Evaluations Of The Urine Peptidome And Proteome In Individuals With Type 1 Diabetes During The Early Stages

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Li Panpan, Farra Aidah Jumuddin

Abstract

People who suffer with type 1 diabetes (T1D), an autoimmune disorder in which the body's immune system assaults and kills the pancreatic beta cells that produce insulin, often have nephropathy and other long-term complications. It is essential to identify renal involvement early on for optimal management. By analyzing the changes in the peptidome and proteome that happen in the urine in the early phases of type 1 diabetes, this research aims to discover early signs of renal stress and disease development. Researchers used urine samples to examine both healthy controls and those who had just been diagnosed with type 1 diabetes. Mass spectrometry-based high-throughput proteomics and peptidomics investigations were conducted to evaluate changes in protein and peptide patterns. Significant findings include the identification of distinct peptide and protein profiles linked to inflammation, oxidative stress, and early glomerular injury. In comparison to the control group, individuals with type 1 diabetes had significantly elevated levels of several markers. Artifacts from albumin, inflammatory peptides, and kidney injury molecule-1 (KIM-1) were among these indicators. These findings suggest that urine peptidome and proteome profiling might be a non-invasive way to detect early kidney changes in type 1 diabetes. The newly identified biomarkers have the potential to be very helpful in monitoring the progression of a disease and guiding therapy to prevent consequences. Additional longitudinal study is necessary to confirm these findings and explore their potential therapeutic use.The immune system's attack on insulin-producing β-cells in Type 1 diabetes mellitus (T1DM) leads to persistent high blood sugar levels. Preventing the progression of problems connected to diabetes requires early detection of molecular alterations.

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