Metabolic signature of obesity-associated insulin resistance and type 2 diabetes

Abstract Background Obesity is associated with an increased risk of insulin resistance and type 2 diabetes mellitus (T2DM). However, some obese individuals maintain their insulin sensitivity and exhibit a lower risk of associated comorbidities. The underlying metabolic pathways differentiating obese...

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Main Authors: Haya Al-Sulaiti, Ilhame Diboun, Maha V. Agha, Fatima F. S. Mohamed, Stephen Atkin, Alex S. Dömling, Mohamed A. Elrayess, Nayef A. Mazloum
Format: Article
Language:English
Published: BMC 2019-10-01
Series:Journal of Translational Medicine
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12967-019-2096-8
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author Haya Al-Sulaiti
Ilhame Diboun
Maha V. Agha
Fatima F. S. Mohamed
Stephen Atkin
Alex S. Dömling
Mohamed A. Elrayess
Nayef A. Mazloum
author_facet Haya Al-Sulaiti
Ilhame Diboun
Maha V. Agha
Fatima F. S. Mohamed
Stephen Atkin
Alex S. Dömling
Mohamed A. Elrayess
Nayef A. Mazloum
author_sort Haya Al-Sulaiti
collection DOAJ
description Abstract Background Obesity is associated with an increased risk of insulin resistance and type 2 diabetes mellitus (T2DM). However, some obese individuals maintain their insulin sensitivity and exhibit a lower risk of associated comorbidities. The underlying metabolic pathways differentiating obese insulin sensitive (OIS) and obese insulin resistant (OIR) individuals remain unclear. Methods In this study, 107 subjects underwent untargeted metabolomics of serum samples using the Metabolon platform. Thirty-two subjects were lean controls whilst 75 subjects were obese including 20 OIS, 41 OIR, and 14 T2DM individuals. Results Our results showed that phospholipid metabolites including choline, glycerophosphoethanolamine and glycerophosphorylcholine were significantly altered from OIS when compared with OIR and T2DM individuals. Furthermore, our data confirmed changes in metabolic markers of liver disease, vascular disease and T2DM, such as 3-hydroxymyristate, dimethylarginine and 1,5-anhydroglucitol, respectively. Conclusion This pilot data has identified phospholipid metabolites as potential novel biomarkers of obesity-associated insulin sensitivity and confirmed the association of known metabolites with increased risk of obesity-associated insulin resistance, with possible diagnostic and therapeutic applications. Further studies are warranted to confirm these associations in prospective cohorts and to investigate their functionality.
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spelling doaj.art-8db25a87749945d9917bfd151874fcaf2022-12-21T18:38:32ZengBMCJournal of Translational Medicine1479-58762019-10-0117111110.1186/s12967-019-2096-8Metabolic signature of obesity-associated insulin resistance and type 2 diabetesHaya Al-Sulaiti0Ilhame Diboun1Maha V. Agha2Fatima F. S. Mohamed3Stephen Atkin4Alex S. Dömling5Mohamed A. Elrayess6Nayef A. Mazloum7Department of Drug Design, University of GroningenQatar Biomedical Research Institute (QBRI), Hamad Bin Khalifa University (HBKU)Weill Cornell Medicine-QatarWeill Cornell Medicine-QatarWeill Cornell Medicine-QatarDepartment of Drug Design, University of GroningenBiomedical Research Center (BRC), Qatar UniversityWeill Cornell Medicine-QatarAbstract Background Obesity is associated with an increased risk of insulin resistance and type 2 diabetes mellitus (T2DM). However, some obese individuals maintain their insulin sensitivity and exhibit a lower risk of associated comorbidities. The underlying metabolic pathways differentiating obese insulin sensitive (OIS) and obese insulin resistant (OIR) individuals remain unclear. Methods In this study, 107 subjects underwent untargeted metabolomics of serum samples using the Metabolon platform. Thirty-two subjects were lean controls whilst 75 subjects were obese including 20 OIS, 41 OIR, and 14 T2DM individuals. Results Our results showed that phospholipid metabolites including choline, glycerophosphoethanolamine and glycerophosphorylcholine were significantly altered from OIS when compared with OIR and T2DM individuals. Furthermore, our data confirmed changes in metabolic markers of liver disease, vascular disease and T2DM, such as 3-hydroxymyristate, dimethylarginine and 1,5-anhydroglucitol, respectively. Conclusion This pilot data has identified phospholipid metabolites as potential novel biomarkers of obesity-associated insulin sensitivity and confirmed the association of known metabolites with increased risk of obesity-associated insulin resistance, with possible diagnostic and therapeutic applications. Further studies are warranted to confirm these associations in prospective cohorts and to investigate their functionality.http://link.springer.com/article/10.1186/s12967-019-2096-8MetabolomicsBlood metabolitesInsulin sensitivityInsulin resistanceType 2 diabetes mellitus
spellingShingle Haya Al-Sulaiti
Ilhame Diboun
Maha V. Agha
Fatima F. S. Mohamed
Stephen Atkin
Alex S. Dömling
Mohamed A. Elrayess
Nayef A. Mazloum
Metabolic signature of obesity-associated insulin resistance and type 2 diabetes
Journal of Translational Medicine
Metabolomics
Blood metabolites
Insulin sensitivity
Insulin resistance
Type 2 diabetes mellitus
title Metabolic signature of obesity-associated insulin resistance and type 2 diabetes
title_full Metabolic signature of obesity-associated insulin resistance and type 2 diabetes
title_fullStr Metabolic signature of obesity-associated insulin resistance and type 2 diabetes
title_full_unstemmed Metabolic signature of obesity-associated insulin resistance and type 2 diabetes
title_short Metabolic signature of obesity-associated insulin resistance and type 2 diabetes
title_sort metabolic signature of obesity associated insulin resistance and type 2 diabetes
topic Metabolomics
Blood metabolites
Insulin sensitivity
Insulin resistance
Type 2 diabetes mellitus
url http://link.springer.com/article/10.1186/s12967-019-2096-8
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