PMID- 33228610 OWN - NLM STAT- MEDLINE DCOM- 20210823 LR - 20210823 IS - 1472-6823 (Electronic) IS - 1472-6823 (Linking) VI - 20 IP - 1 DP - 2020 Nov 23 TI - Metabolite biomarkers of type 2 diabetes mellitus and pre-diabetes: a systematic review and meta-analysis. PG - 174 LID - 10.1186/s12902-020-00653-x [doi] LID - 174 AB - BACKGROUND: We aimed to explore metabolite biomarkers that could be used to identify pre-diabetes and type 2 diabetes mellitus (T2DM) using systematic review and meta-analysis. METHODS: Four databases, the Cochrane Library, EMBASE, PubMed and Scopus were selected. A random effect model and a fixed effect model were applied to the results of forest plot analyses to determine the standardized mean difference (SMD) and 95% confidence interval (95% CI) for each metabolite. The SMD for every metabolite was then converted into an odds ratio to create an metabolite biomarker profile. RESULTS: Twenty-four independent studies reported data from 14,131 healthy individuals and 3499 patients with T2DM, and 14 included studies reported 4844 healthy controls and a total of 2139 pre-diabetes patients. In the serum and plasma of patients with T2DM, compared with the healthy participants, the concentrations of valine, leucine, isoleucine, proline, tyrosine, lysine and glutamate were higher and that of glycine was lower. The concentrations of isoleucine, alanine, proline, glutamate, palmitic acid, 2-aminoadipic acid and lysine were higher and those of glycine, serine, and citrulline were lower in prediabetic patients. Metabolite biomarkers of T2DM and pre-diabetes revealed that the levels of alanine, glutamate and palmitic acid (C16:0) were significantly different in T2DM and pre-diabetes. CONCLUSIONS: Quantified multiple metabolite biomarkers may reflect the different status of pre-diabetes and T2DM, and could provide an important reference for clinical diagnosis and treatment of pre-diabetes and T2DM. FAU - Long, Jianglan AU - Long J AD - Beijing Key Laboratory and Joint Laboratory for International Cooperation of Bio-characteristic Profiling for Evaluation of Rational Drug Use, Capital Medical University Affiliated Beijing Shijitan Hospital, Beijing, 100038, China. AD - Chengdu University of Traditional Chinese Medicine, Chengdu, 611130, China. FAU - Yang, Zhirui AU - Yang Z AD - Beijing Key Laboratory and Joint Laboratory for International Cooperation of Bio-characteristic Profiling for Evaluation of Rational Drug Use, Capital Medical University Affiliated Beijing Shijitan Hospital, Beijing, 100038, China. FAU - Wang, Long AU - Wang L AD - Department of Applied Mathematics and Statistics, Johns Hopkins University, Baltimore, MD, 21218, USA. FAU - Han, Yumei AU - Han Y AD - Beijing Physical Examination Center, Beijing, 100077, China. FAU - Peng, Cheng AU - Peng C AD - Chengdu University of Traditional Chinese Medicine, Chengdu, 611130, China. FAU - Yan, Can AU - Yan C AD - Guangzhou University of Chinese Medicine, Guangzhou, 510006, China. Yanc020@126.com. FAU - Yan, Dan AU - Yan D AUID- ORCID: 0000-0002-1288-4144 AD - Beijing Key Laboratory and Joint Laboratory for International Cooperation of Bio-characteristic Profiling for Evaluation of Rational Drug Use, Capital Medical University Affiliated Beijing Shijitan Hospital, Beijing, 100038, China. pharmsci@126.com. LA - eng GR - 81773891/National Natural Science Foundation of China/ GR - 2017ZX09301-040/the National Great New Drugs Development Project of China/ GR - 2018000021223TD09, 2018-2-2242, 7194280/the Beijing Municipal Science and Technology Commission/ PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20201123 PL - England TA - BMC Endocr Disord JT - BMC endocrine disorders JID - 101088676 RN - 0 (Biomarkers) SB - IM MH - Biomarkers/*metabolism MH - Diabetes Mellitus, Type 2/*diagnosis/metabolism MH - Humans MH - *Metabolome MH - Prediabetic State/*diagnosis/metabolism MH - Prognosis PMC - PMC7685632 OTO - NOTNLM OT - Biomarker OT - Metabolite OT - Pre-diabetes; meta-analysis OT - Type 2 diabetes mellitus COIS- The authors declare that they have no competing interests. EDAT- 2020/11/25 06:00 MHDA- 2021/08/24 06:00 PMCR- 2020/11/23 CRDT- 2020/11/24 05:37 PHST- 2020/05/08 00:00 [received] PHST- 2020/11/16 00:00 [accepted] PHST- 2020/11/24 05:37 [entrez] PHST- 2020/11/25 06:00 [pubmed] PHST- 2021/08/24 06:00 [medline] PHST- 2020/11/23 00:00 [pmc-release] AID - 10.1186/s12902-020-00653-x [pii] AID - 653 [pii] AID - 10.1186/s12902-020-00653-x [doi] PST - epublish SO - BMC Endocr Disord. 2020 Nov 23;20(1):174. doi: 10.1186/s12902-020-00653-x.