Evidence mapPaperPMID 40726503Full record

ReviewDiabetes, metabolic syndrome and obesity : targets and therapy2025

Asprosin Levels in Adults with Type 2 Diabetes Mellitus and Diabetic Kidney Disease: A Systematic Review and Meta-Analysis.

Jovana Ristic, Sena Kodalak, Gonzalo Alberto Peralta-Jiménez, Maria Fernanda Moura de Lima, Marijana Kovacevic, Srdjan Masic, Tatjana Nikolic

Abstract readReview
In one paragraph

Review in Diabetes, metabolic syndrome and obesity : targets and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

7 authors.

Jovana RisticFaculty of Medicine, University of Belgrade, Belgrade, Serbia.ORCID 0009-0004-1693-1165
Sena KodalakDepartment of Internal Medicine, Faculty of Medicine, Hacettepe University, Ankara, Turkey.ORCID 0009-0006-1476-6973
Gonzalo Alberto Peralta-JiménezArica and Parinacota Health Service, Subdirectorate of Healthcare Management, Arica, Chile.ORCID 0000-0002-6838-0949
Maria Fernanda Moura de LimaFederal University of Campina Grande, Paraiba, Brazil.
Marijana KovacevicDepartment of Internal Medicine, Faculty of Medicine Foca, University of East Sarajevo, Foca, Bosnia and Herzegovina.
Srdjan MasicDepartment of Primary Health Care and Public Health, Faculty of Medicine, University of East Sarajevo, Foca, Bosnia and Herzegovina.
Tatjana NikolicFaculty of Medicine, University of Belgrade, Belgrade, Serbia.ORCID 0000-0002-2185-7551

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Diabetic kidney disease (DKD) significantly affects health and healthcare costs due to chronic kidney disease complications. Given asprosin's potential as a biomarker for disease progression, we conducted the first systematic review and meta-analysis on its relationship with DKD in adults with type 2 diabetes mellitus (T2DM). Methods: PubMed, Embase, Cochrane, and Web of Science were systematically searched. Standard mean differences (SMD) with 95% confidence intervals (CI) and Fisher's Z transformation were used to examine the relationship between asprosin and DKD. The risk of bias was evaluated using the Newcastle-Ottawa Scale (NOS) and its version for cross-sectional studies. Heterogeneity (I² > 50%) was analyzed with a random-effects model. Results: Six studies (n = 1340) were included. Meta-analysis results indicated that T2DM patients with DKD (micro/macroalbuminuria) had significantly higher circulating asprosin levels than normoalbuminuric T2DM patients (SMD: 1.5, 95% CI: 0.69-2.32, p = 0.0003). Meta-analysis of correlation revealed a positive association of asprosin with urinary albumin excretion ratio (UACR) (Fisher's Z = 0.4; 95% CI: 0.240-0.554, p < 0.001) and body mass index (BMI) (Fisher's Z = 0.17; 95% CI: 0.036-0.301, p = 0.013), and a negative association with estimated glomerular filtration rate (eGFR) (Fisher's Z = -0.35; 95% CI: -0.471 to -0.239, p < 0.001). Conclusion: Asprosin is elevated in T2DM patients with pre-DKD (early stage DKD) and DKD and correlates with key markers of disease severity. Additional research is required to better understand the pathophysiological mechanisms of asprosin and its role in DKD.

Indexed as

adipokinealbuminuriaasprosindiabetes mellitusdiabetic kidney diseaseeGFR

Identifiers

PMID40726503
PMCPMC12301137

What Socratic holds

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Registered trials

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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.