Evidence map›Paper›PMID 39987252›Full record

Trial reportNutrition & diabetes2025

MiRNAs as biomarkers of nutritional therapy to achieve T2DM remission in patients with coronary heart disease: from the CORDIOPREV study.

Juan Francisco Alcala-Diaz, Antonio Camargo, Cristina Vals-Delgado, Ana Leon-Acuña, Helena Garcia-Fernandez, Antonio P Arenas-de Larriva, Magdalena Perez-Cardelo, Marina Mora-Ortiz, Pablo Perez-Martinez, Javier Delgado-Lista and 4 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Nutrition & diabetes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Review
  5. Review
  6. 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

14 authors.

Juan Francisco Alcala-Diaz *Lipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, 14004, Córdoba, Spain.
Antonio Camargo *Lipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, 14004, Córdoba, Spain.
Cristina Vals-DelgadoLipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, 14004, Córdoba, Spain.
Ana Leon-AcuñaLipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, 14004, Córdoba, Spain.
Helena Garcia-FernandezLipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, 14004, Córdoba, Spain.
Antonio P Arenas-de LarrivaLipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, 14004, Córdoba, Spain.
Magdalena Perez-CardeloLipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, 14004, Córdoba, Spain.
Marina Mora-OrtizLipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, 14004, Córdoba, Spain.ORCID 0000-0002-6662-2932
Pablo Perez-MartinezLipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, 14004, Córdoba, Spain.
Javier Delgado-ListaLipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, 14004, Córdoba, Spain.
Maria Del Mar MalagonMaimónides Biomedical Research Institute of Córdoba (IMIBIC), Córdoba, Spain.ORCID 0000-0002-2419-2727
Jose M OrdovasCIBER Fisiopatologia de la Obesidad y la Nutricion (CIBEROBN), Instituto de Salud Carlos III, 28029, Madrid, Spain.ORCID 0000-0002-7581-5680
Oriol Alberto Rangel-ZuñigaLipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, 14004, Córdoba, Spain.ORCID 0000-0003-3495-5705
Jose Lopez-MirandaLipids and Atherosclerosis Unit, Internal Medicine Unit, Reina Sofia University Hospital, 14004, Córdoba, Spain. md1lomij@uco.es.ORCID 0000-0002-8844-0718

Funding

Ministry of Economy and Competitiveness | Instituto de Salud Carlos III (Institute of Health Carlos III) CP14/00114Ministry of Economy and Competitiveness | Instituto de Salud Carlos III (Institute of Health Carlos III) CP19/00142U.S. Department of Agriculture (United States Department of Agriculture) 8050-51000-098-00D
6 · The paper itself

Abstract

backgroundType 2 diabetes mellitus (T2DM) is currently a major global public health problem. Although disease remission is possible, few biomarkers have been identified which can help us select the diet that best promotes remission. Our aim was to study the potential of miRNAs as a tool to apply the Mediterranean diet or the low-fat diet in order to achieve T2DM remission in patients with coronary heart disease.

methodsFrom the CORDIOPREV study (n = 1002), a prospective, randomized, single-blind, controlled dietary intervention trial, all patients newly diagnosed with T2DM (n = 190) at baseline were included in the present study. Of these, after adhering to a low fat or Mediterranean diet for 60 months, 73 patients showed T2DM remission (Responders) and 110 continued with the disease (Non-responders). Plasma levels of 56 miRNAs were determined by RT-PCR. Generalized linear model, ROC curves and COX regression analyses were performed.

resultsWe observed that patients with low baseline plasma levels of miR-let7b-3p showed a high probability of T2DM remission after the consumption of a low-fat diet. In addition, patients with high levels of miR-141-5p, miR-182, and miR-192 at baseline showed a high probability of T2DM remission after following the Mediterranean diet. Scores built using miRNAs and clinical variables showed that high levels of a low-fat diet score and a high Mediterranean diet score were associated with a high probability of T2DM remission.

conclusionMiRNAs could be used as a tool for selecting the most efficient nutritional therapy (mediterranean or low-fat diet) to achieve T2DM remission in patients with coronary heart disease.

Indexed as

Coronary DiseaseDiabetes Mellitus, Type 2Diet, Fat-RestrictedDiet, MediterraneanMicroRNAsAgedBiomarkersFemaleHumansMaleMiddle AgedProspective StudiesRemission InductionSingle-Blind MethodBiomarkersMicroRNAs

Identifiers

PMID39987252
PMCPMC11846967

What Socratic holds

Textmetadata
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.