Evidence map›Paper›PMID 36335348›Full record

ArticleCardiovascular diabetology2022

Specific triacylglycerol, diacylglycerol, and lyso-phosphatidylcholine species for the prediction of type 2 diabetes: a ~ 16-year prospective study in Chinese.

Junda Zhong, Chloe Y Y Cheung, Xiuli Su, Chi-Ho Lee, Yi Ru, Carol H Y Fong, Yan Liu, Cynthia K Y Cheung, Karen S L Lam, Zongwei Cai and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cardiovascular diabetology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
4.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 28 citations in OpenAlex.

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  6. Early changes in urineMetabolomics : Official journal of the Metabolomic Society · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

Junda Zhong *Department of Medicine, The University of Hong Kong, Hong Kong, China.
Chloe Y Y CheungDepartment of Medicine, The University of Hong Kong, Hong Kong, China.
Xiuli Su *State Key Laboratory of Environmental and Biological Analysis, Department of Chemistry, Hong Kong Baptist University, Hong Kong, China.
Chi-Ho LeeDepartment of Medicine, The University of Hong Kong, Hong Kong, China.
Yi RuState Key Laboratory of Environmental and Biological Analysis, Department of Chemistry, Hong Kong Baptist University, Hong Kong, China.
Carol H Y FongDepartment of Medicine, The University of Hong Kong, Hong Kong, China.
Yan LiuDepartment of Medicine, The University of Hong Kong, Hong Kong, China.
Cynthia K Y CheungDepartment of Medicine, The University of Hong Kong, Hong Kong, China.
Karen S L Lam *Department of Medicine, The University of Hong Kong, Hong Kong, China. ksllam@hku.hk.
Zongwei Cai *State Key Laboratory of Environmental and Biological Analysis, Department of Chemistry, Hong Kong Baptist University, Hong Kong, China. zwcai@hkbu.edu.hk.
Aimin Xu *Department of Medicine, The University of Hong Kong, Hong Kong, China. amxu@hku.hk.
University of Hong Kong · HKHong Kong Baptist University · HK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBioactive lipids play an important role in insulin secretion and sensitivity, contributing to the pathophysiology of type 2 diabetes (T2D). This study aimed to identify novel lipid species associated with incident T2D in a nested case-control study within a long-term prospective Chinese community-based cohort with a median follow-up of ~ 16 years.

methodsPlasma samples from 196 incident T2D cases and 196 age- and sex-matched non-T2D controls recruited from the Hong Kong Cardiovascular Risk Factor Prevalence Study (CRISPS) were first analyzed using untargeted lipidomics. Potential predictive lipid species selected by the Boruta analysis were then verified by targeted lipidomics. The associations between these lipid species and incident T2D were assessed. Effects of novel lipid species on insulin secretion in mouse islets were investigated.

resultsBoruta analysis identified 16 potential lipid species. After adjustment for body mass index (BMI), triacylglycerol/high-density lipoprotein (TG/HDL) ratio and the presence of prediabetes, triacylglycerol (TG) 12:0_18:2_22:6, TG 16:0_11:1_18:2, TG 49:0, TG 51:1 and diacylglycerol (DG) 18:2_22:6 were independently associated with increased T2D risk, whereas lyso-phosphatidylcholine (LPC) O-16:0, LPC P-16:0, LPC O-18:0 and LPC 18:1 were independently associated with decreased T2D risk. Addition of the identified lipid species to the clinical prediction model, comprised of BMI, TG/HDL ratio and the presence of prediabetes, achieved a 3.8% improvement in the area under the receiver operating characteristics curve (AUROC) (p = 0.0026). Further functional study revealed that, LPC O-16:0 and LPC O-18:0 significantly potentiated glucose induced insulin secretion (GSIS) in a dose-dependent manner, whereas neither DG 18:2_22:6 nor TG 12:0_18:2_22:6 had any effect on GSIS.

conclusionsAddition of the lipid species substantially improved the prediction of T2D beyond the model based on clinical risk factors. Decreased levels of LPC O-16:0 and LPC O-18:0 may contribute to the development of T2D via reduced insulin secretion.

Indexed as

Diabetes Mellitus, Type 2Prediabetic StateAnimalsCase-Control StudiesChinaDiglyceridesMiceModels, StatisticalOxygen IsotopesPhosphatidylcholinesPrognosisProspective StudiesTriglyceridesDiglyceridesOxygen-18Oxygen IsotopesPhosphatidylcholinesTriglyceridesDiacylglycerolGlucose-stimulated insulin secretionLipidomic studyLyso-phosphatidylcholinePrediction modelTriacylglycerolType 2 diabetes

Identifiers

PMID36335348
PMCPMC9637304
OpenAlexW4308303467

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.