Insights into the molecular underpinning of type 2 diabetes complications
Open accessAbstract
Type 2 diabetes (T2D) complications pose a significant global health challenge. Omics technologies have been employed to investigate these complications and identify the biological pathways involved. In this review, we focus on four major T2D complications: diabetic kidney disease, diabetic retinopathy, diabetic neuropathy, and cardiovascular complications. We discuss advancements in omics research, summarizing findings from genetic, epigenomic, transcriptomic, proteomic, and metabolomic studies across different ancestries and disease-relevant tissues. We stress the importance of integrating multi-omics techniques to elucidate the biological mechanisms underlying T2D complications and advocate for ancestrally diverse studies. Ultimately, these insights will improve risk prediction for T2D complications and inform translation strategies.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Omics data, including transcriptomics, proteomics, and metabolomics, have injected mechanistic insights into predictive modeling for diabetic complications.
“Omics data, including transcriptomics, proteomics, and metabolomics, have injected mechanistic insights into predictive modeling for diabetic complications [158–160].”
From Artificial intelligence-powered prediction of diabetic complications: from clinical data to molecular omics (2026) · cites this paper as [158]
The Abstract says transcriptomic, proteomic, and metabolomic studies have identified biological mechanisms underlying type 2 diabetes complications. The Discussion and future directions section says further multi-omics integration will likely improve prediction; it does not establish that these mechanistic insights have already been incorporated into predictive models. (LLM, conf=0.84)
Experimental — accuracy not yet measured
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Dyck, P. J., Kratz, K. M., Karnes, J. L., Litchy, W. J., Klein, R., Pach, J. M., Wilson, D. M., O'Brien, P. C., & Melton, L. J. (1993) · Neurology · doi:10.1212/wnl.43.4.817 · Cited by 1,482 · see citing works
Tissue-specific regulatory circuits reveal variable modular perturbations across complex diseases
Marbach, D., Lamparter, D., Quon, G., Kellis, M., Kutalik, Z., & Bergmann, S. (2016) · Nature Methods · doi:10.1038/nmeth.3799 · Cited by 326 · see citing works
Diabetic Retinopathy and the Risk of Coronary Heart Disease
Cheung, N., Wang, J. J., Klein, R., Couper, D. J., Sharrett, A. R., & Wong, T. Y. (2007) · Diabetes Care · doi:10.2337/dc07-0264 · Cited by 267 · see citing works
He, F., Xia, X., Wu, X. F., Yu, X. Q., & Huang, F. X. (2013) · Diabetologia · doi:10.1007/s00125-012-2796-6 · Cited by 228 · see citing works
Flagged first, then by citations
Research works printed but not linked: 133
- [1]Association, A.D. 2. Classification and diagnosis of diabetes: standards of medical care in diabetes—2018. Diabetes Care 2018; 41: S13– S27. 29222373
- [2]Morrish N, Wang S-L, Stevens L. et al. Mortality and causes of death in the WHO multinational study of vascular disease in diabetes. Diabetologia 2001; 44: S14– S21. 11587045
- [3]Litwak L, Goh S-Y, Hussein Z. et al. Prevalence of diabetes complications in people with type 2 diabetes mellitus and its association with baseline characteristics in the multinational a 1 chieve study. Diabetol metab syndr 2013; 5: 1– 10. 24228724 PMC3854020
- [4]Sobngwi E, Ndour-Mbaye M, Boateng KA. et al. Type 2 diabetes control and complications in specialised diabetes care centres of six sub-Saharan African countries: the Diabcare Africa study. Diabetes Res Clin Pract 2012; 95: 30– 36. 22071431
- [5]Bonora E, Trombetta M, Dauriz M. et al. Chronic complications in patients with newly diagnosed type 2 diabetes: prevalence and related metabolic and clinical features: the Verona newly diagnosed type 2 diabetes study (VNDS) 9. BMJ Open Diabetes Res Care 2020; 8: e001549. PMC7443259 32819978
