Diabetes complications

Metabolomics profiling in multi-ancestral individuals with type 2 diabetes in Singapore identified metabolites associated with renal function decline

DiabetologiaPublished Prospective cohort study

Authors' conclusion

Our study identified plasma metabolites associated with prospective renal function decline, offering insights into the underlying mechanism by which the metabolite abnormalities due to fatty acid oversupply might reflect impaired β-oxidation and associate with future chronic kidney disease progression in individuals with diabetes.

Study context

Population
Multi-ancestral individuals with T2D in Singapore
Participants
5,144 individuals
Outcome
eGFR slope (kidney function decline)
Methodological detailsmetabolomic analysis, genome-wide association studies on metabolites, colocalisation analysis
  • Metabolomic analysis
  • Genome-wide association studies on metabolites
  • Colocalisation analysis

Main finding

As reported in the abstract

Plasma metabolites associated with eGFR slope

Elevated lipids with long unsaturated fatty acid chains (e.g. phosphatidylethanolamines, triacylglycerols, diacylglycerols, ceramides, deoxysphingolipids) associated with more rapid kidney function decline

61 lipids

Elevated amino acids associated with slower eGFR decline

7 amino acids

Elevated lipids associated with slower eGFR decline

3 lipids

Observational data: associations, not effects.

Further findings

Metabolite quantitative trait loci associated with these metabolites
15
Variants near TM6SF2, APOE and CPS1 could affect both metabolite levels and kidney functions

Original publication

Metabolomics profiling in multi-ancestral individuals with type 2 diabetes in Singapore identified metabolites associated with renal function decline. Diabetologia. Published 2 December 2024. doi:10.1007/s00125-024-06324-z

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