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Two Important Players for Type 2 Diabetes Mellitus: Metrnl and Asprosin
Background:
The prevalence of diabetes mellitus (DM) is rapidly increasing worldwide. Metrnl and asprosin are the new adipomyokins that can increase glucose tolerance and affect insulin resistance. Based on this information, we aimed to identify the possible relationship between T2DM and asprosin, Metrnl levels and insulin resistance.
Methods:
Our study consisted of a group of 60 patients (female: 30/male: 30) who were newly diagnosed with T2DM and did not take any medications and a control group of 60 healthy (female: 31 - male: 29) individuals.
Results:
We found that serum Metrnl levels were significantly lower in the diabetic group than in the control group (p < 0.01). In contrast, serum asprosin levels were significantly higher in the diabetic group compared to the control group (p < 0.01). We found a positive correlation between asprosin levels and HOMA-IR, insulin, BMI, and triglyceride levels in the patient group. On the contrary, we found a negative correlation between Metrnl levels and HOMA-IR, insulin, triglyceride, glucose levels.
Conclusions:
In the literature review, we could not find a comparison study on the relationship between T2DM, Metrnl, asprosin levels, and HOMA-IR in humans. As far as we know, this study will be the first report in which both adipokine/adipomyokine are compared and associated with HOMA-IR. Asprosin levels in patients with T2DM are higher than healthy people, and Metrnl levels are lower. These two molecules (Metrnl and asprosin) have the ability to be an early warning signal of insulin resistance for T2DM.
Insights
New research reveals that higher asprosin and lower Metrnl levels are linked to type 2 diabetes (T2DM) and insulin resistance. These adipomyokines may serve as early indicators for T2DM development.
Area of Science:
- Endocrinology
- Metabolic Diseases
- Biochemistry
Background:
- Diabetes mellitus (DM) prevalence is rising globally.
- Metrnl and asprosin are novel adipomyokines influencing glucose tolerance and insulin resistance.
- Understanding their role in type 2 diabetes (T2DM) is crucial.
Purpose of the Study:
- To investigate the relationship between T2DM, serum Metrnl and asprosin levels, and insulin resistance.
- To compare Metrnl and asprosin levels in newly diagnosed T2DM patients versus healthy controls.
Main Methods:
- A cohort of 60 treatment-naive T2DM patients and 60 healthy controls were enrolled.
- Serum levels of Metrnl and asprosin were measured.
- Insulin resistance was assessed using HOMA-IR, alongside measurements of insulin, BMI, triglyceride, and glucose levels.
Main Results:
- Serum Metrnl levels were significantly lower in T2DM patients compared to controls (p < 0.01).
- Serum asprosin levels were significantly higher in T2DM patients compared to controls (p < 0.01).
- Asprosin positively correlated with HOMA-IR, insulin, BMI, and triglycerides, while Metrnl negatively correlated with HOMA-IR, insulin, triglycerides, and glucose.
Conclusions:
- This study is the first to compare Metrnl and asprosin in relation to T2DM and HOMA-IR in humans.
- Elevated asprosin and reduced Metrnl levels are associated with T2DM.
- Metrnl and asprosin show potential as early biomarkers for insulin resistance in T2DM.
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