Type 2 & other diabetes

Identification of Gut Microbiome Signatures and Metabolites Associated With Albuminuria in Type 2 Diabetes

J Clin Endocrinol MetabPublished Cross-sectional study

Authors' conclusion

These findings provide additional evidence of the potential impact of microbial species and contribute to our understanding of the complex relationship between the gut microbiome, plasma metabolites, and albuminuria in individuals with diabetes.

Study context

Population
Participants with T2D from the Swedish CArdioPulmonary BioImage Study (SCAPIS); replication in a prediabetic population in SCAPIST2D, SCAPIS · replication in a prediabetic population 3,423
Participants
752 participants
Outcome
Association of 1002 gut microbial species and 1308 plasma metabolites with albuminuria
Methodological detailsdeep shotgun metagenomic sequencing, mass spectrometry-based metabolomics, independent replication cohort
  • Deep shotgun metagenomic sequencing
  • Mass spectrometry-based metabolomics
  • Independent replication cohort

Main finding

As reported in the abstract

Gut microbial species associated with albuminuria

Species associated with albuminuria (Sellimonas intestinalis, Eggerthellales sp., Ellagibacter isourolithinifaciens)

3

Species replicated in an independent prediabetic population (n = 3423)

2

Annotated metabolites associated with the 3 albuminuria-signature species

36

Observational data: associations, not effects.

Further findings

Functional mapping of signature species

Suggests a role in regulation of imidazole propionate and trigonelline, previously reported to play roles in albuminuria progression

Original publication

Identification of Gut Microbiome Signatures and Metabolites Associated With Albuminuria in Type 2 Diabetes. J Clin Endocrinol Metab. Published 14 August 2025. doi:10.1210/clinem/dgaf453

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