PMID- 30837891 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20201001 IS - 1664-042X (Print) IS - 1664-042X (Electronic) IS - 1664-042X (Linking) VI - 10 DP - 2019 TI - Increased Ratio of Global O-GlcNAcylation to Tau Phosphorylation at Thr212 Site Is Associated With Better Memory Function in Patients With Type 2 Diabetes. PG - 110 LID - 10.3389/fphys.2019.00110 [doi] LID - 110 AB - Objective: Aberrant O-GlcNAc modification has been implicated in type 2 diabetes mellitus (T2DM) and the pathogenesis of neurodegenerative diseases via competition with tau phosphorylation. We aimed to investigate the association between global O-GlcNAcylation, tau phosphorylation levels and mild cognitive impairment (MCI) in the whole blood of patients with T2DM. Methods: Sociodemographic, clinical characteristics and cognitive performances of the enrolled T2DM subjects were extensively assessed. Global O-GlcNAcylation and tau phosphorylation levels in the whole blood were also determined using Western blot. Results: Forty-eight T2DM subjects, including 24 with MCI and 24 with normal cognition, were enrolled in this study. Compared with cognitively normal controls, T2DM with MCI subjects displayed decreased global O-GlcNAcylation level, but increased tau phosphorylation levels (all p < 0.05). To reflect the combined effect, the ratios of global O-GlcNAcylation to tau phosphorylation levels, including specific sites, such as Ser396, Ser404, Thr212, and Thr231, were all significantly decreased in MCI subjects (all p < 0.05). Further multivariable logistic regression analysis revealed that high glycated hemoglobin A1c was an independent risk factor, whereas increased O-GlcNAc/p-T212 was an independent protective factor for MCI in patients with T2DM (odds ratio [OR] = 2.452, 95% confidence interval [CI] 1.061-5.668, p = 0.036; OR = 0.028, 95%CI 0.002-0.388, p = 0.008, respectively). With regard to each cognitive domain, O-GlcNAc/p-T212 was positively correlated with the score of Auditory Verbal Learning Test-delayed recall (r = 0.377, p = 0.010). Conclusion: Our study suggests that increased ratio of global O-GlcNAcylation to tau phosphorylation at Thr212 site in the whole blood is associated with decreased risk of MCI, especially with better memory function in T2DM subjects. Clinical Trial Registration: www.ClinicalTrials.gov, identifier ChiCTR-OCC-15006060. FAU - Huang, Rong AU - Huang R AD - Department of Endocrinology, Affiliated Zhongda Hospital, Southeast University, Nanjing, China. AD - School of Medicine, Southeast University, Nanjing, China. FAU - Tian, Sai AU - Tian S AD - Department of Endocrinology, Affiliated Zhongda Hospital, Southeast University, Nanjing, China. AD - School of Medicine, Southeast University, Nanjing, China. FAU - Han, Jing AU - Han J AD - Department of Endocrinology, Affiliated Zhongda Hospital, Southeast University, Nanjing, China. FAU - Cai, Rongrong AU - Cai R AD - Department of Endocrinology, Affiliated Zhongda Hospital, Southeast University, Nanjing, China. AD - School of Medicine, Southeast University, Nanjing, China. FAU - Lin, Hongyan AU - Lin H AD - Department of Endocrinology, Affiliated Zhongda Hospital, Southeast University, Nanjing, China. AD - School of Medicine, Southeast University, Nanjing, China. FAU - Guo, Dan AU - Guo D AD - Department of Endocrinology, Affiliated Zhongda Hospital, Southeast University, Nanjing, China. AD - School of Medicine, Southeast University, Nanjing, China. FAU - Wang, Jiaqi AU - Wang J AD - Department of Endocrinology, Affiliated Zhongda Hospital, Southeast University, Nanjing, China. AD - School of Medicine, Southeast University, Nanjing, China. FAU - Wang, Shaohua AU - Wang S AD - Department of Endocrinology, Affiliated Zhongda Hospital, Southeast University, Nanjing, China. LA - eng PT - Journal Article DEP - 20190214 PL - Switzerland TA - Front Physiol JT - Frontiers in physiology JID - 101549006 PMC - PMC6382671 OTO - NOTNLM OT - O-GlcNAcylation OT - mild cognitive impairment OT - phosphorylation OT - tau protein OT - type 2 diabetes mellitus EDAT- 2019/03/07 06:00 MHDA- 2019/03/07 06:01 PMCR- 2019/02/14 CRDT- 2019/03/07 06:00 PHST- 2018/08/24 00:00 [received] PHST- 2019/01/30 00:00 [accepted] PHST- 2019/03/07 06:00 [entrez] PHST- 2019/03/07 06:00 [pubmed] PHST- 2019/03/07 06:01 [medline] PHST- 2019/02/14 00:00 [pmc-release] AID - 10.3389/fphys.2019.00110 [doi] PST - epublish SO - Front Physiol. 2019 Feb 14;10:110. doi: 10.3389/fphys.2019.00110. eCollection 2019.