Biomarkers and kits for predicting the risk of MCI in patients with type 2 diabetes and their application
A type 2 diabetes and kit technology, applied in the field of risk biomarkers and kits, can solve the problems of time-consuming and labor-consuming, expensive MCI diagnostic methods, etc., and achieve fast detection speed, low cost and easy acceptance
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Embodiment 1
[0045] The inventors of the present invention have found in the previous research process that the total content of GSK-3β in platelets (Total-GSK-3β) in people with type 2 diabetes mellitus associated with MCI (T2DM-MCI) is comparable to that of p-GSK-3β- The ratio of Ser9 content (rGSK3β), the ratio of plasma Aβ42 and Aβ40 levels (Aβ42 / 40) will be significantly higher than that of type 2 diabetes non-MCI (T2DM-nMCI) population. Therefore, the inventors of the present invention performed proteomic screening on the platelets of patients with T2DM-MCI and T2DM-nMCI, and analyzed the correlation with the detection results of Aβ42 / 40, rGSK3β and MMSE in patients with T2DM-MCI and T2DM-nMCI , aimed at discovering potential biomarkers.
[0046] The relevant detection methods are as follows:
[0047] 1. The specific steps of OPTN level detection include: a: Collect blood from patients with type 2 diabetes, and then conduct blood tissue separation to extract platelets;
[0048] d: ...
Embodiment 2
[0057] On the basis of the test results in Example 1, this example further analyzes the protein level of OPTN in the platelets of the T2DM-MCI population and in the brains of AD transgenic mice (5XFAD).
[0058] The diagnosis of MCI in patients with type 2 diabetes was carried out by MMSE analysis method, and the people in the group were divided into T2DM-nMCI and T2DM-MCI. The MMSE score of T2DM-nMCI was 28.67, and the MMSE score of T2DM-MCI was 22.97. The platelet OPTN level of the personnel in the group was detected by immunostaining method, and the results were as follows: figure 2 As shown (mean±SEM; ***p<0.001; T2DM-nMCI: n=30; T2DM-MCI: n=34) It can be seen from the figure that the platelet OPTN in patients with type 2 diabetes and MCI was significantly increased.
[0059] The correlation between the level of OPTN protein in the brain of AD transgenic mice and age was detected, and the results were as follows: image 3 Shown (mean±SEM; *P<0.05, **P<0.01, ***P<0.001, n...
Embodiment 3
[0061] In this example, OPTN was used as a biomarker to establish a diagnostic model, and whether the protein level of OPTN was increased was used to predict MCI in T2DM patients. Test results such as Figure 4 As shown, it can be seen from the figure that AUC=0.799, accuracy=76.6%, threshold=1.23, sensitivity=70.6%, specificity=83.3%.
[0062] Therefore, it can be seen from the above examples that when the OPTN level in platelets of patients with type 2 diabetes rises to 1.23 times (cutoff value) or above the reference level, there is a high risk of MCI. Using OPTN as a biomarker to predict the risk of MCI in patients with type 2 diabetes has the characteristics of high accuracy, high sensitivity and good specificity.
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