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Vitamin D supplementation at low (600 IU/day) or higher dose (3,750 IU/day) does not improve insulin resistance markers at one year: A randomized controlled trial 低剂量(600 IU/天)或高剂量(3,750 IU/天)补充维生素 D 一年后并不能改善胰岛素抵抗指标:随机对照试验
Pub Date : 2025-06-01 Epub Date: 2025-03-11 DOI: 10.1016/j.metop.2025.100357
Nancy Safwan , Christos S. Mantzoros , Maya Rahme , Rafic Baddoura , Georges Halaby , Ghada El-Hajj Fuleihan

Aims

To compare the performance of newer insulin resistance (IR) indices, triglyceride glucose index (TyG) and metabolic score for IR (METS-IR), with previous markers HOMA-IR and McAuley-IR, and assess the impact of one-year of vitamin D supplementation, at two doses, on these indices in overweight, elderly individuals.

Methods

Exploratory analyses from a double-blind, multicenter randomized controlled trial involved overweight elderly participants with baseline serum 25-hydroxyvitamin D [25(OH)D] levels of 10–30 ng/ml (clinicaltrial.gov: NCT01315366). Participants received 1000 mg calcium citrate/day and vitamin D supplementation at a low-dose of 600 IU/day, or high-dose of 3750 IU/day.

Results

221 participants received low or high-dose vitamin D supplementation. Mean age was 71 ± 5 years, BMI 30 ± 4 kg/m2, 25(OH)D 20 ± 7 ng/ml, with 55 % female and 69 % with prediabetes. There were no significant baseline differences except for HDL levels (p = 0.04). TyG was notably increased in the high-dose group (p = 0.02). Mixed linear model analysis showed a greater increase in serum 25(OH)D in the high-dose group compared to the low-dose, with decreases in PTH, cholesterol, and LDL independent of dose. TyG and METS-IR did not differ by dose, time, or dose∗time interaction. Subgroup analyses by sex, baseline 25(OH)D cut-off, and glucose tolerance status were null. FokI polymorphism showed a significantly greater METS-IR in the high-dose arm, disappeared after adjusting for fat mass. McAuley-IR was the best IR index compared to TyG and METS-IR, both at baseline and 12 months.

