PMID- 31496775 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231013 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 12 DP - 2019 TI - Urinary biomarkers for diagnosing poststroke depression in patients with type 2 diabetes mellitus. PG - 1379-1386 LID - 10.2147/DMSO.S215187 [doi] AB - BACKGROUND: Depression can seriously affect the quality of life of type 2 diabetes mellitus (T2DM) patients after stroke. However, there were still no objective methods to diagnose T2DM patients with poststroke depression (PSD). Therefore, we conducted this study to deal with this problem. METHODS: Gas chromatography-mass spectroscopy (GC-MS)-based metabolomics profiling method was used to profile the urinary metabolites from 83 nondepressed T2DM patients after stroke and 101 T2DM patients with PSD. The orthogonal partial least-squares discriminant analysis was conducted to explore the metabolic differences in T2DM patients with PSD. The logistic regression analysis was performed to identify the optimal and simplified biomarker panel for diagnosing T2DM patients with PSD. The receiver operating characteristic curve analysis was used to assess the diagnostic performance of this biomarker panel. RESULTS: In total, 23 differential metabolites (7 decreased and 16 increased in T2DM patients with PSD) were found. A panel consisting of pseudouridine, malic acid, hypoxanthine, 3,4-dihydroxybutyric acid, fructose and inositol was identified. This panel could effectively separate T2DM patients with PSD from nondepressed T2DM patients after stroke. The area under the curve was 0.965 in the training set and 0.909 in the validation set. Meanwhile, we found that the galactose metabolism was significantly affected in T2DM patients with PSD. CONCLUSION: Our results could be helpful for future development of an objective method to diagnose T2DM patients with PSD and provide novel ideas to study the pathogenesis of depression. FAU - Liang, Zi-Hong AU - Liang ZH AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. FAU - Jia, Yan-Bo AU - Jia YB AD - Department of Orthopaedics, The Second Affiliated Hospital of Inner Mongolia Medical University, Huhhot, Inner Mongolia, People's Republic of China. FAU - Li, Zi-Ru AU - Li ZR AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. FAU - Li, Min AU - Li M AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. FAU - Wang, Mei-Ling AU - Wang ML AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. FAU - Yun, Yong-Li AU - Yun YL AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. FAU - Yu, Li-Jun AU - Yu LJ AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. FAU - Shi, Lei AU - Shi L AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. FAU - Zhu, Run-Xiu AU - Zhu RX AD - Department of Neurology, Inner Mongolia Autonomous Region People's Hospital, Huhhot, Inner Mongolia, People's Republic of China. LA - eng PT - Journal Article DEP - 20190813 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC6698178 OTO - NOTNLM OT - metabolite OT - metabolomics OT - post-stroke depression OT - type 2 diabetes mellitus COIS- The authors declare no financial or other conflicts of interest in this work. EDAT- 2019/09/10 06:00 MHDA- 2019/09/10 06:01 PMCR- 2019/08/13 CRDT- 2019/09/10 06:00 PHST- 2019/05/09 00:00 [received] PHST- 2019/07/04 00:00 [accepted] PHST- 2019/09/10 06:00 [entrez] PHST- 2019/09/10 06:00 [pubmed] PHST- 2019/09/10 06:01 [medline] PHST- 2019/08/13 00:00 [pmc-release] AID - 215187 [pii] AID - 10.2147/DMSO.S215187 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2019 Aug 13;12:1379-1386. doi: 10.2147/DMSO.S215187. eCollection 2019.