Type 1 diabetes

Targeted serum proteomics of longitudinal samples from newly diagnosed youth with type 1 diabetes distinguishes markers of disease and C-peptide trajectory

DiabetologiaPublished Longitudinal cohort study with targeted serum proteomics

Authors' conclusion

The association of several targeted proteins with fasting C-peptide/glucose levels in the first year after diagnosis suggests their connection with the underlying changes accompanying alterations in beta cell function in type 1 diabetes. Moreover, the direction of change in GPX3 during the first year was indicative of subsequent fasting C-peptide/glucose levels, and supports further investigation of this and other serum protein measurements in future studies of beta cell function in type 1 diabetes.

Study context

Population
Newly diagnosed youth (<18 years) with T1D, followed during the first year from diagnosis288 samples
Participants
86 vs 194
Exposure
Youth with newly diagnosed T1D vs matched autoantibody-negative unaffected family members (UFMs)
  • T1Dn = 86
  • UFMsn = 194reference
Outcome
Associations of 85 T1D-associated serum proteins with fasting C-peptide/glucose (beta cell function)
Follow-up
First year after diagnosis
Methodological detailsselected reaction monitoring mass spectrometry, age- and sex-matched autoantibody-negative unaffected family member comparison
  • Selected reaction monitoring mass spectrometry
  • Age- and sex-matched autoantibody-negative unaffected family member comparison

Main finding

As reported in the abstract

Association of serum proteins with fasting C-peptide/glucose
Proteins with statistically significant associations with fasting C-peptide/glucose
11

Observational data: associations, not effects.

Further findings

Protein levels in T1D vs matched UFMs

Proteins differing between T1D and matched UFMs, incl. GPX3, transthyretin, prothrombin, apolipoprotein C1 and IGF family members
13

Original publication

Targeted serum proteomics of longitudinal samples from newly diagnosed youth with type 1 diabetes distinguishes markers of disease and C-peptide trajectory. Diabetologia. Published 4 August 2023. doi:10.1007/s00125-023-05974-9

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