Lipidomic Signatures of Insulin Resistance Identified From Hyperinsulinemic-Euglycemic Clamp Studies in Asian Men.

Diabetes Pub Date : 2025-09-01 DOI:10.2337/db25-0010
Sartaj Ahmad Mir, Kothandaraman Narasimhan, Jayagowtham K Annadurai, Vaitheeswari, Shanshan Ji, David Cameron-Smith, Johan G Eriksson, Melvin Khee-Shing Leow, Markus R Wenk, Federico Torta, Chin Meng Khoo
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Abstract

Article highlights: The underlying molecular pathogenesis of the Asian phenotype of insulin resistance remains to be understood. We carried out metabolic phenotyping of study participants without diabetes according to insulin sensitivity indices derived from hyperinsulinemic-euglycemic clamp procedures. We identified lipidomic signatures of insulin resistance and metabolic plasticity. These lipidomic signatures have the potential to help in risk stratification of insulin resistance and metabolic dysfunction for early intervention.

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亚洲男性高胰岛素-正糖钳夹研究中发现胰岛素抵抗的脂质组学特征。
胰岛素抵抗(IR)是2型糖尿病发展的基础,通常在发病前几年发生。因此,更好地了解IR的分子发病机制可能有助于更好地管理和预防代谢综合征。我们使用人体测量和生化测量的综合方法,结合血清脂质组学,对具有不同胰岛素敏感性的多种族男性参与者进行代谢表型分析。通过详细表征空腹状态下的血清脂质组学特征以及高胰岛素-正血糖钳合手术(HIEC)期间的时间变化,我们确定了对HIEC的全身代谢反应,其表现为酰基肉碱、非酯化脂肪酸、溶血磷脂、鞘氨醇-1-磷酸和磷脂酰丝氨酸脂类的显著变化。我们证明IR和肝脏脂肪之间共享的脂质组学特征随着肝脏脂肪百分比的增加而逐渐增加。总之,通过根据HIEC程序得出的胰岛素敏感性指数对研究参与者进行分层,我们确定了IR和代谢可塑性的循环脂质组学特征,具有在2型糖尿病和其他代谢疾病发展之前预测和管理代谢健康的潜力。文章重点:亚洲胰岛素抵抗表型的潜在分子发病机制仍有待了解。我们根据高胰岛素-正血糖钳夹手术得出的胰岛素敏感性指数对无糖尿病的研究参与者进行了代谢表型分析。我们确定了胰岛素抵抗和代谢可塑性的脂质组学特征。这些脂质组学特征有可能有助于胰岛素抵抗和代谢功能障碍的风险分层,以便进行早期干预。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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