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