The Profile of Plasma Free Amino Acids in Type 2 Diabetes Mellitus with Insulin Resistance: Association with Microalbuminuria and Macroalbuminuria

Altered plasma levels of branched-chain amino acids (BCAAs) and aromatic amino acids (AAAs) may predict the development of insulin resistance and other type 2 diabetes mellitus (T2DM) associated comorbidities. To elucidate the role of plasma free amino acids (PFAAs) profile as a biomarker for early...

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Veröffentlicht in:Applied biochemistry and biotechnology 2019-07, Vol.188 (3), p.854-867
Hauptverfasser: Saleem, Tahia, Dahpy, Marwa, Ezzat, Ghada, Abdelrahman, Ghada, Abdel-Aziz, Essam, Farghaly, Rania
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container_title Applied biochemistry and biotechnology
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Dahpy, Marwa
Ezzat, Ghada
Abdelrahman, Ghada
Abdel-Aziz, Essam
Farghaly, Rania
description Altered plasma levels of branched-chain amino acids (BCAAs) and aromatic amino acids (AAAs) may predict the development of insulin resistance and other type 2 diabetes mellitus (T2DM) associated comorbidities. To elucidate the role of plasma free amino acids (PFAAs) profile as a biomarker for early detection of diabetic kidney disease, quantitative measurement of PFAAs profile was determined for 90 T2DM subjects, 30 were free of nephropathy, 30 with microalbuminuria, 30 with macroalbuminuria, and in addition to 30 healthy controls. The plasma levels of valine, leucine, isoleucine, phenylalanine, citrulline, and total BCAAs were significantly increased in diabetic normoalbuminuria group when compared to controls. However, the total BCAAs level was significantly decreased in diabetic patients with micro and macroalbuminuria. Other amino acid plasma levels as tyrosine, arginine, ornithine, glycine, and the total AAAs level were significantly decreased in all diabetic subgroups compared to controls. Significant positive correlations between total BCAAs, valine, leucine, isoleucine, serum insulin, glucose, and HOMA-IR values in the diabetic normoalbuminuria group were found. The use of altered PFAAs profile as a prognostic factor in T2DM patients at risk for microalbuminuria or macroalbuminuria might reduce or prevent the incidence of end-stage diabetic renal disease.
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subjects Amino acids
Arginine
Biochemistry
Biomarkers
Biotechnology
Chain branching
Chemistry
Chemistry and Materials Science
Citrulline
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
End-stage renal disease
Glycine
Insulin
Insulin resistance
Isoleucine
Kidney diseases
Leucine
Nephropathy
Ornithine
Patients
Phenylalanine
Plasma
Plasma levels
Subgroups
Tyrosine
Valine
title The Profile of Plasma Free Amino Acids in Type 2 Diabetes Mellitus with Insulin Resistance: Association with Microalbuminuria and Macroalbuminuria
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