Conclusions

Vitamin D supplementation at 3750 IU/d over one-year did not improve IR markers, including TyG and METS-IR.
目的比较较新的胰岛素抵抗(IR)指数、甘油三酯葡萄糖指数(TyG)和IR代谢评分(METS-IR)与先前的HOMA-IR和McAuley-IR指标的表现,并评估1年两剂量维生素D补充对超重老年人这些指标的影响。方法:一项双盲、多中心随机对照试验纳入了基线血清25-羟基维生素D [25(OH)D]水平为10-30 ng/ml的超重老年人(clinicaltrial.gov: NCT01315366)。参与者每天服用1000毫克柠檬酸钙和维生素D补充剂,低剂量为600 IU/天,高剂量为3750 IU/天。结果221名参与者接受了低剂量或高剂量的维生素D补充。平均年龄71±5岁,BMI 30±4 kg/m2, 25(OH)D 20±7 ng/ml,女性55%,糖尿病前期69%。除HDL水平外,两组间无显著基线差异(p = 0.04)。高剂量组TyG明显升高(p = 0.02)。混合线性模型分析显示,与低剂量组相比,高剂量组血清25(OH)D的增加更大,PTH、胆固醇和LDL的降低与剂量无关。TyG和METS-IR在剂量、时间或剂量*时间相互作用方面没有差异。按性别、基线25(OH)D临界值和葡萄糖耐量状态进行的亚组分析无效。FokI多态性在高剂量组显示met - ir显著增加,在调整脂肪量后消失。在基线和12个月时,与TyG和METS-IR相比,McAuley-IR是最好的IR指数。结论补充3750 IU/ D超过一年的维生素D并没有改善IR标志物,包括TyG和METS-IR。
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引用次数: 0
Truncated variant rs373056577 confers increased risk of type 2 diabetes and missense variant rs121912717 is associated with hypertriglyceridemia in Bangladeshi population 在孟加拉国人群中,截断变异rs373056577增加了2型糖尿病的风险,错义变异rs121912717与高甘油三酯血症相关
Pub Date : 2025-06-01 Epub Date: 2025-04-14 DOI: 10.1016/j.metop.2025.100364
Shomoita Sayed , Abdullah Al Saba , Imrul Hasan , Rafia Rahat , Mohammad Sayem , Akio Ebihara , A.H.M. Nurun Nabi
This study investigates the association of allelic and genotypic variations of rs121912717 and rs373056577 within APOA1 and APOA2 genes, respectively with the risk of type 2 diabetes (T2D). In this cross-sectional study, real-time quantitative PCR with specific Taqman probes was used to determine the genotypic and allelic frequencies of rs121912717 and rs373056577 in 300 unrelated Bangladeshi individuals (Healthy = 144, T2D patients = 156). Logistic regression analysis was performed to investigate the association of genotypic and allelic frequencies of these SNPs with respect to T2D under different inheritance models. Neither allelic nor genotypic frequencies of rs121912717 within APOA1 showed any significant association with T2D. Genotypes with respect to rs373056577 within APOA2 showed significant association with the risk of T2D under co-dominant heterozygous model (GG vs GA) [OR (95 %CI): 2.64 (1.32–5.59), p = 0.008], dominant [OR (95 %CI): 2.31 (1.24–4.49), p = 0.01] and over-dominant [OR (95 %CI): 2.62 (1.31–5.53), p = 0.008] models without adjusting for age, gender and BMI. After adjusting for age, gender and BMI, the A allele of rs373056577 showed significant association with T2D only in the dominant model [OR (95 %CI): 3.20 (1.12–10.51), p = 0.04]. Also, A allele of rs373056577 demonstrated significant association with the risk of T2D compared to allele G with [OR (95 %CI): 2.90 (1.15–8.14), p = 0.03] and without adjusting for confounders [OR (95 %CI): 1.97 (1.14–3.52), p = 0.02]. The genotypic frequency was significantly associated with T2D in codominant, dominant, and overdominant models in male participants when a gender-stratified analysis was conducted for rs373056577. However, when the logistic regression analysis was adjusted for age and BMI, the association was not significant in any of the models with respect to rs373056577 for male participants. On the other hand, gender-stratified regression analyses revealed no significant association with T2D before and after adjusting for age and BMI with respect to both allelic and genotypic frequencies of rs121912717. Individuals with CT genotype of rs121912717 had significantly higher triglyceride levels (322.2 mg/dL) compared to those harboring CC genotype (202.8 mg/dL) with or without adjusting for age, gender, BMI and disease status of the study participants. In conclusion, this study revealed that individuals harboring the allele A of rs373056577 possessed an increased risk of developing T2D and individuals having CT genotype of rs121912717 had increased triglyceride levels. The result of this study needs to be validated in a larger cohort for a more robust assessment.
本研究探讨了APOA1和APOA2基因中rs121912717和rs373056577等位基因和基因型变异与2型糖尿病(T2D)风险的关系。在本横断面研究中,采用特异性Taqman探针的实时定量PCR测定了300名孟加拉国无亲缘关系个体(健康= 144,T2D患者= 156)rs121912717和rs373056577的基因型和等位基因频率。采用Logistic回归分析研究不同遗传模式下这些snp的基因型和等位基因频率与T2D的关系。APOA1内rs121912717的等位基因频率和基因型频率均未显示与T2D有显著关联。APOA2中rs373056577基因型在共显性杂合模型(GG vs GA) [OR (95% CI): 2.64 (1.32-5.59), p = 0.008]、显性模型[OR (95% CI): 2.31 (1.24-4.49), p = 0.01]和过显性模型[OR (95% CI): 2.62 (1.31-5.53), p = 0.008]下与T2D风险显著相关,不考虑年龄、性别和BMI。在调整年龄、性别和BMI后,rs373056577等位基因A与T2D仅在优势模型中显示显著相关[OR (95% CI): 3.20 (1.12-10.51), p = 0.04]。此外,与等位基因G相比,rs373056577等位基因A与T2D风险显著相关[OR (95% CI): 2.90 (1.15-8.14), p = 0.03],且未调整混杂因素[OR (95% CI): 1.97 (1.14-3.52), p = 0.02]。在对rs373056577进行性别分层分析时,基因型频率与男性参与者共显性、显性和过显性模型中的T2D显著相关。然而,当对年龄和BMI进行调整的逻辑回归分析时,在任何模型中,关于男性参与者的rs373056577的关联都不显著。另一方面,性别分层回归分析显示,rs121912717的等位基因和基因型频率在调整年龄和BMI前后与T2D无显著相关性。无论是否调整研究参与者的年龄、性别、BMI和疾病状态,rs121912717 CT基因型个体的甘油三酯水平(322.2 mg/dL)明显高于CC基因型个体(202.8 mg/dL)。综上所述,本研究显示携带rs373056577等位基因A的个体发生T2D的风险增加,携带rs121912717 CT基因型的个体甘油三酯水平升高。这项研究的结果需要在更大的队列中进行验证,以获得更可靠的评估。
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引用次数: 0
Metabolic regulation of Th17 and Treg cell balance by the mTOR signaling mTOR信号对Th17和Treg细胞平衡的代谢调节
Pub Date : 2025-06-01 Epub Date: 2025-05-08 DOI: 10.1016/j.metop.2025.100369
Zhengzheng Wang , Zhen Xu , Ming Zong , Lieying Fan
The balance between T helper type 17 (Th17) and regulatory T (Treg) cells is crucial for maintaining immune homeostasis. The breakdown of this equilibrium is strongly associated with autoimmune disorders, though the regulatory mechanism of the Th17/Treg plasticity is less well demonstrated. The glycolytic metabolism plays a vital role in regulating the Th17/Treg cell differentiation. The review addressed the importance of mammalian target of rapamycin (mTOR) signaling in the glycolysis pathway attributed to Th17/Treg cell balance and consequence. Notably, we discuss the consequences of its equilibrium that lead to various autoimmune diseases, which might provide a new insight into the potentially therapeutic drug target for autoimmune disorders.
辅助性T细胞17 (Th17)和调节性T细胞(Treg)之间的平衡对于维持免疫稳态至关重要。这种平衡的破坏与自身免疫性疾病密切相关,尽管Th17/Treg可塑性的调节机制尚未得到很好的证实。糖酵解代谢在调节Th17/Treg细胞分化中起着至关重要的作用。本文综述了哺乳动物雷帕霉素靶(mTOR)信号在糖酵解途径中与Th17/Treg细胞平衡及其后果相关的重要性。值得注意的是,我们讨论了其平衡导致各种自身免疫性疾病的后果,这可能为自身免疫性疾病的潜在治疗药物靶点提供新的见解。
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引用次数: 0
PCSK9-promoted LDLR degradation: Recruitment or prevention of essential cofactors? pcsk9促进LDLR降解:必需辅因子的补充还是预防?
Pub Date : 2025-06-01 Epub Date: 2025-03-24 DOI: 10.1016/j.metop.2025.100362
Rong Li , Cindy Xinyi Zhang , Junli Liu , Da-wei Zhang
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引用次数: 0
A direct effect of sulfatide against development of fibrosis 硫脂对纤维化发展的直接作用
Pub Date : 2025-06-01 Epub Date: 2025-05-01 DOI: 10.1016/j.metop.2025.100368
Rikke Thea , Karsten Buschard
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引用次数: 0
Comprehensive profiling of candidate biomarkers and immune infiltration landscape in metabolic dysfunction-associated steatohepatitis 代谢功能障碍相关脂肪性肝炎候选生物标志物和免疫浸润景观的综合分析
Pub Date : 2025-06-01 Epub Date: 2025-04-15 DOI: 10.1016/j.metop.2025.100366
Zhangliu Jin , Jianyun Cao , Zhaoxun Liu , Mei Gao , Hailan Liu

