4072, Australia.ORCID http://orcid.org/0000-0003-2104-534X
Haixia HuangDepartment of Physiology and Pathophysiology, School of Basic Medical Sciences, Capital Medical University, 100069, Beijing, China.
Tetsuro IzumiLaboratory of Molecular Endocrinology and Metabolism, Department of Molecular Medicine, Institute for Molecular and Cellular Regulation, Gunma University, Maebashi, Japan.ORCID http://orcid.org/0000-0002-0974-7384
Jin-Kui YangDepartment of Endocrinology, Beijing Tongren Hospital, Capital Medical University, 100730, Beijing, China. jkyang@ccmu.edu.cn.ORCID http://orcid.org/0000-0002-5430-2149
Beijing Tongren Hospital · CNGunma University · JPCapital Medical University · CNThe University of Queensland · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coptis chinensis is an ancient Chinese herb treating diabetes in China for thousands of years. However, its underlying mechanism remains poorly understood. Here, we report the effects of its main active component, berberine (BBR), on stimulating insulin secretion. In mice with hyperglycemia induced by a high-fat diet, BBR significantly increases insulin secretion and reduced blood glucose levels. However, in mice with hyperglycemia induced by global or pancreatic islet β-cell-specific Kcnh6 knockout, BBR does not exert beneficial effects. BBR directly binds KCNH6 potassium channels, significantly accelerates channel closure, and subsequently reduces KCNH6 currents. Consequently, blocking KCNH6 currents prolongs high glucose-dependent cell membrane depolarization and increases insulin secretion. Finally, to assess the effect of BBR on insulin secretion in humans, a randomized, double-blind, placebo-controlled, two-period crossover, single-dose, phase 1 clinical trial (NCT03972215) including 15 healthy men receiving a 160-min hyperglycemic clamp experiment is performed. The pre-specified primary outcomes are assessment of the differences of serum insulin and C-peptide levels between BBR and placebo treatment groups during the hyperglycemic clamp study. BBR significantly promotes insulin secretion under hyperglycemic state comparing with placebo treatment, while does not affect basal insulin secretion in humans. All subjects tolerate BBR well, and we observe no side effects in the 14-day follow up period. In this study, we identify BBR as a glucose-dependent insulin secretagogue for treating diabetes without causing hypoglycemia that targets KCNH6 channels.

Indexed as

AdolescentAdultAnimalsBerberineCell Line, TumorCross-Over StudiesDiet, High-FatEther-A-Go-Go Potassium ChannelsHEK293 CellsHumansHyperglycemiaInsulin-Secreting CellsInsulin SecretionIon Channel GatingMaleMiceBerberineEther-A-Go-Go Potassium ChannelsKCNH6 protein, humanKcnh6 protein, mouseSecretagogues

Identifiers

PMID34556670
PMCPMC8460738
OpenAlexW3201432520

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.