Evidence map›Paper›PMID 38360721›Full record

ArticleCardiovascular diabetology2024

Association of plasma angiogenin with risk of major cardiovascular events in type 2 diabetes.

Resham L Gurung, Sylvia Liu, Jian-Jun Liu, Yiamunaa M, Huili Zheng, Clara Chan, Keven Ang, Tavintharan Subramaniam, Chee Fang Sum, Su Chi Lim

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
3.6field-weighted citation impact, top 8% 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

5 citing papers in PubMed, 8 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

10 authors at 2 institutions in 2 countries.

Resham L Gurung *Clinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
Sylvia Liu *Clinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
Jian-Jun LiuClinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
Yiamunaa MClinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
Huili ZhengClinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
Clara ChanClinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
Keven AngClinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore.
Tavintharan SubramaniamDiabetes Centre, Admiralty Medical Centre, Singapore, Singapore.
Chee Fang SumDiabetes Centre, Admiralty Medical Centre, Singapore, Singapore.
Su Chi LimClinical Research Unit, Khoo Teck Puat Hospital, Singapore, Singapore. lim.su.chi@ktph.com.sg.
Khoo Teck Puat Hospital · SGSignature Research (United States) · US

Funding

Khoo Teck Puat Hospital Science Translational and Applied Research grants 20201Khoo Teck Puat Hospital Science Translational and Applied Research grants STAR 21109Singapore National Medical Research Council Grants MOH-00066
6 · The paper itself

Abstract

backgroundAngiogenin, an enzyme belonging to the ribonucleases A superfamily, plays an important role in vascular biology. Here, we sought to study the association of plasma angiogenin and major adverse cardiovascular events (MACEs) in patients with type 2 diabetes (T2D).

methodsThis prospective study included 1083 T2D individuals recruited from a secondary hospital and a primary care facility. The primary outcome was a composite of four-point MACE (nonfatal myocardial infarction, stroke, unstable angina pectoris leading to hospitalization and cardiovascular death). Circulating angiogenin was measured by a proximity extension assay. Cox regression models were used to evaluate the association of baseline plasma angiogenin with the risk of MACE.

resultsDuring a median follow-up of 9.3 years, 109 (10%) MACE were identified. Plasma angiogenin was significantly higher in participants with MACE than in those without MACE (P < 0.001). Doubling of plasma angiogenin concentration was associated with a 3.10-fold (95% CI 1.84-5.22) increased risk for MACE. The association was only moderately attenuated after adjustment for demographic and cardiometabolic risk factors (adjusted HR 2.38, 95% CI 1.34-4.23) and remained statistically significant after additional adjustment for estimated glomerular filtration rate (eGFR) and urinary albumin to creatinine ratio (uACR) (adjusted HR 1.90, 95% CI 1.02-3.53). A consistent outcome was obtained when plasma angiogenin was analysed as a categorical variable in tertiles.

conclusionsPlasma angiogenin was associated with the risk of future cardiovascular events in patients with T2D and may be a promising novel biomarker for identifying high-risk T2D patients for early management.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2HumansMyocardial InfarctionProspective StudiesRibonuclease, PancreaticRisk FactorsangiogeninRibonuclease, PancreaticAngiogeninMajor adverse cardiovascular eventsType 2 diabetes

Identifiers

PMID38360721
PMCPMC10870605
OpenAlexW4391845079

What Socratic holds

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LicenceCC BY
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.