Background

The incidence of metabolic dysfunction-associated steatohepatitis (MASH) is increasing, with an incompletely understood pathophysiology involving multiple factors, particularly innate and adaptive immune responses. Given the limited pharmacological treatments available, identification of novel immune metabolic targets is urgently needed. In this study, we aimed to identify hub immune-related genes and potential biomarkers with diagnostic and predictive value for MASH patients.

Methods

The GSE164760 dataset from the Gene Expression Omnibus was utilized for analysis, and the R package was used to identify differentially expressed genes. Immune-related differentially expressed genes (IR-DEGs) were identified by comparing the overlap of differentially expressed genes with well-known immune-related genes. Furthermore, the biological processes and molecular functions of the IR-DEGs were analyzed. To characterize the hub IR-DEGs, we employed a protein-protein interaction network. The diagnostic and predictive values of these hub IR-DEGs in MASH were confirmed using GSE48452 and GSE63067 datasets. Finally, the significance of the hub IR-DEGs was validated using a mouse model of MASH.

Results

A total of 91 IR-DEGs were identified, with 61 upregulated and 30 downregulated genes. Based on the protein-protein interaction network, FN1, RHOA, FOS, PDGFRα, CCND1, PIK3R1, CSF1, and FGF3 were identified as the hub IR-DEGs. Moreover, we found that these hub genes are closely correlated with immune cells. Notably, the validation across two independent cohorts as well as a murine MASH model confirmed their high diagnostic potential.

