Type 1 diabetes

Mitochondrial DNA copy number in adults with and without Type 1 diabetes

Diabetes Res Clin PractPublished Cross-sectional study

Authors' conclusion

mtDNA-cn is lower in T1D vs. CON, and in T1D kidney disease. In T1D, mtDNA-cn correlates inversely with age and inflammation, and positively with HDL-C, detectable C-peptide and pump use. Further clinical and basic science studies are merited.

Study context

Population
Adults with and without T1D
Participants
178 vs 132
Exposure
T1D vs non-diabetic controls
  • T1Dn = 178
  • CONn = 132reference
Outcome
Whole blood mtDNA-cn (qPCR) and its associations with complications, inflammation and C-peptide

Main finding

As reported in the abstract

mtDNA-cn, median (LQ, UQ)

T1D

271

median · LQ, UQ 189–348

CON

320

median · LQ, UQ 264–410

P < 0.0001

Observational data: associations, not effects.

Further findings

T1D with kidney disease vs T1D without kidney disease

Median

OutcomeT1D with kidney diseaseT1D without kidney diseaseP value
mtDNA-cn, T1D with vs without kidney diseaseLower with kidney disease238 (LQ, UQ 180–309)294 (LQ, UQ 198–364)P = 0.02

Insulin injection vs Pump

Median

OutcomeInsulin injectionPumpP value
mtDNA-cn, insulin injection vs pump usersLower with insulin injection251 (LQ, UQ 180–340)322 (LQ, UQ 263–406)P = 0.008

Detectable C-peptide in T1D across Mitochondrial DNA copy number (mtDNA-cn) tertiles

Detectable C-peptide in T1D, lowest to highest mtDNA-cn tertiles
54%, 69%, 79%, p = 0.02

Univariate correlates of mtDNA-cn

T1D: positive HDL-C; negative fasting glucose, white cell count (WCC), sVCAM-1, sICAM-1
CON: negative WHR

Independent determinants of mtDNA-cn

T1D: positive HDL-C; negative age, sICAM-1; AUROC
0.71
CON: WCC negative, never smoking; positive female, pulse pressure; AUROC
0.74

Original publication

Mitochondrial DNA copy number in adults with and without Type 1 diabetes. Diabetes Res Clin Pract. Published 12 August 2023. doi:10.1016/j.diabres.2023.110877

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