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Record W2137592325 · doi:10.1191/1358863x04vm568xx

Vascular viewpoint

2004· article· en· W2137592325 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

affAt least one author lists a Canadian institution in the pinned OpenAlex snapshot.

Bibliographic record

VenueVascular Medicine · 2004
Typearticle
Languageen
FieldMedicine
TopicDiet and metabolism studies
Canadian institutionsMcMaster UniversityHamilton General Hospital
Fundersnot available
KeywordsInsulin resistanceMedicineInternal medicineEndocrinologyInsulinType 2 diabetesGlucose clamp techniquePopulationTriglycerideDiabetes mellitusGlucose uptakeBody mass indexPancreatic hormoneCholesterol

Abstract

fetched live from OpenAlex

Question: What is the role of the relative rates of fatty acid delivery from lypolysis and of mitochondrial oxidative phosphorylation in explaining variations in intramyocellular lipid content and insulin resistance? Population: Insulin-resistant subjects (three men and 11 women) and insulin-sensitive controls (five men and seven women) who were young [26 (±7) and 28 (±7) years, respectively], lean [body mass index (BMI) of 23 (±2) and 21 (±2) kg/m 2 , respectively], sedentary and in general good health were studied. Insulin resistance was defined as an insulin sensitivity index 1 <4.0, and a family history of type 2 diabetes (DM); insulin-sensitive controls had to have an insulin sensitivity index >6.3. Design and methods: Between 2001 and 2003, 150 individuals were screened through questionnaires and an oral glucose tolerance test (OGTT) to select subjects at extremes of insulin resistance and insulin sensitivity. 1 H magnetic resonance spectroscopy (MRS) was performed to assess intracellular triglyceride content within liver and muscle cells. Subjects then either underwent (i) 31 P MRS, to assess mitochondrial phosphorylation rates (a proxy of muscle ATP synthesis rates) and the ratio of inorganic phosphate-to-creatine phosphate (which reflects the ratio of oxidative to glycolytic muscle fibers); or (ii) a hyperinsulinemic-euglycemic clamp, to assess the glucose infusion required to respond to a constant insulin influx (a measure of the body’s responsiveness to insulin). Two of the insulin-sensitive controls were excluded after they were found to be insulin resistant by the clamp study. Whole body energy expenditure, and fat and glucose oxidation were measured through indirect calorimetry. In vivo lipolysis was assessed through microdialysis probes. Subjects were instructed to maintain regular diets with adequate carbohydrate intake (> 150 g per day) and refrain from exercise, other than routine walking, for the 3 days before the clinic visit. Women were examined during the follicular phase to avoid the potential impact of ovarian hormones on glucose metabolism. Results: (i) Oral glucose tolerance test: levels of glucose at baseline and during the OGTT were within the normal range for both insulin-resistant and insulin-sensitive subjects, but were consistently higher in the former group. Both groups had similar levels of plasma fatty acids and glucagon. (ii) Hyperinsulinemic-euglycemic clamp: a60% lower glucose infusion rate was required in insulin-resistant subjects to maintain a euglycemic state relative to insulin-sensitive subjects, largely due to a 70% reduction in non-oxidative glucose clearance in the former group. No difference was found between groups in the rate of glucose or fat oxidation; however, the basal metabolic rate was lower in insulin-resistant subjects relative to insulin-sensitive subjects. (iii) Intracellular triglyceride content: an80% increase in intramyocellular but not intrahepatic triglyceride content was found in insulin-resistant subjects relative to insulin-sensitive subjects. (iv) Mitochondrial phosphorylation rates were decreased by 30% and the ratio of inorganic phosphate-to-creatine phosphate was decreased by 20% among insulin-resistant subjects relative to insulin-sensitive subjects. (v) Similar levels of glycosylated hemoglobin, adiponectin, tumor necrosis factor α, interleukin-6, and resistin were found in both groups. Conclusion: Insulin-resistant subjects have a marked elevation in intramyocellular lipid levels perhaps due to an inherited defect in mitochondrial oxidative phosphorylation rates.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.001
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.765
Threshold uncertainty score0.686

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0010.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.018
GPT teacher head0.271
Teacher spread0.252 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it