Type 2 & other diabetes

MicroRNAs Associated With Incident Diabetes in the Diabetes Prevention Program

J Clin Endocrinol MetabPublished Secondary analysis of the Diabetes Prevention Program (DPP) randomised trial

Authors' conclusion

We identified 5 miRs that are optimal predictors of incident T2D in the DPP cohort. Future directions include validation of this finding in an independent sample in order to determine whether this risk score may have potential clinical utility for risk stratification of individuals with prediabetes, and functional analysis of the potential genes and pathways targeted by the miRs that were included in the risk score.

Study context

Population
Subset of the Diabetes Prevention Program (DPP) cohortDPP subset
Participants
1,000 participants
Comparison
Predictive value of microRNAs (miRs) for incident T2D
Primary endpoint
Time to incident T2D
Methodological detailsbanked biospecimens, random survival forest and Lasso, Cox proportional hazards, cross-validation
  • Banked biospecimens
  • Random survival forest and Lasso
  • Cox proportional hazards
  • Cross-validation

Primary result

As reported in the abstract

Incident T2D: 5-miR optimal predictors (miRs (miR-144), miR-186, miR-203a, miR-205, miR-206)

HR for incident T2D, 5 miRs, covariate-adjusted

2.81

95% CI 2.05, 3.87P < .001

Further findings

OutcomeHR (95% CI)P value
Predictive risk score after cross-validation: highestvs lowest quartileCross-validation5.91 (2.02–17.3)P < 0.001
Interaction with intervention arm vs placeboIntensive lifestylevs PlaceboSignificant interaction3.60 (2.50–5.18)P < 0.001
Interaction with intervention arm vs placeboMetforminvs PlaceboSignificant interaction2.72 (1.47–5.00)P = 0.001

Gene targets

miRs targeting a gene with prior known association with T2D risk (of 5)
1

Original publication

MicroRNAs Associated With Incident Diabetes in the Diabetes Prevention Program. J Clin Endocrinol Metab. Published 8 December 2022. doi:10.1210/clinem/dgac714

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