Key result
Plasma C20:0, C22:6n-3, HbA1c, and waist metrics linked to atherosclerosis development in T2DM.
Why the study?
The incidence of atherosclerotic cardiovascular diseases is higher in patients with type 2 diabetes mellitus than in non-diabetics, but the underlying reason has remained unclear.
Cohort (n=118)
Specific plasma fatty acids (C20:0, C22:6n-3) along with HbA1c and central obesity metrics are associated with the development of atherosclerosis in patients with type 2 diabetes.
Should not yet alter T2DM management; leaves open causal roles of specific fatty acids and central obesity in atherosclerosis.
Many publications have reported that the incidence of atherosclerotic cardiovascular diseases is higher in patients with type 2 diabetes mellitus (T2DM) than in the non-diabetic population; however, until now, the reason has been unclear. In this study, 25 males (25/64, 39.06%) and 19 females (19/54, 35.19%) had complications with atherosclerosis after two years. To reveal the risk factors for developing atherosclerosis in patients with T2DM, plasma fatty acid metabolic profiling based on gas chromatography-mass spectrometry was combined with the analysis of clinical biochemical indices. The results of partial least squares-discriminant and canonical correlation analyses suggested that C20:0, C22:6n-3, glycosylated hemoglobin, waist circumference, and waist-to-hip ratio are likely to be closely related to T2DM complicated with atherosclerosis. Metabolomic information is a beneficial supplement to existing clinical indices and is useful in predicting the development of a patient's disease and optimizing the treatment.
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Zhou et al. (2019) conducted a cohort in Type 2 diabetes mellitus (n=118). Specific plasma fatty acids (C20:0, C22:6n-3) and clinical indices (glycosylated hemoglobin, waist circumference, waist-to-hip ratio) was evaluated on Development of atherosclerosis. Plasma levels of C20:0, C22:6n-3, glycosylated hemoglobin, waist circumference, and waist-to-hip ratio were identified as closely related risk factors for atherosclerosis development in T2DM.
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