在对 5181 名芬兰男性进行的为期 7.4 年的随访研究中,9 种氨基酸与胰岛素分泌减少和血糖水平升高有关。

Nine Amino Acids Are Associated With Decreased Insulin Secretion and Elevated Glucose Levels in a 7.4-Year Follow-up Study of 5,181 Finnish Men.

机构信息

Internal Medicine, Institute of Clinical Medicine, University of Eastern Finland, Kuopio, Finland.

Lundberg Laboratory for Diabetes Research, Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

出版信息

Diabetes. 2019 Jun;68(6):1353-1358. doi: 10.2337/db18-1076. Epub 2019 Mar 18.

Abstract

Several amino acids (AAs) have been shown to be associated with insulin resistance and increased risk of type 2 diabetes, but no previous studies have investigated the association of AAs with insulin secretion in a longitudinal setting. Our study included 5,181 participants of the cross-sectional METabolic Syndrome In Men (METSIM) study having metabolomics data on 20 AAs. A total of 4,851 had a 7.4-year follow-up visit. Nine AAs (phenylalanine, tryptophan, tyrosine, alanine, isoleucine, leucine, valine, aspartate, and glutamate) were significantly ( < 5.8 × 10) associated with decreases in insulin secretion (disposition index) and the elevation of fasting or 2-h glucose levels. Five of these AAs (tyrosine, alanine, isoleucine, aspartate, and glutamate) were also found to be significantly associated with an increased risk of incident type 2 diabetes after adjustment for confounding factors. Our study is the first population-based large cohort to report that AAs are associated not only with insulin resistance but also with decreased insulin secretion.

摘要

已有研究表明,多种氨基酸(AAs)与胰岛素抵抗和 2 型糖尿病风险增加有关,但以前的研究并未在纵向研究中探讨氨基酸与胰岛素分泌之间的关系。我们的研究纳入了代谢综合征男性(METSIM)研究中的 5181 名横断面研究参与者,这些参与者具有 20 种氨基酸的代谢组学数据。其中共有 4851 名参与者进行了 7.4 年的随访。有 9 种氨基酸(苯丙氨酸、色氨酸、酪氨酸、丙氨酸、异亮氨酸、亮氨酸、缬氨酸、天冬氨酸和谷氨酸)与胰岛素分泌(处置指数)降低以及空腹或 2 小时血糖水平升高显著相关(<5.8×10)。调整混杂因素后,这 9 种氨基酸中的 5 种(酪氨酸、丙氨酸、异亮氨酸、天冬氨酸和谷氨酸)也与 2 型糖尿病的发病风险增加显著相关。我们的研究是第一项基于人群的大型队列研究,表明氨基酸不仅与胰岛素抵抗有关,而且与胰岛素分泌减少有关。

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