PMID- 32075751 OWN - NLM STAT- MEDLINE DCOM- 20210920 LR - 20210920 IS - 1873-460X (Electronic) IS - 1056-8727 (Linking) VI - 34 IP - 5 DP - 2020 May TI - Mineralocorticoids, glucose homeostasis and type 2 diabetes mellitus: The Henan Rural Cohort study. PG - 107558 LID - S1056-8727(19)31211-5 [pii] LID - 10.1016/j.jdiacomp.2020.107558 [doi] AB - AIMS: We aimed to evaluate the associations of mineralocorticoids with type 2 diabetes mellitus (T2DM) and glucose homeostasis among rural Chinese adults. METHODS: A total of 2713 participants were selected from the Henan Rural Cohort study. Serum mineralocorticoids were measured by liquid chromatography-tandem mass spectrometry. Logistic regression and restricted cubic splines were employed to evaluate the associations of mineralocorticoids with pre-diabetes and T2DM. Linear regression was implemented to assess the associations of aldosterone and 11-deoxycorticosterone with different markers of glucose homeostasis by different diabetes status. RESULTS: Elevated aldosterone and 11-deoxycorticosterone were associated with an increased prevalence of pre-diabetes and T2DM (P < 0.05), with a nonlinear dose-response trend, but the association between 11-deoxycorticosterone and T2DM was no statistical significance after adjustment. A 100% increase in ln-aldosterone was associated with a 0.029 mg/dl higher fasting plasma glucose (FPG) and a 1.2% higher HOMA2-IR among those with normal glucose tolerance (NGT), and related to a 0.034 mg/dl lower FPG, a 1.1% higher HbA1c and a 1.3% higher HOMA2-beta among individuals with pre-diabetes. A 100% increment in ln-11-deoxycorticosterone was associated with a 16% increase in HbA1c and a 5.6% decrease in HOMA2-beta in participants with T2DM. CONCLUSIONS: Higher aldosterone and 11-deoxycorticosterone are associated with T2DM risk and glucose homeostasis disorder among different diabetes status. CI - Copyright (c) 2020 Elsevier Inc. All rights reserved. FAU - Wei, Dandan AU - Wei D AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Liu, Xue AU - Liu X AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Jiang, Jingjing AU - Jiang J AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Tu, Runqi AU - Tu R AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Qiao, Dou AU - Qiao D AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Li, Ruiying AU - Li R AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Wang, Yikang AU - Wang Y AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Fan, Mengying AU - Fan M AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Yang, Xiu AU - Yang X AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Zhang, Jinyu AU - Zhang J AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Hou, Jian AU - Hou J AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Huo, Wenqian AU - Huo W AD - Department of Occupational and Environmental Health Sciences, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Yu, Songcheng AU - Yu S AD - Department of Nutrition and Food Hygiene, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Li, Linlin AU - Li L AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Wang, Chongjian AU - Wang C AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. FAU - Mao, Zhenxing AU - Mao Z AD - Department of Epidemiology and Biostatistics, College of Public Health, Zhengzhou University, Zhengzhou, Henan, PR China. Electronic address: maozhr@gmail.com. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20200208 PL - United States TA - J Diabetes Complications JT - Journal of diabetes and its complications JID - 9204583 RN - 0 (Biomarkers) RN - 0 (Blood Glucose) RN - 0 (Mineralocorticoids) RN - 40GP35YQ49 (Desoxycorticosterone) RN - 4964P6T9RB (Aldosterone) RN - IY9XDZ35W2 (Glucose) SB - IM MH - Aged MH - Aldosterone/*blood/metabolism MH - Biomarkers/blood/metabolism MH - Blood Glucose/metabolism MH - Case-Control Studies MH - China/epidemiology MH - Desoxycorticosterone/*blood/metabolism MH - Diabetes Mellitus, Type 2/blood/*epidemiology/metabolism/physiopathology MH - Female MH - Glucose/analysis/*metabolism MH - Homeostasis MH - Humans MH - Insulin Resistance MH - Male MH - Middle Aged MH - Mineralocorticoids/blood/metabolism MH - Prediabetic State/blood/*epidemiology/metabolism/physiopathology MH - Prevalence MH - Risk Factors MH - Rural Population/statistics & numerical data OTO - NOTNLM OT - 11-Deoxycorticosterone OT - Aldosterone OT - Fasting plasma glucose OT - Pre-diabetes OT - Type 2 diabetes mellitus OT - beta cell function COIS- Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2020/02/23 06:00 MHDA- 2021/09/21 06:00 CRDT- 2020/02/21 06:00 PHST- 2019/10/28 00:00 [received] PHST- 2020/01/07 00:00 [revised] PHST- 2020/02/05 00:00 [accepted] PHST- 2020/02/23 06:00 [pubmed] PHST- 2021/09/21 06:00 [medline] PHST- 2020/02/21 06:00 [entrez] AID - S1056-8727(19)31211-5 [pii] AID - 10.1016/j.jdiacomp.2020.107558 [doi] PST - ppublish SO - J Diabetes Complications. 2020 May;34(5):107558. doi: 10.1016/j.jdiacomp.2020.107558. Epub 2020 Feb 8.