Type 2 & other diabetes

Plasma sphingolipids predict advanced liver fibrosis development in patients with type 2 diabetes

Diabetes Obes MetabPublished Prospective cohort study

Authors' conclusion

Baseline levels of two plasma sphingolipid species are independent predictors of AF development in patients with T2D. These findings could help identify T2D patients at elevated risk of adverse hepatic and extrahepatic outcomes, potentially allowing for new targeted therapeutic interventions.

Study context

Population
Patients with T2D; baseline plasma concentrations of 148 molecular species of phospholipids, sphingolipids and free fatty acids
Participants
67 patients
Outcome
Development of advanced liver fibrosis (AF): liver stiffness ≥8.0 kPa, or ultrasonographic signs of cirrhosis
Follow-up
Mean 10.2 ± 3.9 years
Methodological detailslipidomic biomarker study, machine-learning multivariate analysis
  • Lipidomic biomarker study
  • Machine-learning multivariate analysis

Main finding

As reported in the abstract

Development of AF · follow-up period

AF developed

14 patients

20.9%

Observational data: associations, not effects.

Original publication

Plasma sphingolipids predict advanced liver fibrosis development in patients with type 2 diabetes. Diabetes Obes Metab. Published 24 September 2025. doi:10.1111/dom.70156

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