揭示妊娠糖尿病的代谢基础:全面的孟德尔随机分析确定了致病代谢物和生物途径

IF 4.6 2区 医学 Q1 ENDOCRINOLOGY & METABOLISM Diabetes/Metabolism Research and Reviews Pub Date : 2024-08-31 DOI:10.1002/dmrr.3839
Min Shen, Lei Shi, Mengzhen Xing, Hehe Jiang, Yuning Ma, Yuxia Ma, Linlin Zhang
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引用次数: 0

摘要

背景妊娠糖尿病(GDM)有很强的遗传倾向。将代谢组学与孟德尔随机化(Mendelian randomisation,MR)分析相结合,是发现与 GDM 发病机制有因果关系的代谢因素的有效方法。 目的 本研究旨在通过全面的 MR 分析,确定与 GDM 易感性有因果关系的特定代谢物和代谢途径。此外,本研究还试图探索这些已确定的代谢物作为循环生物标志物用于早期 GDM 检测和风险评估的潜力。此外,该研究还旨在评估与之相关的代谢途径,并将其作为预防或干预 GDM 的潜在治疗目标。 方法 利用 8299 人的代谢物全基因组关联研究(GWAS)和由 13039 例病例和 197831 例对照组成的 GDM GWAS 的汇总统计数据,开展了一项双样本 MR 研究。应用严格的标准为 850 种代谢物选择了可靠的遗传工具。 结果 MR 分析发现,47 个代谢物与 GDM 风险有可能存在因果关系。在这些代谢物中,有 5 种代谢物在多重检验校正后显示出具有统计学意义的关联:β-柠檬酰谷氨酸、异丁酰肉碱(c4)、1,2-二亚油酰-GPC(18:2/18:2)、Alliin 和顺式-3,4-亚甲基庚酰肉碱。重要的是,所有这些代谢物都对 GDM 的发展具有保护作用。此外,代谢途径富集分析表明,蛋氨酸代谢、亚精胺和精胺生物合成途径与 GDM 的发病机制有关。 结论 这项全面的磁共振研究有力地确定了与 GDM 易感性有因果关系的特定代谢物和代谢途径。这些发现为了解 GDM 病因的代谢基础提供了新的视角,并具有良好的转化意义。所发现的代谢物可作为潜在的循环生物标记物,用于早期检测和风险分层,而所涉及的代谢通路则可作为针对 GDM 的预防或干预策略的治疗目标。
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Unravelling the Metabolic Underpinnings of Gestational Diabetes Mellitus: A Comprehensive Mendelian Randomisation Analysis Identifying Causal Metabolites and Biological Pathways

Background

Gestational diabetes mellitus (GDM) has a strong genetic predisposition. Integrating metabolomics with Mendelian randomisation (MR) analysis offers a potent method to uncover the metabolic factors causally linked to GDM pathogenesis.

Objectives

This study aims to identify specific metabolites and metabolic pathways causally associated with GDM susceptibility through a comprehensive MR analysis. Additionally, it seeks to explore the potential of these identified metabolites as circulating biomarkers for early GDM detection and risk assessment. Furthermore, it aims to evaluate the implicated metabolic pathways as potential therapeutic targets for preventive or interventional strategies against GDM.

Methods

A two-sample MR study was conducted using summary statistics from a metabolite genome-wide association study (GWAS) of 8299 individuals and a GDM GWAS comprising 13,039 cases and 197,831 controls. Rigorous criteria were applied to select robust genetic instruments for 850 metabolites.

Results

MR analysis revealed 47 metabolites exhibiting putative causal associations with GDM risk. Among these, five metabolites demonstrated statistically significant associations after multiple-testing correction: Beta-citrylglutamate, Isobutyrylcarnitine (c4), 1,2-dilinoleoyl-GPC (18:2/18:2), Alliin and Cis-3,4-methyleneheptanoylcarnitine. Importantly, all these metabolites exhibited protective effects against GDM development. Additionally, metabolic pathway enrichment analysis implicated the methionine metabolism and spermidine and spermine biosynthesis pathways in the pathogenesis of GDM.

Conclusion

This comprehensive MR study has robustly identified specific metabolites and metabolic pathways with causal links to GDM susceptibility. These findings provide novel insights into the metabolic underpinnings of GDM aetiology and offer promising translational implications. The identified metabolites could serve as potential circulating biomarkers for early detection and risk stratification, while the implicated metabolic pathways may represent therapeutic targets for preventive or interventional strategies against GDM.

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来源期刊
Diabetes/Metabolism Research and Reviews
Diabetes/Metabolism Research and Reviews 医学-内分泌学与代谢
CiteScore
17.20
自引率
2.50%
发文量
84
审稿时长
4-8 weeks
期刊介绍: Diabetes/Metabolism Research and Reviews is a premier endocrinology and metabolism journal esteemed by clinicians and researchers alike. Encompassing a wide spectrum of topics including diabetes, endocrinology, metabolism, and obesity, the journal eagerly accepts submissions ranging from clinical studies to basic and translational research, as well as reviews exploring historical progress, controversial issues, and prominent opinions in the field. Join us in advancing knowledge and understanding in the realm of diabetes and metabolism.
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