Conclusion

The hub IR-DEGs, such as FN1, RHOA, FOS, PDGFRα, CCND1, PIK3R1, CSF1, and FGF3, may enhance the diagnosis and prognosis of MASH by modulating immune homeostasis.
代谢功能障碍相关脂肪性肝炎(MASH)的发病率正在增加,涉及多种因素的病理生理学尚不完全清楚,特别是先天和适应性免疫反应。鉴于现有的药物治疗有限,迫切需要鉴定新的免疫代谢靶点。在这项研究中,我们的目的是确定中心免疫相关基因和潜在的生物标志物,对MASH患者具有诊断和预测价值。方法利用基因表达图谱(Gene Expression Omnibus)中的GSE164760数据集进行分析,并利用R包进行差异表达基因的鉴定。通过比较差异表达基因与已知免疫相关基因的重叠,鉴定免疫相关差异表达基因(IR-DEGs)。并对IR-DEGs的生物学过程和分子功能进行了分析。为了表征枢纽IR-DEGs,我们采用了蛋白质-蛋白质相互作用网络。使用GSE48452和GSE63067数据集证实了这些枢纽IR-DEGs在MASH中的诊断和预测价值。最后,利用小鼠MASH模型验证了枢纽IR-DEGs的意义。结果共鉴定出91个ir - deg,其中61个基因上调,30个基因下调。基于蛋白相互作用网络,FN1、RHOA、FOS、PDGFRα、CCND1、PIK3R1、CSF1和FGF3被鉴定为枢纽IR-DEGs。此外,我们发现这些中心基因与免疫细胞密切相关。值得注意的是,通过两个独立队列以及小鼠MASH模型的验证证实了它们的高诊断潜力。结论FN1、RHOA、FOS、PDGFRα、CCND1、PIK3R1、CSF1、FGF3等中枢ir - deg可能通过调节免疫稳态,提高MASH的诊断和预后。
{"title":"Comprehensive profiling of candidate biomarkers and immune infiltration landscape in metabolic dysfunction-associated steatohepatitis","authors":"Zhangliu Jin ,&nbsp;Jianyun Cao ,&nbsp;Zhaoxun Liu ,&nbsp;Mei Gao ,&nbsp;Hailan Liu","doi":"10.1016/j.metop.2025.100366","DOIUrl":"10.1016/j.metop.2025.100366","url":null,"abstract":"<div><h3>Background</h3><div>The incidence of metabolic dysfunction-associated steatohepatitis (MASH) is increasing, with an incompletely understood pathophysiology involving multiple factors, particularly innate and adaptive immune responses. Given the limited pharmacological treatments available, identification of novel immune metabolic targets is urgently needed. In this study, we aimed to identify hub immune-related genes and potential biomarkers with diagnostic and predictive value for MASH patients.</div></div><div><h3>Methods</h3><div>The GSE164760 dataset from the Gene Expression Omnibus was utilized for analysis, and the R package was used to identify differentially expressed genes. Immune-related differentially expressed genes (IR-DEGs) were identified by comparing the overlap of differentially expressed genes with well-known immune-related genes. Furthermore, the biological processes and molecular functions of the IR-DEGs were analyzed. To characterize the hub IR-DEGs, we employed a protein-protein interaction network. The diagnostic and predictive values of these hub IR-DEGs in MASH were confirmed using GSE48452 and GSE63067 datasets. Finally, the significance of the hub IR-DEGs was validated using a mouse model of MASH.</div></div><div><h3>Results</h3><div>A total of 91 IR-DEGs were identified, with 61 upregulated and 30 downregulated genes. Based on the protein-protein interaction network, FN1, RHOA, FOS, PDGFRα, CCND1, PIK3R1, CSF1, and FGF3 were identified as the hub IR-DEGs. Moreover, we found that these hub genes are closely correlated with immune cells. Notably, the validation across two independent cohorts as well as a murine MASH model confirmed their high diagnostic potential.</div></div><div><h3>Conclusion</h3><div>The hub IR-DEGs, such as FN1, RHOA, FOS, PDGFRα, CCND1, PIK3R1, CSF1, and FGF3, may enhance the diagnosis and prognosis of MASH by modulating immune homeostasis.</div></div>","PeriodicalId":94141,"journal":{"name":"Metabolism open","volume":"26 ","pages":"Article 100366"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The potential role of adipokines and hepatokines in age-related ocular diseases 脂肪因子和肝因子在年龄相关性眼病中的潜在作用
Pub Date : 2025-06-01 Epub Date: 2025-04-16 DOI: 10.1016/j.metop.2025.100365
Stavroula Almpanidou, Ilias D. Vachliotis, Antonis Goulas, Stergios A. Polyzos
