PMID- 25937838 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150504 LR - 20220321 IS - 1758-5996 (Print) IS - 1758-5996 (Electronic) IS - 1758-5996 (Linking) VI - 6 DP - 2014 TI - Plasma and urine metabolic profiles are reflective of altered beta-oxidation in non-diabetic obese subjects and patients with type 2 diabetes mellitus. PG - 129 LID - 10.1186/1758-5996-6-129 [doi] LID - 129 AB - OBJECTIVES: The two primary pathophysiological characteristics of patients with type 2 diabetes mellitus (T2DM) are insulin resistance (IR) and beta cell dysfunction. It has been proposed that the development of IR is secondary to the accumulation of triacylglycerols and fatty acids in the muscle and liver, which is in turn thought to be secondary to an enzymatic defect in mitochondrial beta-oxidation. The purpose of the present study was to analyze the molecules of intermediary metabolism to determine if an alteration in mitochondrial function exists in T2DM patients and, if so, to determine whether this alteration is caused by excess nutrients or an enzymatic defect. DESIGN AND METHODS: Seventy-seven subjects were recruited and divided into four groups (21 T2DM patients, 17 non-diabetic overweight/obese subjects, 20 offspring of T2DM patients, and 19 healthy subjects). Anthropometric parameters were determined by air plethysmography, and biochemical and metabolic parameters were measured, including 31 acylcarnitines (ACs) and 13 amino acids quantified by MS/MS and 67 organic acids measured by GC/MS. RESULTS: Patients with T2DM showed elevation of short-chain ACs (C2, C4), a glycogenic amino acid (valine), a glycogenic and ketogenic amino acid (tyrosine), and a ketogenic amino acid (leucine) as well as altered excretion of dicarboxylic acids. T2DM offspring with abnormal glucose tolerance test GTT showed increased levels of C16. Subjects in the obese group who were dysglycemic also showed altered urinary excretion of dicarboxylic acids and lower levels of a long-chain AC (C14:2). CONCLUSIONS: These results suggest that mitochondrial beta-oxidation is altered in T2DM patients and that the alteration is most likely caused by nutrient overload through a different pathway from that observed in obese subjects. FAU - Villarreal-Perez, Jesus Zacarias AU - Villarreal-Perez JZ AD - Universidad Autonoma de Nuevo Leon, Hospital Universitario, "Dr. Jose Eleuterio Gonzalez", Servicio de Endocrinologia, Monterrey, Nuevo Leon, 64460 Mexico. FAU - Villarreal-Martinez, Jesus Zacarias AU - Villarreal-Martinez JZ AD - Departamento de Medicina Interna, Universidad Autonoma de Nuevo Leon, Hospital Universitario, "Dr. Jose Eleuterio Gonzalez", Monterrey, Nuevo Leon 64460 Mexico. FAU - Lavalle-Gonzalez, Fernando Javier AU - Lavalle-Gonzalez FJ AD - Universidad Autonoma de Nuevo Leon, Hospital Universitario, "Dr. Jose Eleuterio Gonzalez", Servicio de Endocrinologia, Monterrey, Nuevo Leon, 64460 Mexico. FAU - Torres-Sepulveda, Maria Del Rosario AU - Torres-Sepulveda Mdel R AD - Departamento de Genetica, Universidad Autonoma de Nuevo Leon, Hospital Universitario, "Dr. Jose Eleuterio Gonzalez", Av. Gonzalitos s/n, Colonia Mitras Centro, Monterrey, Nuevo Leon 64460 Mexico. FAU - Ruiz-Herrera, Consuelo AU - Ruiz-Herrera C AD - Departamento de Genetica, Universidad Autonoma de Nuevo Leon, Hospital Universitario, "Dr. Jose Eleuterio Gonzalez", Av. Gonzalitos s/n, Colonia Mitras Centro, Monterrey, Nuevo Leon 64460 Mexico. FAU - Cerda-Flores, Ricardo Martin AU - Cerda-Flores RM AD - Universidad Autonoma de Nuevo Leon, Facultad de Enfermeria, Avenida Gonzalitos, 1500 Norte, Col. Mitras Centro, Monterrey, NL Mexico. FAU - Castillo-Garcia, Erik Ruben AU - Castillo-Garcia ER AD - Departamento de Genetica, Universidad Autonoma de Nuevo Leon, Hospital Universitario, "Dr. Jose Eleuterio Gonzalez", Av. Gonzalitos s/n, Colonia Mitras Centro, Monterrey, Nuevo Leon 64460 Mexico. FAU - Rodriguez-Sanchez, Iram Pablo AU - Rodriguez-Sanchez IP AD - Departamento de Genetica, Universidad Autonoma de Nuevo Leon, Hospital Universitario, "Dr. Jose Eleuterio Gonzalez", Av. Gonzalitos s/n, Colonia Mitras Centro, Monterrey, Nuevo Leon 64460 Mexico. FAU - Martinez de Villarreal, Laura Elia AU - Martinez de Villarreal LE AD - Departamento de Genetica, Universidad Autonoma de Nuevo Leon, Hospital Universitario, "Dr. Jose Eleuterio Gonzalez", Av. Gonzalitos s/n, Colonia Mitras Centro, Monterrey, Nuevo Leon 64460 Mexico. LA - eng PT - Journal Article DEP - 20141127 PL - England TA - Diabetol Metab Syndr JT - Diabetology & metabolic syndrome JID - 101488958 PMC - PMC4416397 OTO - NOTNLM OT - Acetylcarnitine OT - Air plethysmography OT - Beta-oxidation defect OT - Butyrylcarnitine OT - Non-diabetic obese OT - T2DM EDAT- 2014/01/01 00:00 MHDA- 2014/01/01 00:01 PMCR- 2014/11/27 CRDT- 2015/05/05 06:00 PHST- 2014/10/18 00:00 [received] PHST- 2014/11/19 00:00 [accepted] PHST- 2015/05/05 06:00 [entrez] PHST- 2014/01/01 00:00 [pubmed] PHST- 2014/01/01 00:01 [medline] PHST- 2014/11/27 00:00 [pmc-release] AID - 420 [pii] AID - 10.1186/1758-5996-6-129 [doi] PST - epublish SO - Diabetol Metab Syndr. 2014 Nov 27;6:129. doi: 10.1186/1758-5996-6-129. eCollection 2014.