Evidence mapPaperPMID 39655684Full record

ArticleDiabetes/metabolism research and reviews2025

Circulating Proneurotensin Levels Predict Impaired Bone Mineralisation in Postmenopausal Women With Type 2 Diabetes Mellitus.

Ilaria Barchetta, Sara Dule, Flavia Agata Cimini, Federica Sentinelli, Alessandro Oldani, Giulia Passarella, Tiziana Filardi, Vittorio Venditti, Enrico Bleve, Elisabetta Romagnoli and 5 more

Abstract read
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Article in Diabetes/metabolism research and reviews, 2025. 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

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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. Recent Updates on Diabetes and Bone.International journal of molecular sciences · 2025
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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Ilaria BarchettaDepartment of Experimental Medicine, Sapienza University, Rome, Italy.
Sara DuleDepartment of Experimental Medicine, Sapienza University, Rome, Italy.ORCID 0000-0002-5089-6963
Flavia Agata CiminiDepartment of Experimental Medicine, Sapienza University, Rome, Italy.
Federica SentinelliDepartment of Clinical Medicine, Public Health, Life and Environmental Sciences (MeSVA), University of L'Aquila, L'Aquila, Italy.
Alessandro OldaniDepartment of Experimental Medicine, Sapienza University, Rome, Italy.
Giulia PassarellaDepartment of Experimental Medicine, Sapienza University, Rome, Italy.
Tiziana FilardiDepartment of Experimental Medicine, Sapienza University, Rome, Italy.
Vittorio VendittiDepartment of Experimental Medicine, Sapienza University, Rome, Italy.
Enrico BleveDepartment of Experimental Medicine, Sapienza University, Rome, Italy.
Elisabetta RomagnoliDepartment of Experimental Medicine, Sapienza University, Rome, Italy.
Susanna MoranoDepartment of Experimental Medicine, Sapienza University, Rome, Italy.
Andrea LenziDepartment of Experimental Medicine, Sapienza University, Rome, Italy.
Olle MelanderDepartment of Internal Medicine, Skåne University Hospital, Malmö, Sweden.
Marco Giorgio BaroniDepartment of Clinical Medicine, Public Health, Life and Environmental Sciences (MeSVA), University of L'Aquila, L'Aquila, Italy.
Maria Gisella CavalloDepartment of Experimental Medicine, Sapienza University, Rome, Italy.ORCID 0000-0001-6630-8049

Funding

Agenzia Italian Medicines Agency, Ministero della Salute
6 · The paper itself

Abstract

contextThe mechanisms underlying bone fragility and increased fracture risk observed in individuals with type 2 diabetes (T2D) are not yet fully elucidated. Previous research has suggested a role for neuropeptides in regulating bone metabolism; however, the contribution of the neuropeptide Neurotensin (NT), which is thoroughly implicated in T2D and cardiovascular disease, has not been investigated in this context.

objectiveTo study the relationship between circulating levels of the NT precursor proneurotensin (proNT) and bone mineralisation in T2D women. MATERIALS AND

methodsThis is a cross-sectional investigation with a longitudinal prospective phase, involving 126 women with T2D who underwent bone density scans and had proNT levels measured. Biomarkers of bone metabolism and inflammation were also assessed. Data on bone mineral density (BMD) after 12 months were available for 49 patients.

main outcome measurePlasma proNT levels in relation to BMD.

results32% of the participants had osteopenia/osteoporosis and exhibited higher proNT than those with normal BMD (200.8 ± 113.7 vs. 161.6 ± 108.8 pg/mL; p = 0.013). ProNT inversely correlated with femur BMD and T-score (p < 0.01) and was associated with degraded bone architecture (TBS, p = 0.02), and higher OPN, P1NP, TNF-α and IL-1β levels. Baseline proNT correlated with further BMD reduction at the 12-month follow-up, independently of potential confounders (p = 0.02).

conclusionsIn women with T2D, greater proNT levels are associated with impaired bone mineralisation and predict mineral density decline overtime. ProNT could potentially serve as a diagnostic tool for identifying patients at higher risk of osteopenia/osteoporosis, suggesting a significant connection between this neuropeptide and bone metabolism in diabetes.

Indexed as

BiomarkersBone DensityDiabetes Mellitus, Type 2NeurotensinPostmenopauseProtein PrecursorsAgedBone Diseases, MetabolicCross-Sectional StudiesFemaleFollow-Up StudiesHumansLongitudinal StudiesMiddle AgedOsteoporosis, PostmenopausalPrognosisBiomarkersNeurotensinproneurotensinProtein Precursorsbone fragilitybone metabolismgut peptidesneuropeptidesneurotensinosteoporosis

Identifiers

PMID39655684
PMCPMC11629440

What Socratic holds

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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.