- [6]Gedebjerg A, Almdal TP, Berencsi K. et al. Prevalence of micro-and macrovascular diabetes complications at time of type 2 diabetes diagnosis and associated clinical characteristics: a cross-sectional baseline study of 6958 patients in the Danish DD2 cohort. J Diabetes Complicat 2018; 32: 34– 40. 29107454
- [7]Liu Z, Fu C, Wang W. et al. Prevalence of chronic complications of type 2 diabetes mellitus in outpatients-a cross-sectional hospital based survey in urban China. Health Qual Life Outcomes 2010; 8: 1– 9. 20579389 PMC2906445
- [8]Ceriello A, Prattichizzo F. Variability of risk factors and diabetes complications. Cardiovasc Diabetol 2021; 20: 101. 33962641 PMC8106175
- [9]Imamura M, Maeda S. Genetic studies of type 2 diabetes, and microvascular complications of diabetes. Diabetology International, in press 2024; 15: 699– 706. 39469559 PMC11512959
- [10]Samer M, Tomohito D, Hailong H. et al. Molecular pathways that drive diabetic kidney disease. J Clin Invest 2023; 133:e165654. PMC9927939 36787250
- [11]Pattaro C, Teumer A, Gorski M. et al. Genetic associations at 53 loci highlight cell types and biological pathways relevant for kidney function. Nat Commun 2016; 7: 10023. 26831199 PMC4735748
- [12]Van Zuydam NR, Ahlqvist E, Sandholm N. et al. A genome-wide association study of diabetic kidney disease in subjects with type 2 diabetes. Diabetes 2018; 67: 1414– 1427. 29703844 PMC6014557
- [13]Sandholm N, Cole JB, Nair V. et al. Genome-wide meta-analysis and omics integration identifies novel genes associated with diabetic kidney disease. Diabetologia 2022; 65: 1495– 1509. 35763030 PMC9345823
- [14]Pan Y, Sun X, Mi X. et al. Whole-exome sequencing study identifies four novel gene loci associated with diabetic kidney disease. Hum Mol Genet 2023; 32: 1048– 1060. 36444934 PMC9990994
- [15]Iyengar SK, Sedor JR, Freedman BI. et al. Genome-wide association and trans-ethnic meta-analysis for advanced diabetic kidney disease: family investigation of nephropathy and diabetes (FIND). PLoS Genet 2015; 11: e1005352. 26305897 PMC4549309
- [16]Ziera T, Irlbacher H, Fromm A. et al. Cnksr3 is a direct mineralocorticoid receptor target gene and plays a key role in the regulation of the epithelial sodium channel. FASEB J 2009; 23: 3936– 3946. 19567370
- [17]Timothy MF, Nicholas JT, Michael NW. et al. A common variant in the FTO gene is associated with body mass index and predisposes to childhood and adult obesity. Science 2007; 316: 889– 894. 17434869 PMC2646098
- [18]Taira M, Imamura M, Takahashi A. et al. A variant within the FTO confers susceptibility to diabetic nephropathy in Japanese patients with type 2 diabetes. PLoS One 2018; 13: e0208654. 30566433 PMC6300288
- [19]Guan M, Keaton JM, Dimitrov L. et al. Genome-wide association study identifies novel loci for type 2 diabetes-attributed end-stage kidney disease in African Americans. Hum Genomics 2019; 13: 21. 31092297 PMC6521376
- [20]Jin H, Kim YA, Lee Y. et al. Identification of genetic variants associated with diabetic kidney disease in multiple Korean cohorts via a genome-wide association study mega-analysis. BMC Med 2023; 21: 16. 36627639 PMC9832630
- [21]Stela V, Stephen JA, Paolo SS. et al. Screening for diabetic retinopathy: new perspectives and challenges. lancet Diabetes endocrinol 2020; 8:337–347. 32113513
- [22]Burdon KP, Fogarty RD, Shen W. et al. Genome-wide association study for sight-threatening diabetic retinopathy reveals association with genetic variation near the GRB2 gene. Diabetologia 2015; 58: 2288– 2297. 26188370
- [23]Meng W, Shah KP, Pollack S. et al. A genome-wide association study suggests new evidence for an association of the NADPH oxidase 4 (NOX4) gene with severe diabetic retinopathy in type 2 diabetes. Acta Ophthalmol 2018; 96: e811– e819. 30178632 PMC6263819
- [24]Breeyear JH, Hellwege JN, Schroeder PH. et al. Adaptive selection at G6PD and disparities in diabetes complications. Nat Med in press 2024; 30: 2480– 2488. 38918629 PMC11555759
