Related Experiment Video
Updated: Apr 21, 2026

Modeling and Evaluation of Murine Diabetic Cardiomyopathy Model
Published on: November 29, 2024
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.
Context:
Elevated blood uridine levels have been reported in children with newly diagnosed type 1 diabetes (T1D); however, their relevance to disease onset remains unclear.
Objective:
To explore whether changes in plasma uridine are associated with the development of T1D in at-risk individuals.
Methods:
Pre- and post-T1D-onset oral glucose tolerance test plasma samples from 45 cases and matched controls in the Diabetes Prevention Trial-Type 1 trial were examined for uridine concentrations using LC-MS/MS. Cases with age > 21, BMI > 25, HbA1c > 5.7%, or interval from screening to T1D diagnosis < 1 year were excluded due to the potential confounding effects of aging, obesity, and insulin resistance on uridine homeostasis. Twenty-three matched case-control pairs were used to evaluate associations between uridine levels and T1D risk.
Results:
Individuals who later developed T1D (cases) exhibited an increase in plasma uridine around the onset of T1D (5.03 ± 0.86 µM before and 6.10 ± 1.40 µM after T1D diagnosis, P = .001), whereas individuals who did not develop T1D (controls) showed a decrease (6.20 ± 1.32 µM at Visit 1 and 5.20 ± 1.33 µM at Visit 2, P < .001). The receiver operating characteristic curve indicates that baseline fasting uridine demonstrates discriminatory performance for T1D (area under the curve = 0.773). Mixed-effects modeling identifies a significant time × group interaction, with group-specific uridine dynamics evident prior to T1D onset in humans.
Conclusion:
Our findings suggest that fasting uridine changes precede T1D onset and may serve as an early biomarker.
Related Concept Videos
Type I Diabetes III: Clinical Manifestations
Type II Diabetes II: Pathophysiology
Type II Diabetes Mellitus III: Clinical Manifestations and Diagnosis
Type I Diabetes II: Pathophysiology
Hyperglycemia
Type II Diabetes I: Introduction

