PMID- 31040268 OWN - NLM STAT- MEDLINE DCOM- 20200826 LR - 20231011 IS - 2044-4052 (Electronic) IS - 2044-4052 (Linking) VI - 9 IP - 1 DP - 2019 Apr 30 TI - Association of hemoglobin A1C with circulating metabolites in Dutch with European, African Surinamese and Ghanaian background. PG - 15 LID - 10.1038/s41387-019-0082-0 [doi] LID - 15 AB - BACKGROUND: The prevalence of type 2 diabetes mellitus (T2DM) varies significantly across ethnic groups. A better understanding of the mechanisms underlying the variation in different ethnic groups may help to elucidate the pathophysiology of T2DM. The present work aims to generate a hypothesis regarding "why do subjects with African background have excess burden of T2DM?". METHODS: In the current study, we performed metabolite profiling of plasma samples derived from 773 subjects of three ethnic groups (Dutch with European, Ghanaian and African Surinamese background). We performed Bayesian lognormal regression analyses to assess associations between HbA1c and circulating metabolites. RESULTS: Here we show that subjects with African Surinamese and Ghanaian background had similar associations of HbA1c with circulating amino acids and triglyceride-rich lipoproteins as subjects with European background. In contrast, subjects with Ghanaian and African Surinamese background had different associations of HbA1c with acetoacetate, small LDL particle and small HDL particle concentrations, compared to the subjects with European background. CONCLUSIONS: On the basis of the observations, we hypothesize that the excess burden of T2DM in subjects with African background may be due to impaired cholesterol efflux capacity or abnormal cholesterol uptake. FAU - Zhang, Xiang AU - Zhang X AUID- ORCID: 0000-0002-3878-9196 AD - Department of Experimental Vascular Medicine, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands. xiang.zhang@amsterdamumc.nl. FAU - van den Munckhof, Inge C L AU - van den Munckhof ICL AD - Department of Internal Medicine, Radboud university medical center, Nijmegen, The Netherlands. FAU - Rutten, Joost H W AU - Rutten JHW AD - Department of Internal Medicine, Radboud university medical center, Nijmegen, The Netherlands. FAU - Netea, Mihai G AU - Netea MG AD - Department of Internal Medicine, Radboud university medical center, Nijmegen, The Netherlands. AD - Radboud Center for Infectious Diseases, Radboud university medical Center, Nijmegen, The Netherlands. AD - Department for Genomics & Immunoregulation, Life and Medical Sciences Institute (LIMES), University of Bonn, Bonn, Germany. FAU - Groen, Albert K AU - Groen AK AD - Department of Experimental Vascular Medicine, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands. AD - Department of Pediatrics, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands. FAU - Zwinderman, Aeilko H AU - Zwinderman AH AD - Clinical Epidemiology, Biostatistics, and Bioinformatics, Amsterdam University Medical Center, University of Amsterdam, Amsterdam, The Netherlands. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20190430 PL - England TA - Nutr Diabetes JT - Nutrition & diabetes JID - 101566341 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Lipoproteins) RN - 0 (hemoglobin A1c protein, human) RN - 97C5T2UQ7J (Cholesterol) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Black People MH - Blood Glucose/metabolism MH - Cholesterol/*blood MH - Diabetes Mellitus, Type 2/*blood MH - Female MH - Glycated Hemoglobin/*analysis MH - Humans MH - Lipoproteins/blood MH - Male MH - *Metabolome MH - Middle Aged MH - Netherlands MH - White People MH - Young Adult PMC - PMC6491479 COIS- The authors declare that they have no conflict of interest. EDAT- 2019/05/02 06:00 MHDA- 2020/08/28 06:00 PMCR- 2019/04/30 CRDT- 2019/05/02 06:00 PHST- 2019/01/09 00:00 [received] PHST- 2019/04/11 00:00 [accepted] PHST- 2019/03/28 00:00 [revised] PHST- 2019/05/02 06:00 [entrez] PHST- 2019/05/02 06:00 [pubmed] PHST- 2020/08/28 06:00 [medline] PHST- 2019/04/30 00:00 [pmc-release] AID - 10.1038/s41387-019-0082-0 [pii] AID - 82 [pii] AID - 10.1038/s41387-019-0082-0 [doi] PST - epublish SO - Nutr Diabetes. 2019 Apr 30;9(1):15. doi: 10.1038/s41387-019-0082-0.