- [25]Pollack S, Igo RP Jr, Jensen RA. et al. Multiethnic genome-wide association study of diabetic retinopathy using liability threshold Modeling of duration of diabetes and Glycemic control. Diabetes 2018; 68: 441– 456. 30487263 PMC6341299
- [26]Ustinova M, Peculis R, Rescenko R. et al. Novel susceptibility loci identified in a genome-wide association study of type 2 diabetes complications in population of Latvia. BMC Med Genet 2021; 14: 18. PMC7802349 33430853
- [27]Liu C, Chen G, Bentley AR. et al. Genome-wide association study for proliferative diabetic retinopathy in Africans. npj Genomic Med 2019; 4: 20. PMC6715701 31482010
- [28]Paterson AD, Waggott D, Boright AP. et al. A genome-wide association study identifies a novel major locus for glycemic control in type 1 diabetes, as measured by both A1C and glucose. Diabetes 2010; 59: 539– 549. 19875614 PMC2809960
- [29]Callaghan BC, Little AA, Feldman EL. et al. Enhanced glucose control for preventing and treating diabetic neuropathy. Cochrane Database Syst Rev in press 2012; 2012: CD007543. 22696371 PMC4048127
- [30]Meng W, Veluchamy A, Hbert HL. et al. A genome-wide association study suggests that MAPK14 is associated with diabetic foot ulcers. Br J Dermatol 2017; 177: 1664– 1670. 28672053 PMC5829525
- [31]Tang Y, Lenzini PA, Pop-Busui R. et al. A genetic locus on chromosome 2q24 predicting peripheral neuropathy risk in type 2 diabetes: results from the ACCORD and BARI 2D studies. Diabetes 2019; 68: 1649– 1662. 31127053 PMC6692816
- [32]Zhao W, Wineinger NE, Tiwari HK. et al. Copy number variations associated with obesity-related traits in African Americans: a joint analysis between GENOA and HyperGEN. Obesity 2012; 20: 2431– 2437. 22836685 PMC3484176
- [33]Qi L, Qi Q, Prudente S. et al. Association between a genetic variant related to glutamic acid metabolism and coronary heart disease in individuals with type 2 diabetes. JAMA 2013; 310: 821– 828. 23982368 PMC3858847
- [34]Prudente S, Shah H, Bailetti D. et al. Genetic variant at the GLUL locus predicts all-cause mortality in patients with type 2 diabetes. Diabetes 2015; 64: 2658– 2663. 25677913 PMC4477355
- [35]Look ARG. Prospective association of GLUL rs10911021 with cardiovascular morbidity and mortality among individuals with type 2 diabetes: the Look AHEAD study. Diabetes 2016; 65: 297– 302. 26395743 PMC4686954
- [36]Shahid SU, Humphries S. The SNP rs10911021 is associated with oxidative stress in coronary heart disease patients from Pakistan. Lipids Health Dis 2018; 17: 6. 29304826 PMC5756419
- [37]Yousef RN, Kamel SA, Hasan NS. et al. GLUL rs10911021 polymorphism and risk of coronary artery disease among Egyptian individuals. Bull Natl Res Cent 2019; 43: 40.
- [38]Lu Y, Dimitrov L, Chen S-H. et al. Multiethnic genome-wide association study of subclinical atherosclerosis in individuals with type 2 diabetes. Circ: Genomic Precis Med 2021; 14: e003258. PMC8435075 34241534
- [39]Shah HS, Gao H, Morieri ML. et al. Genetic predictors of cardiovascular mortality during intensive glycemic control in type 2 diabetes: findings from the ACCORD clinical trial. Diabetes Care 2016; 39: 1915– 1924. 27527847 PMC5079609
- [40]Casas JP, Hingorani AD, Bautista LE. et al. Meta-analysis of genetic studies in ischemic stroke: thirty-two genes involving approximately 18 000 cases and 58 000 controls. Arch Neurol 2004; 61: 1652– 1661. 15534175
- [41]Martinez EC, Passariello CL, Li J. et al. RSK3: a regulator of pathological cardiac remodeling. IUBMB Life 2015; 67: 331– 337. 25988524 PMC4449288
- [42]Tam CH, Lim CK, Luk AO. et al. Identification of a common variant for coronary heart disease at PDE1A contributes to individualized treatment goals and risk stratification of cardiovascular complications in Chinese patients with type 2 diabetes. Diabetes Care 2023; 46: 1271– 1281. 37125963 PMC10234754
