Diabetes complications

Impact of sarcosine on diabetic retinopathy: Findings based on weighted gene co‐expression network analysis and machine learning techniques

Diabetes Obes MetabPublished Matched case-control study

Main finding · DR per IQR elevation of sarcosineResult — go to the resultAdjusted odds ratio 0.33 95% CI 0.19–0.58

Authors' conclusion

Serum sarcosine was inversely related to DR, especially in T2D patients with insufficient HDL-C. This study provides insights on a possible novel target for DR precision prevention and control, as well as a better understanding of the DR mechanism.

Study context

Population
T2D patients with and without diabetic retinopathy (DR) matched by age, gender, BMI and HbA1c69 matched pairs
Participants
69 vs 69
Comparison
Serum sarcosine levels in T2D with vs without DR
  • DRn = 69
  • No DRn = 69reference
Outcome
Association between serum sarcosine and DR
Methodological detailspropensity score matching, WGCNA, machine learning
  • Propensity score matching
  • WGCNA
  • Machine learning

Main finding

DR per IQR elevation of sarcosine

Adjusted odds ratio

0.33

95% CI 0.19–0.58

Per IQR elevation of sarcosine
aOR 0.33 (95% CI 0.19–0.58)

Per IQR elevation of sarcosine, as printed

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeEstimate
DR by sarcosine tertileSecond tertilevs First tertileDecreased by 54%aOR 0.46 (95% CI 0.18–1.17)
DR by sarcosine tertileThird tertilevs First tertileDecreased by 78%aOR 0.22 (95% CI 0.08–0.59)
DR, joint effect of sarcosine and HDL-CHigher sarcosine and lower HDL-Cvs Lower sarcosine and lower HDL-CLowest odds of DROR 0.13 (95% CI 0.04–0.43)

Original publication

Impact of sarcosine on diabetic retinopathy: Findings based on weighted gene co‐expression network analysis and machine learning techniques. Diabetes Obes Metab. Published 22 August 2023. doi:10.1111/dom.15243

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