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Circulating amino acids and cardiometabolic risk profile in offspring of women with type 1 diabetes: cross-sectional
Erik Somersalo1,2, Hannu Kautiainen3,4,5, Miira M Klemetti6,7
1Department of General Practice and Primary Health Care, University of Helsinki, Helsinki University Hospital, Helsinki, Finland. erik.somersalo@helsinki.fi.
Insights
This study found no link between amino acid profiles and cardiometabolic risk in young adults born to mothers with type 1 diabetes. Further research is needed to explore the role of amino acids in cardiovascular disease development.
Area of Science:
- Endocrinology and Metabolism
- Cardiovascular Science
- Nutritional Biochemistry
Background:
- Branched-chain amino acids (BCAAs) are linked to cardiovascular disease (CVD) risk in adults.
- Offspring of women with type 1 diabetes may have an altered cardiometabolic risk profile.
- Investigating early-life metabolic markers is crucial for understanding long-term health outcomes.
Purpose of the Study:
- To determine if young adult offspring of women with type 1 diabetes exhibit an altered amino acid profile associated with cardiometabolic risk.
- To assess cardiovascular disease and cardiometabolic risk factors in this specific population.
- To explore the relationship between specific amino acid levels and cardiometabolic health.
Main Methods:
- Cross-sectional case-control study involving 73 offspring of women with type 1 diabetes and 82 controls.
- Clinical assessments included laboratory tests and questionnaires at ages 18-23 years.
- Serum amino acid levels were analyzed using nuclear magnetic resonance (NMR) spectroscopy after a 10-hour fast.
Main Results:
- No significant differences in cardiovascular disease or cardiometabolic risk factors were found between cases and controls.
- Circulating amino acid levels were comparable between the two groups.
- A higher glucogenic score (alanine, glycine) was observed in overweight male offspring of women with type 1 diabetes (adjusted p=0.015).
Conclusions:
- The study does not support the hypothesis that serum amino acid profiles in early adulthood are associated with adverse cardiometabolic risk in offspring of women with type 1 diabetes.
- Findings suggest that other factors may be more influential in determining cardiometabolic risk in this population.
- Further research is warranted to elucidate the role of amino acids in cardiovascular disease development in this high-risk group.
Abstract:
Branched-chain amino acids (BCAAs) are known to be associated with cardiovascular disease risk in adults. The aim of this study is to investigate whether an increased cardiometabolic risk profile can be observed in the amino acid profile of young adult offspring of women with type 1 diabetes. This cross-sectional case-control study included 73 offspring born to women with type 1 diabetes (cases) and 82 control participants (controls). At the age of 18-23 years, they participated in a clinical assessment including laboratory tests and questionnaires. Amino acid levels were analyzed from venous serum samples after 10 h of fasting using nuclear magnetic resonance (NMR) spectroscopy. No differences in cardiovascular disease or cardiometabolic risk factors were observed between the cases and the controls. Circulating amino acid levels were similar in both groups. The glucogenic score (combined alanine, glycine) was higher in overweight case men (case versus controls adjusted p = 0.015 (mean ratio 1.25 [95% CI 1.11 to 1.49]). The present findings do not support our hypothesis that serum amino acid profiles, determined in early adulthood, are associated with a more adverse cardiometabolic risk profile in offspring of women with type 1 diabetes. Further studies are warranted to clarify the potential role of amino acids in the development of cardiovascular disease in offspring of women with type 1 diabetes.
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