- [43]Ward-Caviness CK, Agha G, Chen BH. et al. Analysis of repeated leukocyte DNA methylation assessments reveals persistent epigenetic alterations after an incident myocardial infarction. Clin Epigenetics 2018; 10: 1– 13. 30587240 PMC6307146
- [44]Kottgen A, Pattaro C, Boger CA. et al. New loci associated with kidney function and chronic kidney disease. Nat Genet 2010; 42: 376– 384. 20383146 PMC2997674
- [45]Juhanson P, Kepp K, Org E. et al. N-acetyltransferase 8, a positional candidate for blood pressure and renal regulation: resequencing, association and in silico study. BMC Med Genet 2008; 9: 1– 12. 18402670 PMC2330028
- [46]Ling C, Rnn T. Epigenetics in human obesity and type 2 diabetes. Cell Metab 2019; 29: 1028– 1044. 30982733 PMC6509280
- [47]Kato M, Natarajan R. Epigenetics and epigenomics in diabetic kidney disease and metabolic memory. Nat Rev Nephrol 2019; 15: 327– 345. 30894700 PMC6889804
- [48]Ceriello A, Ihnat MA, Thorpe JE. The “metabolic memory”: is more than just tight glucose control necessary to prevent diabetic complications? J Clin Endocrinol Metab 2009; 94: 410– 415. 19066300
- [49]Maghbooli Z, Larijani B, Emamgholipour S. et al. Aberrant DNA methylation patterns in diabetic nephropathy. J Diabetes Metab. Disord 2014; 13: 1– 8. 25028646 PMC4099150
- [50]Carmen S, Jean L, Jasmine P. et al. DNA methylation profiling identifies epigenetic differences between diabetes patients with ESRD and diabetes patients without nephropathy. Epigenetics 2011; 6: 20– 28. 21150313
- [51]Hakyung K, Jae Hyun B, Kyong Soo P. et al. DNA methylation changes associated with type 2 diabetes and diabetic kidney disease in an east Asian population. J Clin Endocrinol Metab 2021;106:e3837–e3851. 34214161
- [52]Sheng X, Qiu C, Liu H. et al. Systematic integrated analysis of genetic and epigenetic variation in diabetic kidney disease. Proc Natl Acad Sci 2020; 117: 29013– 29024. 33144501 PMC7682409
- [53]Li X, Liao J, Guo Z. Detection value of FOXO1 gene methylation, blood glucose and lipids in patients with type 2 diabetic kidney disease. Medicine 2022; 101: e31663. 36626516 PMC9750595
- [54]Jian D, Wang Y, Jian L. et al. METTL14 aggravates endothelial inflammation and atherosclerosis by increasing FOXO1 N6-methyladeosine modifications. Theranostics 2020; 10: 8939– 8956. 32802173 PMC7415798
- [55]Park J, Guan Y, Sheng X. et al. Functional methylome analysis of human diabetic kidney disease. JCI Insight 2019; 4:e128886. PMC6629092 31167971
- [56]Colhoun HM, Marcovecchio ML. Biomarkers of diabetic kidney disease. Diabetologia 2018; 61: 996– 1011. 29520581 PMC6448994
- [57]Wilson PC, Muto Y, Wu H. et al. Multimodal single cell sequencing implicates chromatin accessibility and genetic background in diabetic kidney disease progression. Nat Commun 2022; 13: 5253. 36068241 PMC9448792
- [58]Maghbooli Z, Hossein-nezhad A, Larijani B. et al. Global DNA methylation as a possible biomarker for diabetic retinopathy. Diabetes Metab Res Rev 2015; 31: 183– 189. 25069700
- [59]Li T, Xu Y, Shi Y. et al. Genome-wide analysis of DNA methylation identifies S100A13 as an epigenetic biomarker in individuals with chronic (≥ 30 years) type 2 diabetes without diabetic retinopathy. Clin Epigenetics 2020; 12: 1– 10. PMC7268721 32493412
- [60]Duraisamy AJ, Radhakrishnan R, Seyoum B. et al. Epigenetic modifications in peripheral blood as potential noninvasive biomarker of diabetic retinopathy. Transl Vision Sci Technol 2019; 8: 43– 43. PMC6924565 31871829
- [61]Renu AK, Anjan K, Manish M. et al. Oxidative stress and epigenetic modifications in the pathogenesis of diabetic retinopathy. Prog Retin Eye Res 2015; 48: 40– 61. 25975734 PMC6697077
- [62]Kowluru RA, Mishra M. Oxidative stress, mitochondrial damage and diabetic retinopathy. Biochim. Biophys. Acta Mol. Basis Dis 2015; 1852: 2474– 2483. 26248057
- [63]Kai G, Sarah E, Stephanie E. et al. Genome-wide DNA methylation profiling of human diabetic peripheral neuropathy in subjects with type 2 diabetes mellitus. Epigenetics 2019; 14: 766– 779. 31132961 PMC6615525
