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Published on: May 2, 2025
Two urinary peptides associated closely with type 2 diabetes mellitus
Man Zhang1, Guangzhen Fu2, Ting Lei1
1Department of Clinical Laboratory, Peking University Ninth School of Clinical Medicine, Beijing Shijitan Hospital, Beijing, China; Department of Clinical Laboratory, Beijing Shijitan Hospital, Capital Medical University, Beijing, China.
Researchers identified two urinary peptides, fragments of fibrinogen and prothrombin, that correlate with glucose control in type 2 diabetes. These biomarkers offer a noninvasive method for monitoring diabetes progression.
Area of Science:
- Biochemistry
- Proteomics
- Clinical Diagnostics
Background:
- Type 2 diabetes mellitus (T2DM) management requires effective monitoring of glucose control.
- Current monitoring methods can be invasive or inconvenient.
- Identifying noninvasive biomarkers for T2DM is crucial for patient care.
Purpose of the Study:
- To identify novel urinary peptides for noninvasive monitoring of type 2 diabetes.
- To correlate urinary peptide profiles with different stages of glycemic control in T2DM patients.
Main Methods:
- Urine samples collected from T2DM patients and healthy controls.
- Peptide enrichment using magnetic beads-based weak cation exchange chromatography (MB-WCX).
- Analysis via matrix-assisted laser desorption/ionization time-of-flight mass spectrometry (MALDI-TOF-MS) and nano-LC-MS/MS for identification.
Main Results:
- Two up-regulated urinary peptides (m/z 2756.1 and m/z 3223.2) identified in T2DM subjects.
- Peptide levels correlated with glycosylated hemoglobin (HbA1c) levels.
- Peptide m/z 2756.1 identified as fibrinogen alpha chain precursor fragment; m/z 3223.2 as prothrombin precursor fragment.
Conclusions:
- Urinary peptides, specifically fibrinogen and prothrombin fragments, show potential as noninvasive biomarkers for T2DM.
- These biomarkers may facilitate monitoring of type 2 diabetes progression and glucose control stages.
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