DIKUL - logo
E-viri
Recenzirano Odprti dostop
  • Biomarkers for Type 2 Diabe...
    MENNI, Cristina; FAUMAN, Eric; WEI YUAN; MILBURN, Mike; PALMER, Colin N. A; FRAYLING, Timothy M; TRIMMER, Jeff; BELL, Jordana T; GIEGER, Christian; MOHNEY, Rob P; BROSNAN, Mary Julia; SUHRE, Karsten; ERTE, Idil; SORANZO, Nicole; SPECTOR, Tim D; PERRY, John R. B; KASTENMÜLLER, Gabi; SHIN, So-Youn; PETERSEN, Ann-Kristin; HYDE, Craig; PSATHA, Maria; WARD, Kirsten J

    Diabetes (New York, N.Y.), 12/2013, Letnik: 62, Številka: 12
    Journal Article

    Using a nontargeted metabolomics approach of 447 fasting plasma metabolites, we searched for novel molecular markers that arise before and after hyperglycemia in a large population-based cohort of 2,204 females (115 type 2 diabetic T2D case subjects, 192 individuals with impaired fasting glucose IFG, and 1,897 control subjects) from TwinsUK. Forty-two metabolites from three major fuel sources (carbohydrates, lipids, and proteins) were found to significantly correlate with T2D after adjusting for multiple testing; of these, 22 were previously reported as associated with T2D or insulin resistance. Fourteen metabolites were found to be associated with IFG. Among the metabolites identified, the branched-chain keto-acid metabolite 3-methyl-2-oxovalerate was the strongest predictive biomarker for IFG after glucose (odds ratio OR 1.65 95% CI 1.39-1.95, P = 8.46 × 10(-9)) and was moderately heritable (h(2) = 0.20). The association was replicated in an independent population (n = 720, OR 1.68 1.34-2.11, P = 6.52 × 10(-6)) and validated in 189 twins with urine metabolomics taken at the same time as plasma (OR 1.87 1.27-2.75, P = 1 × 10(-3)). Results confirm an important role for catabolism of branched-chain amino acids in T2D and IFG. In conclusion, this T2D-IFG biomarker study has surveyed the broadest panel of nontargeted metabolites to date, revealing both novel and known associated metabolites and providing potential novel targets for clinical prediction and a deeper understanding of causal mechanisms.