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ArticleMolecular biology reports2026

Are adropin gene expression levels a precursor to type 2 diabetes mellitus in prediabetic patients?

Zeynep Yürekli-Sarar, Meral Urhan-Küçük, Edip Uçar, Gülay Gülbol-Duran, Emre Dirican, Seçkin Boz

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Article in Molecular biology reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Zeynep Yürekli-SararDepartment of Molecular Biochemistry and Genetics, Graduate School of Health Sciences, Hatay Mustafa Kemal University, Hatay, Turkey.ORCID http://orcid.org/0009-0002-2609-7755
Meral Urhan-KüçükDepartment of Molecular Biochemistry and Genetics, Graduate School of Health Sciences, Hatay Mustafa Kemal University, Hatay, Turkey. meralurhan@hotmail.com.ORCID http://orcid.org/0000-0003-1704-1370
Edip UçarDepartment of Internal Medicine, Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, Turkey.
Gülay Gülbol-DuranDepartment of Medical Biology, Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, Turkey.ORCID http://orcid.org/0000-0002-4672-2960
Emre DiricanDepartment of Biostatistics, Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, Turkey.ORCID http://orcid.org/0000-0003-3550-1326
Seçkin BozDepartment of Medical Biology, Faculty of Medicine, Hatay Mustafa Kemal University, Hatay, Turkey.ORCID http://orcid.org/0000-0001-8176-0295

Funding

National Graduate Scholarship Program TÜBİTAK BIDEB-2210Athe Scientific Research Projects Coordination Unit of Hatay Mustafa Kemal University 22.YL.030
6 · The paper itself

Abstract

backgroundThis study investigated the relationship between adropin and glucose metabolism by evaluating ENHO gene expression and serum adropin levels in individuals with Type 2 diabetes mellitus (T2DM), prediabetes, and healthy controls, and their potential as biomarkers for early diagnosis.

methodsA total of 107 participants were enrolled, including 40 T2DM patients, 26 with prediabetes, and 41 healthy controls. Serum adropin levels were measured using ELISA, and ENHO gene expression levels were assessed by quantitative real-time PCR from peripheral blood samples. Biochemical parameters, including glucose, HbA1c, insulin, HOMA-IR, triglycerides, cholesterol, HDL, and LDL, were analyzed. Statistical comparisons between groups, correlation, logistic regression, and receiver operating characteristic analyses were conducted.

resultsENHO gene expression levels were significantly higher in the prediabetes group than in controls and T2DM, whereas it was lower in T2DM patients than in controls. Serum adropin levels were significantly elevated in the T2DM group compared with prediabetes and controls, but no difference was observed between prediabetes and controls. Glucose was negatively correlated with ENHO expression in prediabetes and with serum adropin in T2DM. ENHO expression was a significant predictor of T2DM progression, demonstrating high diagnostic potential.

conclusionThe findings suggest that ENHO gene expression level may increase in prediabetes as a compensatory mechanism, whereas it decreases in T2DM, indicating disease progression. The paradoxical elevation of serum adropin in T2DM may reflect metabolic alterations. ENHO expression could serve as a potential biomarker for identifying individuals at risk of developing T2DM, warranting further large-scale studies.

Indexed as

Blood ProteinsDiabetes Mellitus, Type 2PeptidesPrediabetic StateAdultBiomarkersBlood GlucoseCase-Control StudiesFemaleGene ExpressionGlycated HemoglobinHumansIntercellular Signaling Peptides and ProteinsMaleMiddle AgedBiomarkersBlood GlucoseBlood ProteinsEnho protein, humanGlycated HemoglobinIntercellular Signaling Peptides and ProteinsPeptidesAdropinBiomarkerENHO geneGene expressionPrediabetesType 2 diabetes mellitus

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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.