MG53 does not mark cardiovascular risk and all-cause mortality in subjects with type 2 diabetes: A prospective,
Cristina Bianchi1, Olga Vaccaro2, Mariarosaria Distaso3
1Department of Medical Specialties - Section of Metabolic Diseases and Diabetes, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy.
Aims:
Subjects with type 2 diabetes (T2D) are characterized by a high cardiovascular morbidity and mortality. MG53, a marker of peripheral insulin resistance, has been linked with impaired β-cell function and decreased β-cell survival, and its circulating levels are increased in T2D. Its relationship with the cardiovascular risk profile and mortality in T2D is currently unknown.
Methods:
In this longitudinal study, MG53 was measured in serum samples collected at baseline for 296 Caucasian participants in the MIND.IT study, relating its circulating levels with the cardiovascular risk profile and all-cause mortality over a 17-years follow up.
Results:
As compared to a reference cohort of 234 healthy subjects, MG53 levels were higher in T2D individuals (p < 0.001), and higher in T2D women than in men (p = 0.001). In the whole study cohort, MG53 levels were directly related to HbA1c (r2 0.029; p = 0.006) and systolic blood pressure (r2 0.032; p = 0.004). There was no difference in baseline MG53 levels between deceased and alive participants, neither predict all-cause mortality.
Conclusions:
MG53 does not mark the cardiovascular risk profile neither predict long-term mortality in Caucasian T2D individuals.
Insights
In type 2 diabetes (T2D), MG53 levels are elevated but do not predict cardiovascular risk or mortality. This study found no link between MG53 and long-term outcomes in Caucasian T2D patients.
Area of Science:
- Endocrinology
- Cardiovascular Medicine
- Metabolic Syndrome
Background:
- Type 2 diabetes (T2D) is associated with significant cardiovascular morbidity and mortality.
- MG53, a marker of insulin resistance, is elevated in T2D and linked to beta-cell dysfunction.
- The association between MG53 and cardiovascular risk or mortality in T2D remains unclear.
Purpose of the Study:
- To investigate the relationship between circulating MG53 levels and the cardiovascular risk profile.
- To determine if MG53 predicts all-cause mortality in Caucasian individuals with T2D.
- To compare MG53 levels in T2D patients versus healthy individuals.
Main Methods:
- A longitudinal study involving 296 Caucasian T2D participants from the MIND.IT study.
- Serum MG53 levels were measured at baseline.
- Follow-up was conducted over 17 years to assess cardiovascular risk and all-cause mortality.
Main Results:
- MG53 levels were significantly higher in T2D individuals compared to healthy controls (p < 0.001).
- T2D women exhibited higher MG53 levels than T2D men (p = 0.001).
- MG53 levels correlated with HbA1c and systolic blood pressure but did not predict mortality.
Conclusions:
- Circulating MG53 levels do not serve as a marker for cardiovascular risk profile in Caucasian T2D individuals.
- MG53 does not predict long-term all-cause mortality in this population.
- Further research may be needed to clarify the role of MG53 in T2D pathophysiology.
Related Concept Videos
Diabetes Mellitus: Type 2 and Gestational
Oral Hypoglycemic Agents: Biguanides and Glitazones
Diabetes Mellitus: Overview and Type I Subtype
Type 1 diabetes is an autoimmune disease in which the immune system mistakenly attacks and destroys the insulin-producing beta cells in the pancreas. As a result, the body is unable to produce sufficient insulin, and individuals with...
Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
Coronary Artery Disease I: Introduction
Dipeptidyl Peptidase 4 Inhibitors


