Clinical Research Centre, Medical University of Bialystok, 15276 Białystok, Poland.
Department of Endocrinology, Diabetology and Internal Medicine, Medical University of Bialystok, 15276 Białystok, Poland.
Int J Mol Sci. 2021 Dec 28;23(1):295. doi: 10.3390/ijms23010295.
Type 2 diabetes (T2D) is a deficiency in how the body regulates glucose. Uncontrolled T2D will result in chronic high blood sugar levels, eventually resulting in T2D complications. These complications, such as kidney, eye, and nerve damage, are even harder to treat. Identifying individuals at high risk of developing T2D and its complications is essential for early prevention and treatment. Numerous studies have been done to identify biomarkers for T2D diagnosis and prognosis. This review focuses on recent T2D biomarker studies based on circulating nucleic acids using different omics technologies: genomics, transcriptomics, and epigenomics. Omics studies have profiled biomarker candidates from blood, urine, and other non-invasive samples. Despite methodological differences, several candidate biomarkers were reported for the risk and diagnosis of T2D, the prognosis of T2D complications, and pharmacodynamics of T2D treatments. Future studies should be done to validate the findings in larger samples and blood-based biomarkers in non-invasive samples to support the realization of precision medicine for T2D.
2 型糖尿病(T2D)是一种身体调节葡萄糖的能力缺陷。未经控制的 T2D 会导致慢性高血糖水平,最终导致 T2D 并发症。这些并发症,如肾脏、眼睛和神经损伤,更难治疗。识别易患 T2D 及其并发症的个体对于早期预防和治疗至关重要。已经进行了许多研究来识别用于 T2D 诊断和预后的生物标志物。本综述重点介绍了基于不同组学技术(基因组学、转录组学和表观基因组学)的循环核酸的最新 T2D 生物标志物研究。组学研究对血液、尿液和其他非侵入性样本中的生物标志物候选物进行了分析。尽管方法学存在差异,但已经报道了一些候选生物标志物,用于 T2D 的风险和诊断、T2D 并发症的预后以及 T2D 治疗的药效动力学。应进行未来的研究,以在更大的样本和非侵入性样本中的血液生物标志物中验证这些发现,以支持实现 T2D 的精准医学。