Evidence map›Paper›PMID 38850100›Full record

Observational studyDiabetes/metabolism research and reviews2024

Fasting pancreatic polypeptide predicts incident microvascular and macrovascular complications of type 2 diabetes: An observational study.

Amir H Sam, Adam J Buckley, Brian Y H Lam, Gavin A Bewick, Paul R Bech, Karim Meeran, Maha T Barakat, Stephen R Bloom, Giles S H Yeo, Nader G Lessan and 1 more

Abstract readObservational Study
In one paragraph

Observational study in Diabetes/metabolism research and reviews, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Article
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

11 authors.

Amir H SamDivision of Diabetes, Endocrinology and Metabolism, Section of Endocrinology and Investigative Medicine, Imperial College London, London, UK.
Adam J BuckleyResearch Department, Imperial College London Diabetes Centre, Abu Dhabi, United Arab Emirates.ORCID 0000-0001-7471-0273
Brian Y H LamWellcome-MRC Institute of Metabolic Science Metabolic Research Laboratories, Cambridge, UK.
Gavin A BewickDepartment of Diabetes and Obesity, King's College London, London, UK.
Paul R BechDivision of Diabetes, Endocrinology and Metabolism, Section of Endocrinology and Investigative Medicine, Imperial College London, London, UK.
Karim MeeranDivision of Diabetes, Endocrinology and Metabolism, Section of Endocrinology and Investigative Medicine, Imperial College London, London, UK.
Maha T BarakatResearch Department, Imperial College London Diabetes Centre, Abu Dhabi, United Arab Emirates.
Stephen R BloomDivision of Diabetes, Endocrinology and Metabolism, Section of Endocrinology and Investigative Medicine, Imperial College London, London, UK.
Giles S H YeoWellcome-MRC Institute of Metabolic Science Metabolic Research Laboratories, Cambridge, UK.
Nader G LessanDivision of Diabetes, Endocrinology and Metabolism, Section of Endocrinology and Investigative Medicine, Imperial College London, London, UK.ORCID 0000-0001-9147-0961
Kevin G MurphyDivision of Diabetes, Endocrinology and Metabolism, Section of Endocrinology and Investigative Medicine, Imperial College London, London, UK.

Funding

Biotechnology and Biological Sciences Research CouncilDiabetes UKImperial College Healthcare NHS TrustImperial College LondonMedical Research Council MC_UU_00014/1Medical Research Council MC_UU_00014/5MubadalaNational Institute for Health and Care ResearchWellcome Trust 208363
6 · The paper itself

Abstract

aimsPancreatic polypeptide (PP) is elevated in people with vascular risk factors such as type 2 diabetes or increased visceral fat. We investigated potential relationships between PP and microvascular and macrovascular complications of diabetes. MATERIALS AND

methodsAnimal study: Subcutaneous PP infusion for 4 weeks in high fat diet mouse model. Retinal mRNA submitted for Ingenuity Pathway Analysis. Human study: fasting PP measured in 1478 participants and vascular complications recorded over median 5.5 (IQR 4.9-5.8) years follow-up.

resultsAnimal study: The retinal transcriptional response to PP was indicative of cellular stress and damage, and this footprint matched responses described in previously published studies of retinal disease. Of mechanistic importance the transcriptional landscape was consistent with upregulation of folliculin, a recently identified susceptibility gene for diabetic retinopathy. Human study: Adjusting for established risk factors, PP was associated with prevalent and incident clinically significant retinopathy (odds ratio (OR) 1.289 (1.107-1.501) p = 0.001; hazard ratio (HR) 1.259 (1.035-1.531) p = 0.0213), albuminuria (OR 1.277 (1.124-1.454), p = 0.0002; HR 1.608 (1.208-2.141) p = 0.0011), and macrovascular disease (OR 1.021 (1.006-1.037) p = 0.0068; HR 1.324 (1.089-1.61), p = 0.0049), in individuals with type 2 diabetes, and progression to diabetes in non-diabetic individuals (HR 1.402 (1.081-1.818), p = 0.0109).

conclusionsElevated fasting PP is independently associated with vascular complications of diabetes and affects retinal pathways potentially influencing retinal neuronal survival. Our results suggest possible new roles for PP-fold peptides in the pathophysiology of diabetes complications and vascular risk stratification.

Indexed as

Diabetes Mellitus, Type 2Diabetic AngiopathiesDiabetic RetinopathyFastingAgedAnimalsBiomarkersFemaleFollow-Up StudiesHumansIncidenceMaleMiceMiddle AgedPrognosisRisk FactorsBiomarkersdiabetes mellitusdiabetic retinopathymicrovascular diseasepancreatic polypeptidevisceral adiposity

Identifiers

PMID38850100
PMCPMC7617488

What Socratic holds

Textmetadata
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.