PMID- 35224109 OWN - NLM STAT- MEDLINE DCOM- 20220329 LR - 20220502 IS - 2314-6753 (Electronic) IS - 2314-6745 (Print) VI - 2022 DP - 2022 TI - Correlation between Acylcarnitine and Peripheral Neuropathy in Type 2 Diabetes Mellitus. PG - 8115173 LID - 10.1155/2022/8115173 [doi] LID - 8115173 AB - OBJECTIVE: In patients with type 2 diabetes mellitus (T2DM), it is unknown whether acylcarnitine changes in the patient's plasma as diabetic peripheral neuropathy (DPN) occurs. The purpose of the present study was to investigate the correlation between acylcarnitines and DPN in Chinese patients with T2DM. METHODS: A total of 508 patients admitted to the First Affiliated Hospital of Jinzhou Medical University were included in this study, and all of whom were hospitalized for T2DM from January 2018 to December 2020. The diagnostic criteria for DPN were based on the 2017 Chinese Guidelines for the Prevention of Type 2 Diabetes. The contents of 25 acylcarnitine metabolites in fasting blood were determined by mass spectrometry. The measured acylcarnitines were classified by factor analysis, and the factors were extracted. To determine the correlation between acylcarnitines and DPN, binary logistic regression analysis was applied. RESULTS: Among the 508 T2DM patients, 270 had DPN. Six factors were extracted from 25 acylcarnitines, and the cumulative contribution rate of variance was 61.02%. After the adjustment for other potential confounding factors, such as other carnitines and conventional risk factors, Factor 2 was positively associated with an increased risk of DPN (OR: 1.38, 95% CI: 1.13-1.69). Factor 2 contained acetylcarnitine (C2), propionylcarnitine (C3), butylcarnitine (C4), and isovalerylcarnitine (C5). CONCLUSIONS: Plasma levels of short-chain acylcarnitines (C2, C3, C4, and C5) were positively associated with DPN risk. CI - Copyright (c) 2022 Zhenni An et al. FAU - An, Zhenni AU - An Z AD - Department of Endocrinology, First Affiliated Hospital of Jinzhou Medical University, 121001, China. FAU - Zheng, Danmeng AU - Zheng D AD - Department of Endocrinology, First Affiliated Hospital of Jinzhou Medical University, 121001, China. FAU - Wei, Dongzhuo AU - Wei D AD - Department of Clinical Discipline of Chinese and Western Integrative Medicine, Liaoning University of Traditional Chinese Medicine, 110847, China. FAU - Jiang, Dingwen AU - Jiang D AD - Department of Endocrinology, First Affiliated Hospital of Jinzhou Medical University, 121001, China. FAU - Xing, Xuejiao AU - Xing X AD - Department of Endocrinology, First Affiliated Hospital of Jinzhou Medical University, 121001, China. FAU - Liu, Chang AU - Liu C AUID- ORCID: 0000-0002-6662-1921 AD - Department of Endocrinology, First Affiliated Hospital of Jinzhou Medical University, 121001, China. LA - eng PT - Journal Article DEP - 20220217 PL - England TA - J Diabetes Res JT - Journal of diabetes research JID - 101605237 RN - 0 (acylcarnitine) RN - S7UI8SM58A (Carnitine) SB - IM MH - Adult MH - Aged MH - Body Mass Index MH - Carnitine/*analogs & derivatives/metabolism/pharmacology/therapeutic use MH - China MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/complications/drug therapy/physiopathology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Peripheral Nervous System Diseases/*drug therapy/etiology MH - Risk Factors PMC - PMC8872664 COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/03/01 06:00 MHDA- 2022/03/30 06:00 PMCR- 2022/02/17 CRDT- 2022/02/28 05:40 PHST- 2021/10/07 00:00 [received] PHST- 2022/01/14 00:00 [revised] PHST- 2022/02/08 00:00 [accepted] PHST- 2022/02/28 05:40 [entrez] PHST- 2022/03/01 06:00 [pubmed] PHST- 2022/03/30 06:00 [medline] PHST- 2022/02/17 00:00 [pmc-release] AID - 10.1155/2022/8115173 [doi] PST - epublish SO - J Diabetes Res. 2022 Feb 17;2022:8115173. doi: 10.1155/2022/8115173. eCollection 2022.