Evidence mapPaperPMID 39119951Full record

Trial reportJournal of the American Heart Association2024

Acute Sympathetic Blockade Improves Insulin-Mediated Microvascular Blood Flow in the Forearm of Adult Human Subjects With Obesity.

Emily C Smith, Jay N Patel, Amr Wahba, Andrew Cluckey, Jorge Celedonio, JinWoo Park, LaToya Hannah, Suzanna Lonce, Cyndya A Shibao, Sachin Y Paranjape and 5 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

15 authors.

Emily C SmithDivision of Clinical Pharmacology, Department of Medicine Vanderbilt University Medical Center Nashville TN.ORCID 0000-0002-5078-6748
Jay N PatelDivision of Cardiology Vanderbilt University Medical Center Nashville TN.ORCID 0000-0001-9148-2778
Amr WahbaDivision of Clinical Pharmacology, Department of Medicine Vanderbilt University Medical Center Nashville TN.
Andrew CluckeyDivision of Cardiology Vanderbilt University Medical Center Nashville TN.
Jorge CeledonioDivision of Clinical Pharmacology, Department of Medicine Vanderbilt University Medical Center Nashville TN.
JinWoo ParkDivision of Clinical Pharmacology, Department of Medicine Vanderbilt University Medical Center Nashville TN.ORCID 0000-0001-5548-3378
LaToya HannahHuman Metabolic Physiology Core Vanderbilt University Medical Center Nashville TN.ORCID 0000-0002-1676-1096
Suzanna LonceDivision of Clinical Pharmacology, Department of Medicine Vanderbilt University Medical Center Nashville TN.
Cyndya A ShibaoDivision of Clinical Pharmacology, Department of Medicine Vanderbilt University Medical Center Nashville TN.ORCID 0000-0002-4518-6801
Sachin Y ParanjapeDivision of Clinical Pharmacology, Department of Medicine Vanderbilt University Medical Center Nashville TN.ORCID 0000-0002-4597-9705
Andre DiedrichDivision of Clinical Pharmacology, Department of Medicine Vanderbilt University Medical Center Nashville TN.ORCID 0000-0001-5643-0294
Owen McGuinnessDepartment of Molecular Physiology and Biophysics Vanderbilt University Nashville TN.ORCID 0000-0002-1778-3203
David H WassermanDepartment of Molecular Physiology and Biophysics Vanderbilt University Nashville TN.
Italo BiaggioniDivision of Clinical Pharmacology, Department of Medicine Vanderbilt University Medical Center Nashville TN.ORCID 0000-0001-7667-7083
Alfredo GamboaDivision of Clinical Pharmacology, Department of Medicine Vanderbilt University Medical Center Nashville TN.ORCID 0000-0002-8676-687X

Funding

NHLBI NIH HHS R01 HL142583NHLBI NIH HHS R01 HL149386
6 · The paper itself

Abstract

backgroundObesity is associated with resistance to the metabolic (glucose uptake) and vascular (nitric-oxide mediated dilation and microvascular recruitment) actions of insulin. These vascular effects contribute to insulin sensitivity by increasing tissue delivery of glucose. Studies by us and others suggest that sympathetic activation contributes to insulin resistance to glucose uptake. Here we tested the hypothesis that sympathetic activation contributes to impaired insulin-mediated vasodilation in adult subjects with obesity. METHODS AND

resultsIn a randomized crossover study, we used a euglycemic hyperinsulinemic clamp in 12 subjects with obesity to induce forearm arterial vasodilation (forearm blood flow) and microvascular recruitment (contrast-enhanced ultrasonography) during an intrabrachial infusion of saline (control) or phentolamine (sympathetic blockade). Insulin increased forearm blood flow on both study days (from 2.21±1.22 to 4.89±4.21 mL/100 mL per min,

conclusionsWe conclude that sympathetic activation impairs insulin-mediated microvascular recruitment in adult subjects with obesity.

Indexed as

Autonomic Nerve BlockForearmInsulinMicrocirculationObesityRegional Blood FlowSympathetic Nervous SystemAdultBlood Flow VelocityCross-Over StudiesFemaleGlucose Clamp TechniqueHumansInsulin ResistanceMaleMiddle AgedInsulinPhentolamineautonomic nervous systeminsulin resistancemicrovascularobesity

Identifiers

PMID39119951
PMCPMC11963928

What Socratic holds

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LicenceCC BY-NC
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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.