PMID- 36915396 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230315 IS - 1178-7007 (Print) IS - 1178-7007 (Electronic) IS - 1178-7007 (Linking) VI - 16 DP - 2023 TI - Comparison of Plasma Exosome Proteomes Between Obese and Non-Obese Patients with Type 2 Diabetes Mellitus. PG - 629-642 LID - 10.2147/DMSO.S396239 [doi] AB - PURPOSE: Obesity is considered a promoter of type 2 diabetes mellitus (T2DM). However, the underlying mechanism remains unclear. This study aimed to identify plasma exosome differentially expressed proteins (DEPs) that are potentially involved in the development of obesity-related T2DM. METHODS: Exosomes were isolated from the plasma of obese and non-obese T2DM patients (n = 10 for each group). A label-free quantitative mass spectrometry analysis was applied to identify plasma exosome DEPs in obese patients compared with non-obese patients, followed by bioinformatics analysis including GO annotation, KEGG analysis, subcellular localization prediction, transcription factor analysis, and protein-protein interaction (PPI) prediction. RESULTS: We identified 2 significantly upregulated proteins (C9 and PON1) and 5 significantly downregulated proteins (HPX, A1BG, CFHR1, ANG, and CALM) in obese patients compared with those in non-obese patients. KEGG analysis demonstrated that the insulin signaling pathway was one of the pathways that significantly correlated with the DEPs. The DEPs were primarily localized in the extracellular space (5 out of 7). HMG-box and NF-Y beta might regulate the transcription of the DEPs. C9, PON1, HPX, and CFHR1 were present in the PPI network. CONCLUSION: The plasma exosome DEPs are potentially responsible for the development of obesity-related T2DM possibly through the insulin signaling pathway and the interaction with other proteins. Our study may guide future research direction toward the pathogenesis of obesity-related T2DM. CI - (c) 2023 Wang et al. FAU - Wang, Yanjun AU - Wang Y AD - Department of Endocrinology, The Second Hospital of Jilin University, Changchun, People's Republic of China. FAU - Wu, You AU - Wu Y AD - Department of Endocrinology, The Second Hospital of Jilin University, Changchun, People's Republic of China. FAU - Yang, Shuangzhu AU - Yang S AD - Department of Endocrinology, The Second Hospital of Jilin University, Changchun, People's Republic of China. FAU - Chen, Yan AU - Chen Y AUID- ORCID: 0000-0001-9302-3962 AD - Department of Endocrinology, The Second Hospital of Jilin University, Changchun, People's Republic of China. LA - eng PT - Journal Article DEP - 20230307 PL - New Zealand TA - Diabetes Metab Syndr Obes JT - Diabetes, metabolic syndrome and obesity : targets and therapy JID - 101515585 PMC - PMC10008006 OTO - NOTNLM OT - exosomes OT - insulin resistance OT - mass spectrometry OT - obesity OT - proteomics OT - type 2 diabetes mellitus COIS- The authors declare that they have no competing interests in this work. EDAT- 2023/03/15 06:00 MHDA- 2023/03/15 06:01 PMCR- 2023/03/07 CRDT- 2023/03/14 02:06 PHST- 2022/11/11 00:00 [received] PHST- 2023/02/24 00:00 [accepted] PHST- 2023/03/14 02:06 [entrez] PHST- 2023/03/15 06:00 [pubmed] PHST- 2023/03/15 06:01 [medline] PHST- 2023/03/07 00:00 [pmc-release] AID - 396239 [pii] AID - 10.2147/DMSO.S396239 [doi] PST - epublish SO - Diabetes Metab Syndr Obes. 2023 Mar 7;16:629-642. doi: 10.2147/DMSO.S396239. eCollection 2023.