Age-related ocular diseases, including diabetic retinopathy (DR), age-related macular degeneration (AMD), cataract and glaucoma may lead to visual impairment and even to blindness. Metabolic diseases, such as obesity and metabolic dysfunction-associated steatotic liver disease (MASLD) have emerged as potential risk factors of age-related ocular diseases, especially DR. Visceral adiposity has been associated with increased risk of DR and AMD in most clinical studies, although body mass index has to-date provided conflicting association with DR and AMD. In addition, obesity is recognized as a risk factor of cataract and glaucoma. Similarly to obesity, MASLD appears to be associated with DR in patients with type 1 diabetes mellitus, but probably not in those with type 2 diabetes mellitus. A potential positive association between MASLD and AMD, glaucoma and cataract is supported by limited evidence to-date, thus needing further investigation. Altered secretion patterns of adipokines (adiponectin, leptin, lipocalin-2, resistin) and hepatokines [adropin, fetuin-A, fibroblast growth factor (FGF)-21, retinol binding protein (RBP)-4] seem to disrupt ocular homeostasis and contribute to the development of age-related ocular diseases in the context of obesity and MASLD. In this regard, novel adipokine-based and hepatokine-based therapies may be added to the treatment options for ocular diseases in the future. This narrative review aimed to summarize evidence on the interconnection of obesity and MASLD with age-related ocular diseases, with a specific focus on the roles of adipokines and hepatokines as mediators of these potential associations.
与年龄相关的眼部疾病,包括糖尿病视网膜病变(DR)、年龄相关性黄斑变性(AMD)、白内障和青光眼,都可能导致视力受损,甚至失明。代谢性疾病,如肥胖和代谢功能障碍相关的脂肪变性肝病(MASLD)已成为与年龄相关的眼部疾病,尤其是DR的潜在危险因素。在大多数临床研究中,内脏脂肪与DR和AMD的风险增加有关,尽管迄今为止,体重指数与DR和AMD的关联并不一致。此外,肥胖被认为是白内障和青光眼的危险因素。与肥胖类似,MASLD似乎与1型糖尿病患者的DR有关,但可能与2型糖尿病患者无关。MASLD与黄斑变性、青光眼和白内障之间的潜在正相关目前证据有限,因此需要进一步研究。脂肪因子(脂联素、瘦素、脂钙素-2、抵抗素)和肝因子(adropin、胎儿素- a、成纤维细胞生长因子(FGF)-21、视黄醇结合蛋白(RBP)-4)分泌模式的改变似乎会破坏眼部稳态,并在肥胖和MASLD的背景下促进与年龄相关的眼部疾病的发展。在这方面,新的基于脂肪因子和基于肝因子的治疗方法可能会在未来增加到眼部疾病的治疗选择中。这篇叙述性综述旨在总结肥胖和MASLD与年龄相关眼部疾病之间相互联系的证据,并特别关注脂肪因子和肝因子作为这些潜在关联的介质的作用。
{"title":"The potential role of adipokines and hepatokines in age-related ocular diseases","authors":"Stavroula Almpanidou,&nbsp;Ilias D. Vachliotis,&nbsp;Antonis Goulas,&nbsp;Stergios A. Polyzos","doi":"10.1016/j.metop.2025.100365","DOIUrl":"10.1016/j.metop.2025.100365","url":null,"abstract":"<div><div>Age-related ocular diseases, including diabetic retinopathy (DR), age-related macular degeneration (AMD), cataract and glaucoma may lead to visual impairment and even to blindness. Metabolic diseases, such as obesity and metabolic dysfunction-associated steatotic liver disease (MASLD) have emerged as potential risk factors of age-related ocular diseases, especially DR. Visceral adiposity has been associated with increased risk of DR and AMD in most clinical studies, although body mass index has to-date provided conflicting association with DR and AMD. In addition, obesity is recognized as a risk factor of cataract and glaucoma. Similarly to obesity, MASLD appears to be associated with DR in patients with type 1 diabetes mellitus, but probably not in those with type 2 diabetes mellitus. A potential positive association between MASLD and AMD, glaucoma and cataract is supported by limited evidence to-date, thus needing further investigation. Altered secretion patterns of adipokines (adiponectin, leptin, lipocalin-2, resistin) and hepatokines [adropin, fetuin-A, fibroblast growth factor (FGF)-21, retinol binding protein (RBP)-4] seem to disrupt ocular homeostasis and contribute to the development of age-related ocular diseases in the context of obesity and MASLD. In this regard, novel adipokine-based and hepatokine-based therapies may be added to the treatment options for ocular diseases in the future. This narrative review aimed to summarize evidence on the interconnection of obesity and MASLD with age-related ocular diseases, with a specific focus on the roles of adipokines and hepatokines as mediators of these potential associations.</div></div>","PeriodicalId":94141,"journal":{"name":"Metabolism open","volume":"26 ","pages":"Article 100365"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143854373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Assessment of DNA glycation in the prediabetic State: Early indicator of glycemic stress 糖尿病前期DNA糖基化的评估:血糖应激的早期指标
Pub Date : 2025-06-01 DOI: 10.1016/j.metop.2025.100372
Tanish Baweja , Abhishek Dikshit , Shazia Bano , Sanjiv Kumar Bansal , Sana Alam

