Low Branched Chain Amino Acids and Tyrosine in Thai Patients with Type 2 Diabetes Mellitus Treated with Metformin and Metformin-Sulfonylurea Combination Therapies.

Low Branched Chain Amino Acids and Tyrosine in Thai Patients with Type 2 Diabetes Mellitus Treated with Metformin and Metformin-Sulfonylurea Combination Therapies.
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DOI:
10.3390/jcm10225424
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发表时间:
2021-11-20
影响因子:
3.9
通讯作者:
Tan BK
Tan BK
中科院分区:
医学2区
文献类型:
--
作者:
Sriboonvorakul N;Pan-Ngum W;Poovorawan K;Muangnoicharoen S;Quinn LM;Tan BK

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2型糖尿病(T2 DM)是泰国日益严重的公共卫生挑战(目前患病率约为10.0%)。氨基酸提供了新的生物标志物来预测T2 DM的风险,并指示次优的疾病管理,这可能有助于早期治疗。我们使用液相色谱-质谱法研究了泰国队列中的氨基酸谱,该队列包括T2 DM个体(n = 65,单药治疗; n = 38,多药治疗)与健康对照组(n = 104)。与单次或多次治疗的T2 DM组相比,健康对照组的年龄和BMI显著较低。与健康对照组相比,单次和多次治疗的T2 DM组中的BCAA(亮氨酸和缬氨酸)显著较低(p < 0.001和p < 0.001),并且与健康对照组相比,单次治疗组中的异亮氨酸显著较低(p = 0.014)。这些发现提出了一个问题,即补充支链氨基酸是否有益于单药或多药治疗的T2 DM患者?与健康对照组相比,T2 DM单次和多次给药组中的酪氨酸显著较低(p < 0.001和p = 0.002),而T2 DM多次给药组中的苯丙氨酸显著高于T2 DM单次给药组(p = 0.045)。我们提供了新的见解,糖尿病治疗对这些氨基酸在胰岛素抵抗状态,如T2 DM在一个独特的,但研究不足的泰国人口的影响。
Type 2 diabetes mellitus (T2DM) is a growing public health challenge for Thailand (current prevalence ~10.0%). Amino acids offer novel biomarkers to predict risk of T2DM and indicate sub-optimal disease management, which could facilitate earlier treatment. We studied amino acid profiles in a Thai cohort comprising of individuals with T2DM (n = 65 single-drug-treated; n = 38 multi-drug-treated) compared to healthy controls (n = 104) using liquid chromatography-mass spectrometry. Age and BMI were significantly lower in the healthy controls compared to the single or multi-treated T2DM groups. The BCAA (leucine and valine) were significantly lower in the single and multi-treated T2DM groups compared to healthy controls (p < 0.001 and p < 0.001) and isoleucine was significantly lower in the single-treated compared to the healthy controls (p = 0.014). These findings beg the question whether BCAAs supplementation be beneficial in T2DM patients treated with single or multi-drug therapy? Tyrosine was significantly lower in the single and multi-treated T2DM groups compared to healthy controls (p < 0.001 and p = 0.002), whereas phenylalanine was significantly higher in the multi-treated T2DM group compared to the single treated T2DM group (p = 0.045). We provide novel insights into the effects of diabetes treatments on these amino acids in insulin resistant states such as T2DM in a unique but understudied Thai population.
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