دورية أكاديمية

Methylglyoxal mediates the association between 2-hour plasma glucose and HbA1c with inflammation: The Maastricht Study.

التفاصيل البيبلوغرافية
العنوان: Methylglyoxal mediates the association between 2-hour plasma glucose and HbA1c with inflammation: The Maastricht Study.
المؤلفون: Sun D; Department of Internal Medicine, Maastricht University Medical Center.; CARIM School for Cardiovascular Diseases., van Greevenbroek MMJ; Department of Internal Medicine, Maastricht University Medical Center.; CARIM School for Cardiovascular Diseases., Scheijen JLJM; Department of Internal Medicine, Maastricht University Medical Center.; CARIM School for Cardiovascular Diseases., Kelly J; Department of Internal Medicine, Maastricht University Medical Center.; CARIM School for Cardiovascular Diseases., Schalkwijk CG; Department of Internal Medicine, Maastricht University Medical Center.; CARIM School for Cardiovascular Diseases., Wouters K; Department of Internal Medicine, Maastricht University Medical Center.; CARIM School for Cardiovascular Diseases.
المصدر: The Journal of clinical endocrinology and metabolism [J Clin Endocrinol Metab] 2024 Sep 24. Date of Electronic Publication: 2024 Sep 24.
Publication Model: Ahead of Print
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Oxford University Press Country of Publication: United States NLM ID: 0375362 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1945-7197 (Electronic) Linking ISSN: 0021972X NLM ISO Abbreviation: J Clin Endocrinol Metab Subsets: MEDLINE
أسماء مطبوعة: Publication: 2017- : New York : Oxford University Press
Original Publication: Springfield, Ill. : Charles C. Thomas
مستخلص: Context: Glucose excursions in persons with diabetes may drive chronic inflammation. Methylglyoxal (MGO) is formed from glucose, is elevated in persons with diabetes, and is a potent glycating agent linked with inflammation.
Objective: We investigated whether glucose excursions are associated with low-grade inflammation and whether MGO mediates this association.
Design: We used data from The Maastricht Study, an extensive phenotyping study into the etiology of type 2 diabetes and its complications.
Participants: Data of 3017 participants, who underwent an oral glucose tolerance test and where data on MGO levels and inflammation were available, were used.
Main Outcome Measures: Linear regression analyses, adjusted for potential confounders, evaluated associations between fasting plasma glucose (FPG), 2-hours plasma glucose (2h-PG) and HbA1c and low-grade inflammation (stdβ, [95% confidence interval]), calculated from plasma concentrations of C-reactive protein, serum amyloid A, interleukin-6, interleukin-8, tumor necrosis factor and soluble intercellular adhesion molecule-1. Mediation analyses investigated whether MGO mediated these associations.
Results: 2h-PG (0.172 [0.110; 0.234]) and HbA1c (0.148 [0.101; 0.196]), but not FPG (0.049 [-0.002; 0.100]), were associated with low-grade inflammation. 2h-PG and HbA1c were also associated with 2h-MGO (0.471 [0.407; 0.534], and 0.244 [0.195; 0.294], respectively). Furthermore, 2h-MGO was independently and positively associated with low-grade inflammation (0.078 [0.037, 0.120]). 2h-MGO mediated 23% of the association between 2h-PG and inflammation, and 16% of the association between HbA1c and inflammation.
Conclusions: MGO mediates the association between post-load glucose excursions and HbA1c with inflammation, providing evidence for a role of postprandial MGO formation to hyperglycemia-induced low-grade inflammation.
(© The Author(s) 2024. Published by Oxford University Press on behalf of the Endocrine Society.)
فهرسة مساهمة: Keywords: Diabetes; cardiovascular complications; inflammation; methylglyoxal
تواريخ الأحداث: Date Created: 20240924 Latest Revision: 20240924
رمز التحديث: 20240924
DOI: 10.1210/clinem/dgae640
PMID: 39315630
قاعدة البيانات: MEDLINE
الوصف
تدمد:1945-7197
DOI:10.1210/clinem/dgae640