Type 2 & other diabetes

Longitudinal study reveals plasma glycans associations with prediabetes/type 2 diabetes in KORA study

Cardiovasc DiabetolPublished Prospective cohort study

Authors' conclusion

Plasma N-glycans are diagnostic of early glycemic deterioration and supported by genetic and causal evidence, highlighting their potential as biomarkers for diabetes risk stratification.

Study context

Population
Participants of the KORA cohort, followed over 7 years with N-glycan measurements at F4 and FF4KORA cohort
Participants
473 participants
Exposure
Progressed to prediabetes/T2D vs remained normoglycemic
  • Prediabetes/T2Dn = 231
  • Normoglycemicn = 242reference
Outcome
Associations of plasma N-glycans with incident prediabetes/T2D
Follow-up
7 years
Methodological detailslongitudinal, 7-year follow-up, machine learning classification, Mendelian randomization, glycan quantitative trait loci (glycan-QTL) analysis
  • Longitudinal
  • 7-year follow-up
  • Machine learning classification
  • Mendelian randomization
  • glycan-QTL analysis

Main finding

As reported in the abstract

Glycans associated with progression to prediabetes/T2D

Glycans associated with diabetes progression, basic model

19

Glycans remaining significant after full adjustment

12

Observational data: associations, not effects.

Further findings

Metabolic traits

Glycans such as GP18 and GP32 were also linked to metabolic traits

Classification performance of glycan-clinical model · FF4

AUC
0.895

Mendelian randomization

Mendelian randomization (MR) supported causal roles for GP18, GP19 and S1

Glycan-QTL analysis

SNPs and genes (FUT8, ST3GAL4) associated with key glycans

Original publication

Longitudinal study reveals plasma glycans associations with prediabetes/type 2 diabetes in KORA study. Cardiovasc Diabetol. Published 6 August 2025. doi:10.1186/s12933-025-02853-y

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