Evidence mapPaperPMID 36800223Full record

ArticleThe Journal of clinical endocrinology and metabolism2023

Disease Duration and Chronic Complications Associate With Immune Activation in Individuals With Longstanding Type 1 Diabetes.

Mandala Ajie, Julia I P van Heck, Anna W M Janssen, Rick I Meijer, Cees J Tack, Rinke Stienstra

Open access · hybridAbstract read
In one paragraph

Article in The Journal of clinical endocrinology and metabolism, 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
5.0field-weighted citation impact, top 5% 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, 16 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Mandala AjieDepartment of Internal Medicine, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.ORCID 0000-0003-0310-7842
Julia I P van HeckDepartment of Internal Medicine, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.
Anna W M JanssenDepartment of Internal Medicine, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.
Rick I MeijerDepartment of Internal Medicine, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.ORCID 0000-0002-5360-5439
Cees J TackDepartment of Internal Medicine, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.ORCID 0000-0003-0322-1653
Rinke StienstraDepartment of Internal Medicine, Radboud University Medical Centre, 6525 GA Nijmegen, The Netherlands.ORCID 0000-0001-6729-7193
Radboud University Nijmegen · NL

Funding

Perspectief Biomarker Development Center Researchthe Netherlands Organization for Scientific ResearchTop Sector Life Sciences & Health to Samenwerkende Gezondheidsfondsen
6 · The paper itself

Abstract

contextType 1 diabetes (T1D) is associated with alterations of the immune response which persist even after the autoimmunity aspect is resolved. Clinical factors that cause dysregulation, however, are not fully understood.

objectiveTo identify clinical factors that affect immune dysregulation in people with longstanding T1D.

designIn this cross-sectional study, 243 participants with longstanding T1D were recruited between February 2016 and June 2017 at the Radboudumc, the Netherlands. Blood was drawn to determine immune cell phenotype and functionality, as well as circulating inflammatory proteome. Multivariate linear regression was used to determine the association between glycated hemoglobin (HbA1c) levels, duration of diabetes, insulin need, and diabetes complications with inflammation.

resultsHbA1c level is positively associated with circulating inflammatory markers (P < .05), but not with immune cell number and phenotype. Diabetes duration is associated with increased number of circulating immune cells (P < .05), inflammatory proteome (P < .05), and negatively associated with adaptive immune response against Mycobacterium tuberculosis and Rhizopus oryzae (P < .05). Diabetes nephropathy is associated with increased circulating immune cells (P < .05) and inflammatory markers (P < .05).

conclusionDisease duration and chronic complications associate with persistent alterations in the immune response of individuals with long standing T1D.

Indexed as

Diabetes ComplicationsDiabetes Mellitus, Type 1Cross-Sectional StudiesGlycated HemoglobinHumansProteomeGlycated HemoglobinProteomediabetesdiabetes complicationsinflammationproteomics

Identifiers

PMID36800223
PMCPMC10348469
OpenAlexW4321169322

What Socratic holds

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LicenceCC BY-NC-ND
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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.