We identify biomarkers for disease progression in three type 2 diabetes cohorts encompassing 2,973 individuals across three molecular classes, metabolites, lipids and proteins. Homocitrulline, isoleucine and 2-aminoadipic acid, eight triacylglycerol species, and lowered sphingomyelin 42:2;2 levels are predictive of faster progression towards insulin requirement. Of ~1,300 proteins examined in two cohorts, levels of GDF15/MIC-1, IL-18Ra, CRELD1, NogoR, FAS, and ENPP7 are associated with faster progression, whilst SMAC/DIABLO, SPOCK1 and HEMK2 predict lower progression rates. In an external replication, proteins and lipids are associated with diabetes incidence and prevalence. NogoR/RTN4R injection improved glucose tolerance in high fat-fed male mice but impaired it in male db/db mice. High NogoR levels led to islet cell apoptosis, and IL-18R antagonised inflammatory IL-18 signalling towards nuclear factor kappa-B in vitro. This comprehensive, multi-disciplinary approach thus identifies biomarkers with potential prognostic utility, provides evidence for possible disease mechanisms, and identifies potential therapeutic avenues to slow diabetes progression.
Institut(e)Institute of Pancreatic Islet Research (IPI)
FörderungenFaculty of Medicine at Lund University Swedish Research Council Swedish Foundation for Strategic Research Wellcome Trust New Investigator Award Wellcome Trust Investigator Award MRC Experimental Challenge Grant (DIVA) Diabetes UK Project Canada Research Chair in Adipocyte Development Swedish governmental funding of clinical research (ALF) Vinnova Swelife Innovative Medicines Initiative 2 Joint Undertaking Innovation Canada European Union EFPIA Swiss State Secretariat for Education, Research and Innovation (SERI) Icelandic Research Fund Netherlands Organisation for Health Research and Development CIHR Wellcome Trust CIHR Project Grant