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Early Metabolic Markers of the Development of Dysglycemia and Type 2 Diabetes and Their Physiological Significance

Open access
Ferrannini, Ele, Natali, Andrea, Camastra, Stefania, Nannipieri, Monica, Mari, Andrea, Adam, Klaus-Peter, Milburn, Michael V., Kastenmüller, Gabi, Adamski, Jerzy, Tuomi, Tiinamaija, Lyssenko, Valeriya, Groop, Leif, Gall, Walter E.·2013·Diabetes

Abstract

Metabolomic screening of fasting plasma from nondiabetic subjects identified α-hydroxybutyrate (α-HB) and linoleoyl-glycerophosphocholine (L-GPC) as joint markers of insulin resistance (IR) and glucose intolerance. To test the predictivity of α-HB and L-GPC for incident dysglycemia, α-HB and L-GPC measurements were obtained in two observational cohorts, comprising 1,261 nondiabetic participants from the Relationship between Insulin Sensitivity and Cardiovascular Disease (RISC) study and 2,580 from the Botnia Prospective Study, with 3-year and 9.5-year follow-up data, respectively. In both cohorts, α-HB was a positive correlate and L-GPC a negative correlate of insulin sensitivity, with α-HB reciprocally related to indices of β-cell function derived from the oral glucose tolerance test (OGTT). In follow-up, α-HB was a positive predictor (adjusted odds ratios 1.25 [95% CI 1.00–1.60] and 1.26 [1.07–1.48], respectively, for each standard deviation of predictor), and L-GPC was a negative predictor (0.64 [0.48–0.85] and 0.67 [0.54–0.84]) of dysglycemia (RISC) or type 2 diabetes (Botnia), independent of familial diabetes, sex, age, BMI, and fasting glucose. Corresponding areas under the receiver operating characteristic curve were 0.791 (RISC) and 0.783 (Botnia), similar in accuracy when substituting α-HB and L-GPC with 2-h OGTT glucose concentrations. When their activity was examined, α-HB inhibited and L-GPC stimulated glucose-induced insulin release in INS-1e cells. α-HB and L-GPC are independent predictors of worsening glucose tolerance, physiologically consistent with a joint signature of IR and β-cell dysfunction.

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Metadata

Authors
Ferrannini, E., Natali, A., Camastra, S., Nannipieri, M., Mari, A., Adam, K.-P., Milburn, M. V., Kastenmüller, G., Adamski, J., Tuomi, T., Lyssenko, V., Groop, L., & Gall, W. E.
Venue
Diabetes
Published
2013-04-16
Volume
62
Issue
5
Pages
1730-1737
ISSN
  • 0012-1797 (ISSN-L)
  • 1939-327X
OpenAlex
W2099491564
Cited by
349
References
40
FWCI
15.19
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Early Metabolic Markers of the Development of Dysglycemia and Type 2 Diabetes and Their Physiological Significance. https://app.cochat.ai/papers/10.2337/db12-0707
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Ferrannini, E., Natali, A., Camastra, S., Nannipieri, M., Mari, A., Adam, K.-P., Milburn, M. V., Kastenmüller, G., Adamski, J., Tuomi, T., Lyssenko, V., Groop, L., & Gall, W. E. (2013). Early Metabolic Markers of the Development of Dysglycemia and Type 2 Diabetes and Their Physiological Significance. Diabetes. https://doi.org/10.2337/db12-0707

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