Introduction

Glycation of nucleic acids secondary to hyperglycemia can lead to structural alterations and the formation of neoantigens. These molecular changes may elicit an early immune response. This study investigates the interaction between serum autoantibodies from prediabetic individuals and fructose-glycated human placental DNA, aiming to assess DNA glycation as a potential early indicator of glycemic stress.

Design

and Methods: To investigate structural modifications in DNA produced by glycation, purified placental DNA was incubated with fructose (25 mM) at 37 °C for 5, 10, and 15 days, followed by spectrophotometric analysis. Peripheral blood samples were collected from 50 normoglycemic (mean age: 39.70 ± 6.63 years; 26 males, 24 females) and 50 prediabetic (mean age: 40.84 ± 5.44 years; 23 males, 27 females) adult patients, matched for age, sex, body mass index, and socio-economic conditions. The presence of circulating antibodies against glycated DNA was evaluated using direct and competitive ELISA.

Results

Fructose-mediated glycation of DNA resulted in hyperchromicity and a new absorbance peak at 360 nm, indicating structural modification. Direct ELISA revealed significantly higher levels of anti-DNA autoantibodies in prediabetic sera (0.367 ± 0.225) compared to controls (0.239 ± 0.118; p = 0.003). Competitive ELISA showed that these antibodies had greater specificity for glycated DNA, with maximum inhibition by fructose-modified DNA at 37.86 ± 2.57 %, versus 23.01 ± 2.33 % for native DNA (p < 0.01).

