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September 8, 2026DiabetologyOpen Access

Potential Biomarkers for the Early Prediction of Prediabetes

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Authors

LMLuisa V. Gracia MazucaBMBibiana Mancera

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Overview

Narrative review reveals elevated CRP and inflammatory markers across prediabetic cohorts, indicating potential for risk stratification but insufficient evidence for standalone diagnosis.

Key Points

  • Synthesize mechanistic and clinical evidence on the inflammatory landscape of prediabetes, evaluate candidate biomarkers, and assess their readiness for clinical risk prediction.
  • Conducted a structured narrative review analyzing 22 studies spanning animal models, human pancreatic islets, and clinical cohorts.
  • Evaluated candidate biomarkers including cytokines, oxidative stress indicators, microRNAs, and immune-cell factors across cross-sectional, longitudinal, and mechanistic designs.
  • C-reactive protein (CRP) and high-sensitivity CRP (hsCRP) demonstrated the strongest translational evidence, with elevated baseline levels consistently tied to increased risk of progression to type 2 diabetes.
  • Other candidates, including IL-6, TNF-α, adiponectin, SFRP4, microRNAs, and oxidative stress indicators, displayed promising but heterogeneous and inconsistent associations across cohorts.
  • Current clinical evidence does not support any inflammatory marker as an independent, standalone diagnostic test for prediabetes.

Cite This Study

Mazuca et al. (2026) studied this question.

synapsesocial.com/papers/6a9fd83b58e84d0ff5b47a55https://doi.org/10.3390/diabetology7090174
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