Type 1 diabetes

Intestinal fatty acid binding protein is associated with coronary artery disease in long-term type 1 diabetes—the Dialong study

Cardiovasc DiabetolPublished Cross-sectional study

An erratum to this article was published (Cardiovasc Diabetol, 23 Sep 2025 ↗)

Authors' conclusion

In this cohort of individuals with long-term type 1 diabetes I-FABP associated significantly with coronary artery stenosis, suggesting a potential role of gut mucosa damage in the process of atherosclerosis in type 1 diabetes.

Study context

Population
Individuals with long-term T1D and control subjects; established coronary heart disease (CHD) or computed tomography coronary angiography (CTCA) to assess coronary atherosclerosis102 T1D, 63 controls
Exposure
T1D with CHD or significant stenosis on CTCA vs T1D with normal arteries or non-significant stenosis
Outcome
I-FABP levels (T1D)
Methodological detailscontrolled
  • Controlled

Main finding

As reported in the abstract

P = 0.003

Intestinal fatty acid binding protein (I-FABP) associated with significant stenosis on CTCA (>50%) or established CHD, adjusted OR
2.32 (95% CI 1.09-4.95; p = 0.029)

Observational data: associations, not effects.

Further findings

Correlation of I-FABP with total coronary plaque volume
r = 0.22, p < 0.05
Association after adjusting for age, sex, persistent albuminuria, eGFR, statin, DM duration, time-weighted HbA1c, LDL-C and systolic BP, OR
1.97 (95% CI 1.28-3.01; p = 0.002)

Original publication

Intestinal fatty acid binding protein is associated with coronary artery disease in long-term type 1 diabetes—the Dialong study. Cardiovasc Diabetol. Published 19 November 2024. doi:10.1186/s12933-024-02509-3

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