Evidence map›Paper›PMID 40564980›Full record

Observational studyInternational journal of molecular sciences2025

Increased Plasma Levels of ACE and Ang II in Prediabetes May Contribute to Adipose Tissue Dysfunction.

Bongeka Cassandra Mkhize, Palesa Mosili, Phikelelani Sethu Ngubane, Ntethelelo Hopewell Sibiya, Andile Khathi

Abstract readObservational Study
In one paragraph

Observational study in International journal of molecular sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. Chemical & biomedical imaging · 2026
    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

5 authors.

Bongeka Cassandra MkhizeSchool of Laboratory Medicine & Medical Sciences, University of KwaZulu-Natal, Durban 3629, KwaZulu-Natal, South Africa.
Palesa MosiliDepartment of Human Physiology, University of KwaZulu-Natal, Westville 4000, KwaZulu-Natal, South Africa.ORCID 0000-0001-9971-1854
Phikelelani Sethu NgubaneDepartment of Human Physiology, University of KwaZulu-Natal, Westville 4000, KwaZulu-Natal, South Africa.
Ntethelelo Hopewell SibiyaDepartment of Pharmacology, University of Rhodes, Grahamstown 4000, Eastern Cape, South Africa.ORCID 0000-0001-5894-8935
Andile KhathiDepartment of Human Physiology, University of KwaZulu-Natal, Westville 4000, KwaZulu-Natal, South Africa.ORCID 0000-0002-2246-0038

Funding

National Research Foundation PMDS22080448005-PR-2023
6 · The paper itself

Abstract

Adipose tissue is essential for the regulation of insulin sensitivity and cytokine production, which are key processes in maintaining metabolic homeostasis. Previous studies have shown a link between the renin-angiotensin system (RAS) and adipose tissue dysfunction in type 2 diabetes (T2D); however, the role of RAS in prediabetes remains underexplored. This study aimed to analyze the association between RAS components and adipose tissue dysfunction in the prediabetic state. This observational, cross-sectional study was conducted between 21/05/21 and 20/05/24 and analyzed RAS markers in plasma samples. This study was conducted at King Edward Hospital, focusing on individuals from outpatient clinics. The study included non-prediabetic (NPD), prediabetic (PD), and T2D individuals (n = 40 per group) aged 25-45 years. The participants were selected based on fasting blood glucose levels and HbA1c criteria. Plasma RAS markers and adipose function markers were measured in each participant. Primary outcomes included HOMA-IR, HbA1c, and plasma levels of ACE1, Ang II, ACE2, Ang 1-7, adiponectin, adipsin, MCP-1, and HDL. PD participants had significantly altered glycaemic control (HOMA-IR: 2.1 ± 0.4 vs. 3.9 ± 0.8; HbA1c: 4.9 ± 0.4 vs. 5.9 ± 0.6) compared to NPD. Plasma ACE1 (162.0 ± 10.55 vs. 180.3 ± 7.546) and Ang II (20.26 ± 2.404 vs. 25 ± 1.752) were elevated, while adiponectin (29.08 ± 5.72 vs. 23.22 ± 4.93) and HDL (1.01 ± 0.11 vs. 0.67 ± 0.11) were reduced in PD. Alterations in RAS manifest early in prediabetes and are associated with adipose tissue dysfunction. These findings suggest that RAS dysregulation contributes to early metabolic disturbances in prediabetes.

Indexed as

Adipose TissueAngiotensin IIPeptidyl-Dipeptidase APrediabetic StateAdultBiomarkersBlood GlucoseCross-Sectional StudiesDiabetes Mellitus, Type 2FemaleHumansInsulin ResistanceMaleMiddle AgedRenin-Angiotensin SystemACE protein, humanAngiotensin IIBiomarkersBlood GlucosePeptidyl-Dipeptidase Aadipose tissueadipositymetabolic dysfunctionprediabetesrenin–angiotensin systemtype 2 diabetes

Identifiers

PMID40564980
PMCPMC12192874

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.