- [64]Guo K, Eid SA, Elzinga SE. et al. Genome-wide profiling of DNA methylation and gene expression identifies candidate genes for human diabetic neuropathy. Clin Epigenetics 2020; 12: 1– 16. PMC7425575 32787975
- [65]Fachrul M, Utomo DH, Parikesit AA. lncRNA-based study of epigenetic regulations in diabetic peripheral neuropathy. In Silico Pharmacology 2018; 6: 1– 5. 30607320 PMC6314784
- [66]Pichler R, Afkarian M, Dieter BP. et al. Immunity and inflammation in diabetic kidney disease: translating mechanisms to biomarkers and treatment targets. Am J Physiol. Renal Physiol 2017; 312: F716– F731. 27558558 PMC6109808
- [67]Woroniecka KI, Park ASD, Mohtat D. et al. Transcriptome analysis of human diabetic kidney disease. Diabetes 2011; 60: 2354– 2369. 21752957 PMC3161334
- [68]Berthier CC, Zhang H, Schin M. et al. Enhanced expression of Janus kinase–signal transducer and activator of transcription pathway members in human diabetic nephropathy. Diabetes 2009; 58: 469– 477. 19017763 PMC2628622
- [69]Schmid H, Boucherot A, Yasuda Y. et al. Modular activation of nuclear factor-κB transcriptional programs in human diabetic nephropathy. Diabetes 2006; 55: 2993– 3003. 17065335
- [70]Parker CW, Haojia W, Yuhei K. et al. The single-cell transcriptomic landscape of early human diabetic nephropathy. Proc Natl Acad Sci 2019; 116: 19619– 19625. 31506348 PMC6765272
- [71]Levin A, Reznichenko A, Witasp A. et al. Novel insights into the disease transcriptome of human diabetic glomeruli and tubulointerstitium. Nephrol Dialysis Transplant 2020; 35: 2059– 2072. PMC7716805 32853351
- [72]Cai F, Zhou X, Jia Y. et al. (2020) identification of key genes of human advanced diabetic nephropathy independent of proteinuria by transcriptome analysis. Biomed Res Int 2020; 2020: 1– 14. PMC7336202 32685522
- [73]Fan Y, Yi Z, D’Agati VD. et al. Comparison of kidney transcriptomic profiles of early and advanced diabetic nephropathy reveals potential new mechanisms for disease progression. Diabetes 2019; 68: 2301– 2314. 31578193 PMC6868471
- [74]Arrigo A, Aragona E, Bandello F. VEGF-targeting drugs for the treatment of retinal neovascularization in diabetic retinopathy. Ann Med 2022; 54: 1089– 1111. 35451900 PMC9891228
- [75]Urias EA, Urias GA, Monickaraj F. et al. Novel therapeutic targets in diabetic macular edema: beyond VEGF. Vis Res 2017; 139: 221– 227. 28993218
- [76]Becker K, Klein H, Simon E. et al. In-depth transcriptomic analysis of human retina reveals molecular mechanisms underlying diabetic retinopathy. Sci Rep 2021; 11: 1– 16. 34006945 PMC8131353
- [77]Shao J, Zhang Y, Fan G. et al. Transcriptome analysis identified a novel 3-LncRNA regulatory network of transthyretin attenuating glucose induced hRECs dysfunction in diabetic retinopathy. BMC Med Genet 2019; 12: 1– 18. PMC6794807 31615521
- [78]Chang W, Lajko M, Fawzi AA. Endothelin-1 is associated with fibrosis in proliferative diabetic retinopathy membranes. PLoS One 2018; 13: e0191285. 29351334 PMC5774761
- [79]Gao N, Hao S, Huang G. et al. The integrated transcriptome bioinformatics analysis identifies key genes and cellular components for proliferative diabetic retinopathy. PLoS One 2022; 17: e0277952. 36409751 PMC9678275
- [80]Hur J, Sullivan KA, Pande M. et al. The identification of gene expression profiles associated with progression of human diabetic neuropathy. Brain 2011; 134: 3222– 3235. 21926103 PMC3212712
- [81]Hall BE, Macdonald E, Cassidy M. et al. Transcriptomic analysis of human sensory neurons in painful diabetic neuropathy reveals inflammation and neuronal loss. Sci Rep 2022; 12: 1– 16. 35304484 PMC8933403
- [82]Theocharidis G, Thomas BE, Sarkar D. et al. Single cell transcriptomic landscape of diabetic foot ulcers. Nat Commun 2022; 13: 181. 35013299 PMC8748704
- [83]Shu L, Chan KHK, Zhang G. et al. Shared genetic regulatory networks for cardiovascular disease and type 2 diabetes in multiple populations of diverse ethnicities in the United States. PLoS Genet 2017; 13: e1007040. 28957322 PMC5634657
