Type 2 & other diabetes

Mitochondrial DNA Copy Number and Risk of Diabetes Mellitus and Metabolic Syndrome

J Clin Endocrinol MetabPublished Systematic review and meta-analysis of observational studies

Authors' conclusion

Decreased mtDNA-CN was associated with increased risk of diabetes mellitus and MetS when limited to prospective studies. More longitudinal studies are warranted.

Study context

Population
Observational studies of mtDNA copy number (mtDNA-CN) and DM and metabolic syndrome (MetS); PubMed, EMBASE, Web of Science searched to December 15, 20226 articles (12 studies)
Comparison
Lowest vs highest mtDNA-CN
Outcome
Risk of DM and MetS
Methodological detailsrandom-effect models, 19 articles in systematic review
  • Random-effect models
  • 19 articles in systematic review

Pooled result

As reported in the abstract

Lowest mtDNA-CN vs Highest mtDNA-CNEstimate (95% CI)
I2 = 79.4%; n = 8
summary RR, DM 1.06(1.01–1.12)
I2 = 70.6%; n = 4
summary RR, MetS 1.03(0.99–1.07)

Further pooled results

OutcomeEstimate
DM by study designLowest mtDNA-CNvs Highest mtDNA-CNI2 = 22.6%; n = 4RR, prospective 1.11 (CI 1.02–1.21)
DM by study designLowest mtDNA-CNvs Highest mtDNA-CNI2 = 81.8%; n = 2RR, case-control 1.27 (CI 0.66–2.43)
DM by study designLowest mtDNA-CNvs Highest mtDNA-CNI2 = 74.7%; n = 2RR, cross-sectional 1.01 (CI 0.99–1.03)
MetS by study designLowest mtDNA-CNvs Highest mtDNA-CNI2 = 0; n = 2RR, prospective 2.87 (CI 1.51–5.48)
MetS by study designLowest mtDNA-CNvs Highest mtDNA-CNI2 = 0; n = 2RR, cross-sectional 1.02 (CI 1.01–1.04)

Original publication

Mitochondrial DNA Copy Number and Risk of Diabetes Mellitus and Metabolic Syndrome. J Clin Endocrinol Metab. Published 11 July 2023. doi:10.1210/clinem/dgad403

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