Plasma Lipid Profiling Shows Similar Associations with Prediabetes and Type 2 Diabetes

Peter J. Meikle, Gerard Wong, Christopher K. Barlow, Jacquelyn M. Weir, Melissa A. Greeve, Gemma L. MacIntosh, Laura Almasy, Anthony G. Comuzzie, Michael C. Mahaney, Adam Kowalczyk, Izhac Haviv, Narelle Grantham, Dianna J. Magliano, Jeremy B.M. Jowett, Paul Zimmet, Joanne E. Curran, John Blangero, Jonathan Shaw

Research output: Contribution to journalArticlepeer-review

237 Scopus citations

Abstract

The relationship between lipid metabolism with prediabetes (impaired fasting glucose and impaired glucose tolerance) and type 2 diabetes mellitus is poorly defined. We hypothesized that a lipidomic analysis of plasma lipids might improve the understanding of this relationship. We performed lipidomic analysis measuring 259 individual lipid species, including sphingolipids, phospholipids, glycerolipids and cholesterol esters, on fasting plasma from 117 type 2 diabetes, 64 prediabetes and 170 normal glucose tolerant participants in the Australian Diabetes, Obesity and Lifestyle Study (AusDiab) then validated our findings on 1076 individuals from the San Antonio Family Heart Study (SAFHS). Logistic regression analysis of identified associations with type 2 diabetes (135 lipids) and prediabetes (134 lipids), after adjusting for multiple covariates. In addition to the expected associations with diacylglycerol, triacylglycerol and cholesterol esters, type 2 diabetes and prediabetes were positively associated with ceramide, and its precursor dihydroceramide, along with phosphatidylethanolamine, phosphatidylglycerol and phosphatidylinositol. Significant negative associations were observed with the ether-linked phospholipids alkylphosphatidylcholine and alkenylphosphatidylcholine. Most of the significant associations in the AusDiab cohort (90%) were subsequently validated in the SAFHS cohort. The aberration of the plasma lipidome associated with type 2 diabetes is clearly present in prediabetes, prior to the onset of type 2 diabetes. Lipid classes and species associated with type 2 diabetes provide support for a number of existing paradigms of dyslipidemia and suggest new avenues of investigation.

Original languageEnglish
Article numbere74341
JournalPLoS ONE
Volume8
Issue number9
DOIs
StatePublished - 27 Sep 2013
Externally publishedYes

Funding

FundersFunder number
National Center for Research ResourcesC06 RR017515, C06 RR013556
National Health and Medical Research Council233200
National Institute of Diabetes and Digestive and Kidney Diseases
National Institutes of HealthR01 DK082610, R01 DK079169, P01 HL045522, R01 HL091035
National Institute of Diabetes and Digestive and Kidney DiseasesR01DK082610

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