Conclusion

The study concludes that DNA glycation occurs in prediabetic patients with intermediate hyperglycemia as a result of high blood glucose. This suggests that glycated DNA may serve as an early molecular indicator of glycemic stress, with potential applications in risk assessment and early detection strategies for individuals at risk of progressing to type 2 diabetes.
继发于高血糖的核酸基化可导致结构改变和新抗原的形成。这些分子变化可能引起早期免疫反应。本研究调查了糖尿病前期个体血清自身抗体与果糖糖化人胎盘DNA之间的相互作用,旨在评估DNA糖化作为血糖应激的潜在早期指标。设计和方法:为了研究糖基化产生的DNA的结构修饰,纯化的胎盘DNA与果糖(25 mM)在37°C下孵育5、10和15天,然后进行分光光度分析。50例血糖正常者(平均年龄39.70±6.63岁;男性26例,女性24例),糖尿病前期50例(平均年龄40.84±5.44岁;23名男性,27名女性)成年患者,年龄、性别、体重指数和社会经济条件相匹配。使用直接和竞争性ELISA法评估针对糖基化DNA的循环抗体的存在。结果果糖介导的DNA糖基化引起高色度,并在360 nm处出现新的吸光度峰,表明结构修饰。直接ELISA检测结果显示,糖尿病前期患者血清中抗dna自身抗体水平(0.367±0.225)明显高于对照组(0.239±0.118);p = 0.003)。竞争性ELISA法显示,这些抗体对糖基化DNA具有更高的特异性,对果糖修饰DNA的最大抑制率为37.86±2.57%,对天然DNA的最大抑制率为23.01±2.33% (p <;0.01)。结论DNA糖基化发生在糖尿病前期伴有中度高血糖的患者中,是由高血糖引起的。这表明糖基化DNA可能作为血糖应激的早期分子指标,在风险评估和2型糖尿病风险个体的早期检测策略中具有潜在的应用价值。
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引用次数: 0
Higher serum uric acid levels and risk of all-cause mortality in general population: a systematic review and meta-analysis 高血清尿酸水平与普通人群全因死亡风险:一项系统回顾和荟萃分析
Pub Date : 2025-06-01 Epub Date: 2025-05-16 DOI: 10.1016/j.metop.2025.100371
Md Golam Rabbani , Sheikh M. Alif , Cammie Tran , Amanda J. Rickard , Lisa Demos , John J. McNeil , Md Nazmul Karim

Background

Population-based studies have reported a relationship between high serum uric acid (SUA) levels and all-cause mortality; however, findings are inconsistent. To address this issue, we conducted a meta-analysis of general population-based studies.

Methods

A systematic search was conducted in PubMed, Ovid Medline, EMBASE, and Web of science to identify relevant peer-reviewed articles using pre-specified search terms. Population-based cohort studies investigating the association between SUA levels and all-cause mortality were included. Risk ratios (RR) for all-cause mortality were calculated for higher and lower SUA levels based on data reporting on exposure and outcome. A meta-analysis based on a log-transformed random effect maximum likelihood model was used to obtain summary risk estimates. Heterogeneity was assessed through subgroup analysis and meta-regression of the study-level covariates.

Results

Thirty-four studies with more than 2.5 million participants were identified and analysed. Higher SUA levels were associated with an increased risk of all-cause mortality (RR: 1.32; 95 % confidence intervals (CIs):1.26–1.39, p < 0.001). The risk of mortality was higher in women (RR:1.91; 95 %CI:1.40–2.61, p < 0.001) compared to men (RR:1.16; 95 %CI:1.08 1.24, p < 0.001). Subgroup analyses suggested that middle-aged adults (RR: 1.52, 95 %CI: 1.35–1.68), individuals living in OECD countries (RR:1.39, 95 %CI:1.28–1.49) and those of Caucasian ethnicity (RR:1.43, 95 %CI:1.35–1.51) reported a greater impact of elevated SUA levels on all-cause mortality.

