Evidence map›Paper›PMID 36790478›Full record

ArticleDiabetologia2023

Skeletal muscle and intermuscular adipose tissue gene expression profiling identifies new biomarkers with prognostic significance for insulin resistance progression and intervention response.

Dominik Lutter, Stephan Sachs, Marc Walter, Anna Kerege, Leigh Perreault, Darcy E Kahn, Amare D Wolide, Maximilian Kleinert, Bryan C Bergman, Susanna M Hofmann

Open access · hybridFull text read
In one paragraph

Article in Diabetologia, 2023. 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
1.4field-weighted citation impact, top 20% 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, 8 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Insights into intramuscular adipose-muscle signaling in the diabetic lower extremity.Journal of clinical & translational endocrinology · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
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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

10 authors at 5 institutions in 2 countries.

Dominik LutterComputational Discovery Research, Institute for Diabetes and Obesity (IDO), Helmholtz Diabetes Center (HDC), Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany. dominik.lutter@helmholtz-muenchen.de.
Stephan SachsInstitute for Diabetes and Regeneration (IDR-H), Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany.
Marc WalterGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Anna KeregeUniversity of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Leigh PerreaultUniversity of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Darcy E KahnUniversity of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Amare D WolideComputational Discovery Research, Institute for Diabetes and Obesity (IDO), Helmholtz Diabetes Center (HDC), Helmholtz Zentrum München - German Research Center for Environmental Health, Neuherberg, Germany.
Maximilian KleinertGerman Center for Diabetes Research (DZD), Neuherberg, Germany.
Bryan C BergmanUniversity of Colorado Anschutz Medical Campus, Aurora, CO, USA.
Susanna M HofmannGerman Center for Diabetes Research (DZD), Neuherberg, Germany. susanna.hofmann@helmholtz-muenchen.de.
University of Colorado Anschutz Medical Campus · USHeinrich Heine University Düsseldorf · DEDeutsches Diabetes-Zentrum e.V. · DEGerman Center for Diabetes Research · DEHelmholtz Zentrum München · DE

Funding

PILOT STUDY--SUBSTRATE METABOLISM IN EXTREMELY LOW BIRTH WEIGHT INFANTSP30DK048520 · NIDDK · UNIVERSITY OF COLORADO DENVER · PI JANINE A HIGGINS · 1995 to 2026
$32.6M
NIDDK NIH HHS P30 DK048520
6 · The paper itself

Abstract

aims/hypothesisAlthough insulin resistance often leads to type 2 diabetes mellitus, its early stages are often unrecognised, thus reducing the probability of successful prevention and intervention. Moreover, treatment efficacy is affected by the genetics of the individual. We used gene expression profiles from a cross-sectional study to identify potential candidate genes for the prediction of diabetes risk and intervention response.

methodsUsing a multivariate regression model, we linked gene expression profiles of human skeletal muscle and intermuscular adipose tissue (IMAT) to fasting glucose levels and glucose infusion rate. Based on the expression patterns of the top predictive genes, we characterised and compared individual gene expression with clinical classifications using k-nearest neighbour clustering. The predictive potential of the candidate genes identified was validated using muscle gene expression data from a longitudinal intervention study.

resultsWe found that genes with a strong association with clinical measures clustered into three distinct expression patterns. Their predictive values for insulin resistance varied substantially between skeletal muscle and IMAT. Moreover, we discovered that individual gene expression-based classifications may differ from classifications based predominantly on clinical variables, indicating that participant stratification may be imprecise if only clinical variables are used for classification. Of the 15 top candidate genes, ST3GAL2, AASS, ARF1 and the transcription factor SIN3A are novel candidates for predicting a refined diabetes risk and intervention response. CONCLUSION/

interpretationOur results confirm that disease progression and successful intervention depend on individual gene expression states. We anticipate that our findings may lead to a better understanding and prediction of individual diabetes risk and may help to develop individualised intervention strategies.

Indexed as

Diabetes Mellitus, Type 2Insulin ResistanceAdipose TissueBiomarkersCross-Sectional StudiesGene Expression ProfilingGlucoseHumansMuscle, SkeletalObesityPrognosisBiomarkersGlucoseComputational healthDiabetes subtypesGlucose intoleranceInsulin resistanceIntermuscular adipose tissueObesityPersonalised medicineResponse to treatment predictionType 2 diabetes

Identifiers

PMID36790478
PMCPMC10036433
OpenAlexW4320857021

What Socratic holds

Textfull text, public
LicenceCC BY
measurements read35
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.