Diabetes complications

Circulating inflammatory proteins are elevated in type 1 and type 2 diabetes and associated to complications

Diabetes Obes MetabPublished Cross-sectional study

Authors' conclusion

Both type 1 diabetes and type 2 diabetes are associated with increased circulating inflammatory protein concentrations, but the increase is more pronounced in type 2 diabetes. These results suggest both differences in drivers of inflammation between type 1 diabetes and type 2 diabetes as well as potential similarities in pathways involved in the development of diabetes-associated complications.

Study context

Population
People with T1D or T2D and healthy controls; plasma high sensitive C-reactive proteins (hs-CRP) and 92 inflammatory proteins measured
Participants
233 / 387 / 150
Exposure
T1D and T2D vs healthy controls
  • T1Dn = 233
  • T2Dn = 387
  • Healthy controlsn = 150reference
Outcome
Circulating inflammatory proteins higher vs healthy controls
Methodological detailstargeted proteomics (Olink)
  • Targeted proteomics (Olink)

Main finding

As reported in the abstract

Inflammatory proteins higher in T1D vs healthy controls (FDR < 0.05)

41

Inflammatory proteins higher in T2D vs healthy controls (FDR < 0.05)

64

Observational data: associations, not effects.

Further findings

Association of HbA1c with inflammatory proteins in T1D

Inflammatory proteins positively associated with HbA1c in T1D (incl. CDCP1, FGF-21, HGF, IL-18R1; FDR < 0.05)
21

Association of body mass index (BMI) with inflammatory proteins in T2D

Inflammatory proteins positively associated with BMI in T2D (incl. IL6, IL17C, FGF-23, CSF-1)
26

Inflammatory proteins and complications

Proteins associated with complications, particularly nephropathy, were similar in T1D and T2D
FlT3L and EN-RAGE associated with development of cardiovascular disease (CVD) in T2D

Original publication

Circulating inflammatory proteins are elevated in type 1 and type 2 diabetes and associated to complications. Diabetes Obes Metab. Published 19 November 2024. doi:10.1111/dom.16066

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