- [84]Gong R, Chen M, Zhang C. et al. A comparison of gene expression profiles in patients with coronary artery disease, type 2 diabetes, and their coexisting conditions. Diagn Pathol 2017; 12: 1– 10. 28595632 PMC5465468
- [85]Kobayashi H, Looker HC, Satake E. et al. Results of untargeted analysis using the SOMAscan proteomics platform indicates novel associations of circulating proteins with risk of progression to kidney failure in diabetes. Kidney Int 2022; 102: 370– 381. 35618095 PMC9333266
- [86]Fan G, Gong T, Lin Y. et al. Urine proteomics identifies biomarkers for diabetic kidney disease at different stages. Clin Proteomics 2021; 18: 1– 12. 34963468 PMC8903606
- [87]Brondani LDA, Soares AA, Recamonde-Mendoza M. et al. Urinary peptidomics and bioinformatics for the detection of diabetic kidney disease. Sci Rep 2020; 10: 1242. 31988353 PMC6985249
- [88]Ahn H-S, Kim JH, Jeong H. et al. Differential urinary proteome analysis for predicting prognosis in type 2 diabetes patients with and without renal dysfunction. Int J Mol Sci 2020; 21: 4236. 32545899 PMC7352871
- [89]Zhao L, Liu F, Li L. et al. Solidified glomerulosclerosis, identified using single glomerular proteomics, predicts end-stage renal disease in Chinese patients with type 2 diabetes. Sci Rep 2021; 11: 1– 14. 33633132 PMC7907371
- [90]Amorim M, Martins B, Caramelo F. et al. Putative biomarkers in tears for diabetic retinopathy diagnosis. Front Med 2022; 9:873483. PMC9174990 35692536
- [91]Li J, Lu Q, Lu P. Quantitative proteomics analysis of vitreous body from type 2 diabetic patients with proliferative diabetic retinopathy. BMC Ophthalmol 2018; 18: 1– 12. 29940965 PMC6020172
- [92]Chee CS, Chang KM, Loke MF. et al. Association of potential salivary biomarkers with diabetic retinopathy and its severity in type-2 diabetes mellitus: a proteomic analysis by mass spectrometry. PeerJ 2016; 4: e2022. 27280065 PMC4893325
- [93]Alli-Shaik A, Qiu B, Lai SL. et al. System-wide vitreous proteome dissection reveals impaired sheddase activity in diabetic retinopathy. Theranostics 2022; 12: 6682– 6704. 36185601 PMC9516227
- [94]Reinhard J, Roll L, Faissner A. Tenascins in retinal and optic nerve neurodegeneration. Front Integr Neurosci 2017; 11: 30. 29109681 PMC5660115
- [95]Ising E, Hrman E, Thomsen NOB. et al. Quantitative proteomic analysis of human peripheral nerves from subjects with type 2 diabetes. Diabet Med 2021; 38: e14658. 34309080
- [96]Doty M, Yun S, Wang Y. et al. Integrative multiomic analyses of dorsal root ganglia in diabetic neuropathic pain using proteomics, phospho-proteomics, and metabolomics. Sci Rep 2022; 12: 17012. 36220867 PMC9553906
- [97]Adela R, Reddy PNC, Ghosh TS. et al. Serum protein signature of coronary artery disease in type 2 diabetes mellitus. J Transl Med 2019; 17: 1– 17. 30674322 PMC6345069
- [98]Ferrannini G, Manca ML, Magnoni M. et al. Coronary artery disease and type 2 diabetes: a proteomic study. Diabetes Care 2020; 43: 843– 851. 31988066
- [99]Niewczas MA, Sirich TL, Mathew AV. et al. Uremic solutes and risk of end-stage renal disease in type 2 diabetes: metabolomic study. Kidney Int 2014; 85: 1214– 1224. 24429397 PMC4072128
- [100]Guarda NS, Bollick YS, de Carvalho JAM. et al. High serum uric acid is associated with tubular damage and kidney inflammation in patients with type 2 diabetes. Dis Markers 2019; 2019: 1– 9. PMC6487123 31110596
- [101]Shao M, Lu H, Yang M. et al. Serum and urine metabolomics reveal potential biomarkers of T2DM patients with nephropathy. AnnTransl Med 2020; 8: 199. PMC7154445 32309346
- [102]Tomofuji Y, Suzuki K, Kishikawa T. et al. Identification of serum metabolome signatures associated with retinal and renal complications of type 2 diabetes. Commun Med 2023; 3: 5. 36624208 PMC9829655
- [103]Haines NR, Manoharan N, Olson JL. et al. Metabolomics analysis of human vitreous in diabetic retinopathy and rhegmatogenous retinal detachment. J Proteome Res 2018; 17: 2421– 2427. 29877085
