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Heterogeneously elevated branched-chain/aromatic amino acids among new-onset type-2 diabetes mellitus patients are potentially skewed diabetes predictors

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机构: [1]Yunnan Univ, Sch Chem Sci & Technol, Kunming 650091, Yunnan, Peoples R China [2]First Peoples Hosp Yunnan Prov, Dept Endocrinol, Kunming 650032, Yunnan, Peoples R China [3]North Sichuan Med Univ, Nanchong Cent Hosp, Clin Lab, Nanchong 637000, Sichuan, Peoples R China [4]North Sichuan Med Univ, Clin Med Coll 2, Nanchong 637000, Sichuan, Peoples R China [5]Uniformed Serv Univ Hlth Sci, Dept Prevent Med & Biostat, Bethesda, MD 20814 USA [6]North Sichuan Med Univ, Affiliated Hosp, Nanchong 637000, Sichuan, Peoples R China [7]Lotus Biotech Com LLC, Dept Res & Dev, Gaithersburg, MD 20878 USA [8]First Peoples Hosp Yunnan Prov, Dept Endocrinol, 157 Jinbi Rd, Kunming 650032, Yunnan, Peoples R China
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关键词: Hyperaminoacidemia Branched-chain/aromatic amino acids New-onset type-2 diabetes Predictor Obesity Sex

摘要:
<bold>Background: </bold>The lack of specific predictors for type-2 diabetes mellitus (T2DM) severely impacts early intervention/prevention efforts. Elevated branched-chain amino acids (BCAAs: Isoleucine, leucine, valine) and aromatic amino acids (AAAs: Tyrosine, tryptophan, phenylalanine)) show high sensitivity and specificity in predicting diabetes in animals and predict T2DM 10-19 years before T2DM onset in clinical studies. However, improvement is needed to support its clinical utility. <bold>Aim: </bold>To evaluate the effects of body mass index (BMI) and sex on BCAAs/AAAs in new-onset T2DM individuals with varying body weight. <bold>Methods: </bold>Ninety-seven new-onset T2DM patients (< 12 mo) differing in BMI [normal weight (NW), n = 33, BMI = 22.23 +/- 1.60; overweight, n = 42, BMI = 25.9 +/- 1.07; obesity (OB), n = 22, BMI = 31.23 +/- 2.31] from the First People's Hospital of Yunnan Province, Kunming, China, were studied. One-way and 2-way ANOVAs were conducted to determine the effects of BMI and sex on BCAAs/AAAs. <bold>Results: </bold>Fasting serum AAAs, BCAAs, glutamate, and alanine were greater and high-density lipoprotein (HDL) was lower (P < 0.05, each) in OB-T2DM patients than in NW-T2DM patients, especially in male OB-T2DM patients. Arginine, histidine, leucine, methionine, and lysine were greater in male patients than in female patients. Moreover, histidine, alanine, glutamate, lysine, valine, methionine, leucine, isoleucine, tyrosine, phenylalanine, and tryptophan were significantly correlated with abdominal adiposity, body weight and BMI, whereas isoleucine, leucine and phenylalanine were negatively correlated with HDL. <bold>Conclusion: </bold>Heterogeneously elevated amino acids, especially BCAAs/AAAs, across new-onset T2DM patients in differing BMI categories revealed a potentially skewed prediction of T2DM development. The higher BCAA/AAA levels in obese T2DM patients would support T2DM prediction in obese individuals, whereas the lower levels of BCAAs/AAAs in NW-T2DM individuals may underestimate T2DM risk in NW individuals. This potentially skewed T2DM prediction should be considered when BCAAs/AAAs are to be used as the T2DM predictor.

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大类 | 3 区 医学
小类 | 4 区 内分泌学与代谢
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Q1 ENDOCRINOLOGY & METABOLISM
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Q1 ENDOCRINOLOGY & METABOLISM

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第一作者机构: [1]Yunnan Univ, Sch Chem Sci & Technol, Kunming 650091, Yunnan, Peoples R China
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通讯机构: [2]First Peoples Hosp Yunnan Prov, Dept Endocrinol, Kunming 650032, Yunnan, Peoples R China [8]First Peoples Hosp Yunnan Prov, Dept Endocrinol, 157 Jinbi Rd, Kunming 650032, Yunnan, Peoples R China
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