Type 2 & other diabetes

Interleukin-1β in circulating mononuclear cells predicts steatotic liver disease improvement after weight loss in subjects with obesity and prediabetes or type 2 diabetes

Cardiovasc DiabetolPublished Randomised controlled trial

Authors' conclusion

In patients with obesity with initial impairment of glucose metabolism successful weight loss is associated with a reduction of both IL-1β levels and MASLD degree. Of interest, basal levels of IL-1β predict the extent of MASLD improvement, regardless of the intervention. Our results may set the stage for ad-hoc studies investigating the usefulness of baseline IL-1β a level as a drug-response biomarker.

Study context

Population
Obese subjects with prediabetes or newly diagnosed T2DObese subjects with prediabetes 16 · or newly diagnosed T2D 16
Participants
32 subjects
Comparison
Liraglutide vs lifestyle counselling until comparable weight loss
Primary endpoint
Impact of equal weight loss on MASLD extent and IL-1β expression in peripheral blood mononuclear cells; whether baseline IL-1β predicts weight loss and metabolic changes
Follow-up
Achievement of weight loss target

Primary result

As reported in the abstract

after achievement of weight loss target
Basal IL-1β independently predicted extent of MASLD decrease
p = 0.030
Median MASLD decrease, highest IL-1β tertile
- 8.0 (95% CI - 12.3 to - 4.8)
Median MASLD decrease, lowest IL-1β tertile
- 23.0 (95% CI - 39.5 to - 16.3)

Further findings

Baseline correlations of IL-1β

IL-1β positively correlated with body mass index (BMI), FPG, HbA1c, visceral adipose tissue (VAT), MASLD extent, platelet count, chemerin and IL1-RA

Original publication

Interleukin-1β in circulating mononuclear cells predicts steatotic liver disease improvement after weight loss in subjects with obesity and prediabetes or type 2 diabetes. Cardiovasc Diabetol. Published 13 June 2025. doi:10.1186/s12933-025-02706-8

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