Key result
Elevated anti-PCK1 antibodies are linked to diabetes diagnosis and significantly worse overall survival.
Why the study?
Autoantibody biomarkers have not been successfully examined for diagnosis and therapy in diabetes mellitus and related diseases.
Do serum anti-PCK1 antibody levels predict overall survival in patients with diabetes mellitus?
Observational
Do serum anti-PCK1 antibody levels predict overall survival in patients with diabetes mellitus?
Answers are grounded in this paper and cite their sources.
Serum anti-PCK1 antibody levels are elevated in patients with diabetes mellitus and cardiovascular disease, and positivity is associated with significantly lower overall survival in patients with diabetes.
BACKGROUND: Autoantibodies develop in autoimmune diseases, cancer, diabetes mellitus (DM), and atherosclerosis-related diseases. However, autoantibody biomarkers have not been successfully examined for diagnosis and therapy. METHODS: Serological identification of antigens through recombinant cDNA expression cloning (SEREX) was used for primary screening of antigens. The cDNA product was expressed in bacteria and purified. Amplified luminescent proximity homogeneous assay-linked immunosorbent assay (AlphaLISA) was used to evaluate antibody levels in serum samples. RESULTS: Phosphoenolpyruvate carboxykinase 1 (PCK1) was recognized as an antigen by serum IgG antibodies in the sera of patients with atherosclerosis. AlphaLISA showed significantly higher serum antibody levels against recombinant PCK1 protein in patients with DM and cardiovascular disease than in healthy donors, but not in those with acute ischemic stroke, transient ischemic attack, or obstructive sleep apnea syndrome. The area under the receiver operating characteristic curve for anti-PCK1 antibodies was 0.7024 for DM. The serum anti-PCK1 antibody levels were associated with age, platelet count, and blood pressure. Anti-PCK1-antibody-positive patients showed significantly lower overall survival than the negative patients. CONCLUSIONS: Serum anti-PCK1 antibody levels were found to be associated with DM. The anti-PCK1 antibody marker is useful for predicting the overall survival of patients with DM.
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Namiki et al. (2023) conducted an observational in Diabetes mellitus. Serum anti-PCK1 antibody levels vs. Healthy donors / anti-PCK1-antibody-negative patients was evaluated on Diagnosis of diabetes mellitus and overall survival (AUC 0.7024). Serum anti-PCK1 antibody levels were higher in patients with diabetes mellitus, and antibody-positive patients showed lower overall survival.
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