ArticleDiabetes, obesity & metabolism2025
N-lactoyl amino acids are potential biomarkers for insulin resistance and diabetic complications.
Article in Diabetes, obesity & metabolism, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Lactate as a Chemical Modification on Proteins and Metabolites.Annual review of biochemistry · 2026Review
- Untargeted Metabolomics Identifies N-Lactoyl-Amino Acids as Dose-Responsive Plasma Biomarkers of Metformin Adherence in Type 2 Diabetes.Clinical pharmacology and therapeutics · 2026Article
- Beyond exercise and appetite: The expanding biology and therapeutic potential of N-lactoyl-phenylalanine.The Journal of pharmacology and experimental therapeutics · 2026Review
- N-lactoyl amino acids are potential biomarkers for insulin resistance and diabetic complications.Diabetes, obesity & metabolism · 2025Article
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Authors and funding
10 authors.
Funding
Abstract
aimsN-lactoyl amino acids (Lac-AA) are emerging as crucial players in metabolic research, with potential implications for disease mechanisms and therapeutic interventions. This study exploress the role of Lac-AA in insulin resistance, type 2 diabetes (T2D), and its complications. MATERIALS AND
methodsA cross-sectional study was conducted using data from 2918 participants from Qatar Biobank. After quality control, 2907 individuals were retained and randomly divided into discovery (n = 1990) and validation (n = 917) cohorts. Untargeted metabolomics was employed to profile serum metabolites, and analysis was focused on three Lac-AA species. Participants were stratified into insulin-sensitive, insulin-resistant, T2D without complications and T2D with complications. Associations with clinical traits were assessed using linear regression and Spearman correlation. Diagnostic performance was evaluated using Receiver Operating Characteristic (ROC) analysis in an independent cohort (n = 60). One-sample Mendelian randomisation was performed to assess causality between genetic predisposition to T2D and Lac-AA levels. Network analysis explored metabolic pathways linked to Lac-AA.
resultsLac-AA levels were significantly higher in individuals with insulin resistance and diabetic complications. These findings were robustly replicated in the validation cohort. These metabolites showed strong positive correlations with markers of poor glycaemic control independent of metformin use. ROC analysis demonstrated that Lac-AA could discriminate between insulin-resistant and insulin-sensitive individuals. Mendelian randomisation analysis indicated a potential causal association between genetic risk for T2D and increased Lac-AA, particularly in patients with complications, supporting their role as downstream biomarkers of metabolic disease severity. Gaussian graphical model analysis revealed Lac-AA as central nodes in metabolic networks, showing strong associations with mitochondrial dysfunction biomarkers.
conclusionsLac-AA may serve as integrative biomarkers of metabolic dysfunction and diabetic complications. Further longitudinal and interventional studies are needed to clarify their mechanistic roles and clinical utility.
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