Metabolomics profiling in multi-ancestral individuals with type 2 diabetes in Singapore identified metabolites associated with renal function decline.

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Tác giả: Keven Ang, Peter I Benke, Gek Cher Chan, Yuqing Chen, Jianhong Ching, Jason Chon-Jun Choo, Thomas Coffman, Rajkumar Dorajoo, Resham L Gurung, Tosha Kalhan, Chiea Chuen Khor, Hiromi W L Koh, Jean-Paul Kovalik, Yun Li, Su-Chi Lim, Jian-Jun Liu, Charumathi Sabanayagam, Darren E J Seah, Yi-Ming Shao, Xueling Sim, Radoslaw M Sobota, E Shyong Tai, Wern Ee Tang, Federico Torta, Kavita Venkataraman, Markus R Wenk

Ngôn ngữ: eng

Ký hiệu phân loại: 297.1248 Sources of Islam

Thông tin xuất bản: Germany : Diabetologia , 2025

Mô tả vật lý:

Bộ sưu tập: NCBI

ID: 176195

AIMS/HYPOTHESIS: This study aims to explore the association between plasma metabolites and chronic kidney disease progression in individuals with type 2 diabetes. METHODS: We performed a comprehensive metabolomic analysis in a prospective cohort study of 5144 multi-ancestral individuals with type 2 diabetes in Singapore, using eGFR slope as the primary outcome of kidney function decline. In addition, we performed genome-wide association studies on metabolites to assess how these metabolites could be genetically influenced by metabolite quantitative trait loci and performed colocalisation analysis to identify genes affecting both metabolites and kidney function. RESULTS: Elevated levels of 61 lipids with long unsaturated fatty acid chains such as phosphatidylethanolamines, triacylglycerols, diacylglycerols, ceramides and deoxysphingolipids were prospectively associated with more rapid kidney function decline. In addition, elevated levels of seven amino acids and three lipids in the plasma were associated with a slower decline in eGFR. We also identified 15 metabolite quantitative trait loci associated with these metabolites, within which variants near TM6SF2, APOE and CPS1 could affect both metabolite levels and kidney functions. CONCLUSIONS/INTERPRETATION: Our study identified plasma metabolites associated with prospective renal function decline, offering insights into the underlying mechanism by which the metabolite abnormalities due to fatty acid oversupply might reflect impaired β-oxidation and associate with future chronic kidney disease progression in individuals with diabetes.
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