- [104]Malecki MT, Undas A, Cyganek K. et al. Plasma asymmetric dimethylarginine (ADMA) is associated with retinopathy in type 2 diabetes. Diabetes Care 2007; 30: 2899– 2901. 17704346
- [105]Opatrilova R, Kubatka P, Caprnda M. et al. Nitric oxide in the pathophysiology of retinopathy: evidences from preclinical and clinical researches. Acta Ophthalmol 2018; 96: 222– 231. 28391624
- [106]Yun JH, Kim J-M, Jeon HJ. et al. Metabolomics profiles associated with diabetic retinopathy in type 2 diabetes patients. PLoS One 2020; 15: e0241365. 33119699 PMC7595280
- [107]Sasaki M, Kawasaki R, Rogers S. et al. The associations of dietary intake of polyunsaturated fatty acids with diabetic retinopathy in well-controlled diabetes. Invest Ophthalmol Vis Sci 2015; 56: 7473– 7479. 26595607
- [108]Zuo J, Lan Y, Hu H. et al. Metabolomics-based multidimensional network biomarkers for diabetic retinopathy identification in patients with type 2 diabetes mellitus. BMJ Open Diabetes Res Care 2021; 9: e001443. PMC7888330 33593748
- [109]Chen L, Cheng C-Y, Choi H. et al. Plasma metabonomic profiling of diabetic retinopathy. Diabetes 2016; 65: 1099– 1108. 26822086
- [110]Perl A, Hanczko R, Telarico T. et al. Oxidative stress, inflammation and carcinogenesis are controlled through the pentose phosphate pathway by transaldolase. Trends Mol Med 2011; 17: 395– 403. 21376665 PMC3116035
- [111]Rumora AE, Guo K, Alakwaa FM. et al. Plasma lipid metabolites associate with diabetic polyneuropathy in a cohort with type 2 diabetes. Ann. Clin. Transl. Neurol 2021; 8: 1292– 1307. 33955722 PMC8164865
- [112]Wiggin TD, Sullivan KA, Pop-Busui R. et al. Elevated triglycerides correlate with progression of diabetic neuropathy. Diabetes 2009; 58: 1634– 1640. 19411614 PMC2699859
- [113]Osman C, Voelker DR, Langer T. Making heads or tails of phospholipids in mitochondria. J Cell Biol 2011; 192: 7– 16. 21220505 PMC3019561
- [114]Xu J, Cai M, Wang Z. et al. Phenylacetylglutamine as a novel biomarker of type 2 diabetes with distal symmetric polyneuropathy by metabolomics. J Endocrinol Investig 2023; 46: 869– 882. 36282471 PMC10105673
- [115]Bhargava S, De la Puente-Secades S, Schurgers L. et al. Lipids and lipoproteins in cardiovascular diseases: a classification. Trends in Endocrinol Metab 2022; 33:409–423. 35370062
- [116]Soppert J, Lehrke M, Marx N. et al. Lipoproteins and lipids in cardiovascular disease: from mechanistic insights to therapeutic targeting. Adv Drug Deliv Rev 2020; 159: 4– 33. 32730849
- [117]García-Fontana B, Morales-Santana S, Navarro CD. et al. Metabolomic profile related to cardiovascular disease in patients with type 2 diabetes mellitus: a pilot study. Talanta 2016; 148: 135– 143. 26653434
- [118]Stratmann B, Richter K, Wang R. et al. Metabolomic signature of coronary artery disease in type 2 diabetes mellitus. Int J Endocrinol 2017; 2017:938216. PMC5350534 28348587
- [119]Reiss D, Beyer K, Engelmann B. Delayed oxidative degradation of polyunsaturated diacyl phospholipids in the presence of plasmalogen phospholipids in vitro. Biochem J 1997; 323: 807– 814. 9169616 PMC1218386
- [120]Zhang L, Zhang Y, Ma Z. et al. Altered amino acid metabolism between coronary heart disease patients with and without type 2 diabetes by quantitative 1H NMR based metabolomics. J Pharm Biomed Anal 2021; 206: 114381. 34583124
- [121]Chevli PA, Freedman BI, Hsu F-C. et al. Plasma metabolomic profiling in subclinical atherosclerosis: the diabetes heart study. Cardiovasc Diabetol 2021; 20: 1– 12. 34876126 PMC8653597
- [122]Zhao H, Zhang F, Sun D. et al. Branched-chain amino acids exacerbate obesity-related hepatic glucose and lipid metabolic disorders via attenuating Akt2 signaling. Diabetes 2020; 69: 1164– 1177. 32184272
- [123]Huang Y, Zhou M, Sun H. et al. Branched-chain amino acid metabolism in heart disease: an epiphenomenon or a real culprit? Cardiovasc Res 2011; 90: 220– 223. 21502372 PMC3078803
