Longitudinal dynamics of fasting plasma uridine in the preclinical stage of type 1 diabetes

Qiutang Xiong1, Chelsea Jang1, Kevin Wang1

  • 1Department of Diabetes and Cancer Metabolism, Arthur Riggs Diabetes and Metabolism Research Institute, Beckman Research Institute, City of Hope National Medical Center, Duarte, CA 91010, USA.

Insights

Plasma uridine levels increase around the onset of type 1 diabetes (T1D) in at-risk individuals. These changes in uridine may serve as an early biomarker for T1D development.

Area of Science:

  • Metabolomics
  • Biomarker Discovery
  • Endocrinology

Background:

  • Elevated blood uridine levels are observed in children with new-onset type 1 diabetes (T1D).
  • The significance of these uridine levels in relation to T1D onset is not fully understood.

Purpose of the Study:

  • To investigate the association between plasma uridine changes and the development of T1D in individuals at risk.
  • To determine if uridine levels can predict T1D onset.

Main Methods:

  • Analysis of plasma uridine concentrations using LC-MS/MS in pre- and post-T1D onset samples from the Diabetes Prevention Trial-Type 1.
  • Exclusion of participants with confounding factors like obesity or insulin resistance.
  • Matched case-control analysis of 23 pairs to assess uridine levels and T1D risk.

Main Results:

  • Individuals who developed T1D showed increased plasma uridine around diagnosis (P = .001).
  • Controls demonstrated a decrease in plasma uridine over time (P < .001).
  • Baseline fasting uridine levels showed discriminatory performance for T1D (AUC = 0.773), with significant time × group interaction observed.

Conclusions:

  • Fasting uridine level dynamics appear to precede T1D onset.
  • Plasma uridine may function as a predictive biomarker for type 1 diabetes.
Abstract

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