Metabolic Biomarkers for Prognostic Prediction of Pre-diabetes: results from a longitudinal cohort study

Abstract To investigate the metabolic biomarkers of predicting the transition from pre-diabetes (pre-DM) to normal glucose regulation (NGR) and diabetes (DM) in a longitudinal cohort study. 108 participants with pre-DM were followed up for ten years and divided into 3 groups according to different g...

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Autores principales: Hailuan Zeng, Renchao Tong, Wenxin Tong, Qiaoling Yang, Miaoyan Qiu, Aizhen Xiong, Siming Sun, Lili Ding, Hongli Zhang, Li Yang, Jingyan Tian
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Publicado: Nature Portfolio 2017
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spelling oai:doaj.org-article:899ac24eba0b4a808497d872c0209f3c2021-12-02T12:32:52ZMetabolic Biomarkers for Prognostic Prediction of Pre-diabetes: results from a longitudinal cohort study10.1038/s41598-017-06309-62045-2322https://doaj.org/article/899ac24eba0b4a808497d872c0209f3c2017-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-017-06309-6https://doaj.org/toc/2045-2322Abstract To investigate the metabolic biomarkers of predicting the transition from pre-diabetes (pre-DM) to normal glucose regulation (NGR) and diabetes (DM) in a longitudinal cohort study. 108 participants with pre-DM were followed up for ten years and divided into 3 groups according to different glycemic outcomes. 20 participants progressed to DM, 20 regressed to NGR, and 68 remained at pre-DM. Alterations in plasma metabolites in these groups were evaluated by untargeted ultra-performance liquid chromatography-quadrupole time-of-flight mass spectrometry (UPLC-QTOF-MS). Twenty three metabolites related to glycerophospholipid metabolism, oxidation and antioxidation were associated with the process from pre-DM to NGR, while twenty two metabolites related to amino acid metabolism, glycerophospholipid metabolism and mitochondrial β-oxidation played important roles in the progression to DM. Results from stepwise logistic regression analysis showed that five biomarkers (20-Hydroxy-leukotriene E4, Lysopc(20:4), 5-methoxytryptamine, Endomorphin-1, Lysopc(20:3)) were good prediction for the restoration to NGR, and five biomarkers (Iso-valeraldehyde, linoleic acid, Lysopc(18:1), 2-Pyrroloylglycine, Dityrosine) for the development of DM. The findings suggest that the combination of these potential metabolites may be used for the prognosis of pre-DM. Targeting the pathways that involved in these prognostic biomarkers would be beneficial for the regression to NGR and the early prevention of DM among pre-DM.Hailuan ZengRenchao TongWenxin TongQiaoling YangMiaoyan QiuAizhen XiongSiming SunLili DingHongli ZhangLi YangJingyan TianNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 7, Iss 1, Pp 1-12 (2017)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hailuan Zeng
Renchao Tong
Wenxin Tong
Qiaoling Yang
Miaoyan Qiu
Aizhen Xiong
Siming Sun
Lili Ding
Hongli Zhang
Li Yang
Jingyan Tian
Metabolic Biomarkers for Prognostic Prediction of Pre-diabetes: results from a longitudinal cohort study
description Abstract To investigate the metabolic biomarkers of predicting the transition from pre-diabetes (pre-DM) to normal glucose regulation (NGR) and diabetes (DM) in a longitudinal cohort study. 108 participants with pre-DM were followed up for ten years and divided into 3 groups according to different glycemic outcomes. 20 participants progressed to DM, 20 regressed to NGR, and 68 remained at pre-DM. Alterations in plasma metabolites in these groups were evaluated by untargeted ultra-performance liquid chromatography-quadrupole time-of-flight mass spectrometry (UPLC-QTOF-MS). Twenty three metabolites related to glycerophospholipid metabolism, oxidation and antioxidation were associated with the process from pre-DM to NGR, while twenty two metabolites related to amino acid metabolism, glycerophospholipid metabolism and mitochondrial β-oxidation played important roles in the progression to DM. Results from stepwise logistic regression analysis showed that five biomarkers (20-Hydroxy-leukotriene E4, Lysopc(20:4), 5-methoxytryptamine, Endomorphin-1, Lysopc(20:3)) were good prediction for the restoration to NGR, and five biomarkers (Iso-valeraldehyde, linoleic acid, Lysopc(18:1), 2-Pyrroloylglycine, Dityrosine) for the development of DM. The findings suggest that the combination of these potential metabolites may be used for the prognosis of pre-DM. Targeting the pathways that involved in these prognostic biomarkers would be beneficial for the regression to NGR and the early prevention of DM among pre-DM.
format article
author Hailuan Zeng
Renchao Tong
Wenxin Tong
Qiaoling Yang
Miaoyan Qiu
Aizhen Xiong
Siming Sun
Lili Ding
Hongli Zhang
Li Yang
Jingyan Tian
author_facet Hailuan Zeng
Renchao Tong
Wenxin Tong
Qiaoling Yang
Miaoyan Qiu
Aizhen Xiong
Siming Sun
Lili Ding
Hongli Zhang
Li Yang
Jingyan Tian
author_sort Hailuan Zeng
title Metabolic Biomarkers for Prognostic Prediction of Pre-diabetes: results from a longitudinal cohort study
title_short Metabolic Biomarkers for Prognostic Prediction of Pre-diabetes: results from a longitudinal cohort study
title_full Metabolic Biomarkers for Prognostic Prediction of Pre-diabetes: results from a longitudinal cohort study
title_fullStr Metabolic Biomarkers for Prognostic Prediction of Pre-diabetes: results from a longitudinal cohort study
title_full_unstemmed Metabolic Biomarkers for Prognostic Prediction of Pre-diabetes: results from a longitudinal cohort study
title_sort metabolic biomarkers for prognostic prediction of pre-diabetes: results from a longitudinal cohort study
publisher Nature Portfolio
publishDate 2017
url https://doaj.org/article/899ac24eba0b4a808497d872c0209f3c
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