- [124]Pham TT, Sim JJ, Kujubu DA. et al. Prevalence of nondiabetic renal disease in diabetic patients. Am J Nephrol 2007; 27: 322– 328. 17495429
- [125]Bermejo S, Pascual J, Soler MJ. The large spectrum of renal disease in diabetic patients. Clin Kidney J 2017; 10: 255– 256. 28396743 PMC5381242
- [126]Suzuki K, Hatzikotoulas K, Southam L. et al. Genetic drivers of heterogeneity in type 2 diabetes pathophysiology. Nature in press 2024; 627: 347– 357. 38374256 PMC10937372
- [127]Peng G, Pakstis AJ, Gandotra N. et al. Metabolic diversity in human populations and correlation with genetic and ancestral geographic distances. Mol Genet Metab 2022; 137: 292– 300. 36252453 PMC10131177
- [128]McBean AM, Li S, Gilbertson DT. et al. Differences in diabetes prevalence, incidence, and mortality among the elderly of four racial/ethnic groups: whites, blacks, Hispanics, and Asians. Diabetes Care 2004; 27: 2317– 2324. 15451894
- [129]Aguet F, Alasoo K, Li YI. et al. Molecular quantitative trait loci. Nat Rev Methods Primers 2023; 3: 4.
- [131]Zhao W, Rasheed A, Tikkanen E. et al. Identification of new susceptibility loci for type 2 diabetes and shared etiological pathways with coronary heart disease. Nat Genet 2017; 49: 1450– 1457. 28869590 PMC5844224
- [133]Rani PK, Raman R, Gupta A. et al. Albuminuria and diabetic retinopathy in type 2 diabetes mellitus Sankara Nethralaya diabetic retinopathy epidemiology and molecular genetic study (SN-DREAMS, report 12). Diabetology & Metab Syndr 2011; 3: 9. PMC3125333 21612596
- [136]Drury PL, Ting R, Zannino D. et al. Estimated glomerular filtration rate and albuminuria are independent predictors of cardiovascular events and death in type 2 diabetes mellitus: the Fenofibrate intervention and event lowering in diabetes (FIELD) study. Diabetologia 2011; 54: 32– 43. 20668832
- [137]Nichols GA, Druaz-Luyet A, Hauske SJ. et al. The association between estimated glomerular filtration rate, albuminuria, and risk of cardiovascular hospitalizations and all-cause mortality among patients with type 2 diabetes. J Diabetes Complicat 2018; 32: 291– 297. 29352693
Cited by
Sorted by citations
Xie, X., Wu, C., Huang, Z., Zhou, Y., Huang, J., Dao, F., Yan, D., Deng, K., Lyu, H., Ma, C., et al. (2026) · Briefings in Bioinformatics · doi:10.1093/bib/bbag083 · Cited by 4 · see citing works
“Omics data, including transcriptomics, proteomics, and metabolomics, have injected mechanistic insights into predictive modeling for diabetic complications [158–160].”
- Authors
- Singh, A., Bocher, O., & Zeggini, E.
- Affiliations
- Helmholtz Munich (DE)
- TUM Klinikum (DE)
- Corresponding author
- Zeggini, Eleftheria
- Venue
- Human Molecular Genetics
- Publisher
- Oxford University Press (OUP)
- Published
- 2025-01-14
- Volume
- 34
- Issue
- 6
- Pages
- 469-480
- ISSN
- 0964-6906 (ISSN-L)
- 1460-2083
- PMC
- PMC11891870
- OpenAlex
- W4406382007
- Cited by
- 10
- References
- 4
- Citations by year
- 2026: 5 · 2025: 5
- FWCI
- 0.89
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Human Molecular Genetics (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Funders
- European Union’s Horizon 2020 research and innovation program (101017802)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Bioinformatics and Genomic Networks
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Genetic Associations and Epidemiology
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Keywords
- type 2 diabetes complications, diabetic nephropathy, diabetic retinopathy, diabetic neuropathy, cardiovascular complications, multi-omics integration, epigenomics, transcriptomics, proteomics, metabolomics, genetic risk prediction, ancestry diversity
- MeSH terms
- Cardiovascular Diseases, Diabetes Mellitus, Type 2, Diabetic Nephropathies, Diabetic Neuropathies, Diabetic Retinopathy, Humans, Proteomics, Diabetes Complications, Metabolomics, Epigenomics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review