Conclusions

Higher SUA levels were associated with a significant increase in the risk of all-cause mortality, with women appearing to be at greater risk than men. These findings highlight the need for research into mechanisms underlying the association between SUA and mortality and the reason for the sex difference identified.
背景:基于人群的研究已经报道了高血清尿酸(SUA)水平与全因死亡率之间的关系;然而,研究结果并不一致。为了解决这个问题,我们对一般人群为基础的研究进行了荟萃分析。方法系统检索PubMed、Ovid Medline、EMBASE和Web of science,使用预设检索词检索相关同行评议文章。以人群为基础的队列研究调查了SUA水平与全因死亡率之间的关系。根据报告暴露和结果的数据,计算高和低SUA水平的全因死亡率风险比(RR)。基于对数变换随机效应最大似然模型的荟萃分析被用于获得汇总风险估计。通过亚组分析和研究水平协变量的元回归来评估异质性。结果确认并分析了34项研究,参与者超过250万人。高SUA水平与全因死亡风险增加相关(RR: 1.32;95%置信区间(ci): 1.26-1.39, p <;0.001)。女性的死亡风险更高(RR:1.91;95% CI: 1.40-2.61, p <;0.001),与男性相比(RR:1.16;95% CI:1.08 1.24, p <;0.001)。亚组分析表明,中年人(RR: 1.52, 95% CI: 1.35-1.68)、生活在经合组织国家的个体(RR:1.39, 95% CI: 1.28-1.49)和高加索人种(RR:1.43, 95% CI: 1.35-1.51)报告了SUA水平升高对全因死亡率的更大影响。结论较高的SUA水平与全因死亡风险的显著增加相关,女性的风险似乎高于男性。这些发现强调有必要研究SUA与死亡率之间关联的潜在机制,以及确定性别差异的原因。
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引用次数: 0
Association of blood manganese levels with non-alcoholic fatty liver disease in NHANES 2017–2020: A retrospective cross-sectional study NHANES 2017-2020中血锰水平与非酒精性脂肪性肝病的关联:一项回顾性横断面研究
Pub Date : 2025-06-01 Epub Date: 2025-03-21 DOI: 10.1016/j.metop.2025.100358
Qian Xue , Hongju Chen

Objective

This study investigates the link between blood manganese (Mn) levels and non-alcoholic fatty liver disease (NAFLD) in a U.S. adult population.

Background

The role of manganese in NAFLD remains poorly understood. However, the NHANES database offers valuable data on blood manganese levels and metabolic status for 6278 subjects in the United States, facilitating the study of this relationship.

Methods

To investigate the relationship between blood manganese (Mn) levels and NAFLD, we conducted a t-test to compare Mn levels between participants with and without NAFLD. Participants were categorized into quartiles based on their blood Mn levels. We then employed multiple logistic regression analysis and sensitivity analyses to further examine the Mn-NAFLD relationship.

Results

The NAFLD group had a significantly higher blood manganese level (10.0 ± 3.7 μg/L, P < 0.05) than the control group. Stratifying 6278 subjects by blood manganese quartiles showed increased NAFLD odds in higher quartiles (Q2-Q4) vs. Q1 (ORs: 1.49, 1.37, 1.49). The Mn-NAFLD relationship followed an inverted L-shaped curve, peaking at 8.52 μg/L.

Conclusions

Elevated levels of manganese in the blood have been shown to be associated with an increase in the risk of NAFLD, and blood manganese values can be utilized as a marker for assessing NAFLD.
目的:本研究探讨美国成年人血锰(Mn)水平与非酒精性脂肪肝(NAFLD)之间的关系。锰在NAFLD中的作用仍然知之甚少。然而,NHANES数据库提供了美国6278名受试者的血锰水平和代谢状态的宝贵数据,促进了这种关系的研究。方法为了研究血锰(Mn)水平与NAFLD之间的关系,我们进行了t检验,比较了NAFLD患者和非NAFLD患者的Mn水平。参与者根据他们的血锰水平被分为四分位数。然后,我们采用多元逻辑回归分析和敏感性分析来进一步检验Mn-NAFLD的关系。结果NAFLD组血锰水平显著高于对照组(10.0±3.7 μg/L, P <;0.05)。按血锰四分位数对6278名受试者分层显示,高四分位数NAFLD的几率(Q2-Q4)比Q1增加(or: 1.49, 1.37, 1.49)。Mn-NAFLD呈倒L型关系,峰值为8.52 μg/L。结论血液中锰含量升高与NAFLD风险增加有关,血锰值可作为NAFLD评估指标。
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Metabolism open
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