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. 2021 May 21;70(8):1898–1909. doi: 10.2337/db21-0066

Table 3.

Serum concentrations of BCAAs and related metabolites of groups

Control subjects T2D patients with hyperglycemia KPD patients with DKA T1D patients with DKA
N 17 21 53 21
BCAA (µmol/L)
 Leucine 119 ± 4.28 130 ± 10.6 201 ± 14.4ab 236 ± 22.6ab
 Isoleucine 63.3 ± 2.26 75.6 ± 4.80 108 ± 6.73ab 127 ± 12.4ab
 Valine 227 ± 9.07 231 ± 15.0 340 ± 20.0ab 373 ± 30.5ab
 Total 410 ± 14.7 436 ± 28.9 648 ± 40.4ab 736 ± 64.8ab
Ketoacids (µmol/L)
 KIC 32.7 ± 1.58 39.9 ± 3.85 42.8 ± 1.83 56.9 ± 5.54a
 KMV 19.3 ± 0.677 24.6 ± 2.01 24.8 ± 1.02 33.6 ± 3.26a
 KIV 6.15 ± 0.285 7.83 ± 0.514a 8.17 ± 0.279a 9.24 ± 0.680a
 Total 58.2 ± 2.45 73.3 ± 6.14 75.8 ± 2.98a 99.7 ± 9.34a
BCKA-to-BCCA ratios
 KIC-to-Leu ratio 0.276 ± 0.010 0.306 ± 0.019 0.243 ± 0. 015b 0.264 ± 0.022
 KMV-to-Ile ratio 0.308 ± 0.011 0.328 ± 0.020 0.266 ± 0.014 ab 0.286 ± 0.023
 KIV-to-Val 0. 027 ± 0.001 0. 034 ± 0.001a 0. 027 ± 0.002b 0.027 ± 0.003b
Acylcarnitines (nmol/L)
 C5 108 ± 6.09 167 ± 25.4 167 ± 35.1 160 ± 25.8
 C3 461 ± 43.5 641 ± 114 486 ± 77.6 528 ± 68.1
Acylcarnitine-to-BCKA ratios ×103
 C5-to-KIC ratio 3.35 ± 0.18 4.39 ± 0.50 3.78 ± 0.63b 2.80 ± 0.42b
 C5-to-KMV ratio 5.65 ± 0.31 6.91 ± 0.81 6.57 ± 1.13 4.76 ± 0.67
 C5-to-KIC+KMV ratio 2.10 ± 0.11 2.61 ± 0.26 2.39 ± 0.40b 1.76 ± 0.26b
 C3-to-KMV ratio 24.4 ± 2.61 28.2 ± 5.36 19.7 ± 2.34 ab 16.4 ± 1.78a
 C3-to-KIV ratio 77.7 ± 8.42 85.1 ± 13.9 58.5 ± 7.18ab 57.0 ± 7.08
 C3-to-KMV+KIV ratio 18.5 ± 1.98 21.0 ± 3.84 14.6 ± 1.75ab 12.4 ± 1.33a
Other related ratios
 KIC+KMV-to-C2 ratio 8.83 ± 0.68 6.19 ± 0.58 3.26 ± 0.28ab 3.57 ± 0.31ab
 KIC-to-BOHB ratio n/a 0.184 ± 0.068 0.007 ± 0.001b 0.011 ± 0.002b

Data are means ± SEM. Because data were not normally distributed, nonparametric one-way ANOVA (Kruskal-Wallis test) was performed with post hoc Dunn multiple comparisons.

a

Value significantly different from that of control subjects (P < 0.05);

b

Value significantly different from that of T2D group (P < 0.05). n/a, not applicable.