Yan Zheng1, Uta Ceglarek1, Tao Huang1, Tiange Wang1, Yoriko Heianza1, Wenjie Ma1, George A Bray1, Joachim Thiery1, Frank M Sacks1, Lu Qi1. 1. Department of Nutrition (Y.Z., F.M.S., L.Q.), Harvard T.H. Chan School of Public Health, Boston, Massachusetts 02115; Institute of Laboratory Medicine, Clinical Chemistry and Molecular Diagnostics (U.C., J. T.), University Hospital-Leipzig, 04103 Leipzig, Germany; Department of Epidemiology, School of Public Health and Tropical Medicine (T.H., T.W., Y.H., L.Q.), Tulane University, New Orleans, Louisiana 70118; Department of Epidemiology, Saw Swee Hock School of Public Health (T.H.), National University of Singapore, Singapore 119077; Department of Epidemiology (W.M.), Harvard T.H. Chan School of Public Health, Boston, Massachusetts 02115; Pennington Biomedical Research Center (G.A.B.), Louisiana State University, Baton Rouge, Louisiana 70808; and Channing Division of Network Medicine, Department of Medicine (L.Q.), Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts 02115.
Abstract
CONTEXT: Taurine metabolism disturbance is closely linked to obesity, insulin resistance, and diabetes. Previous evidence suggested that the preventative effects of taurine on diabetes might be through regulating the expression levels of diabetes-related genes. OBJECTIVE: We estimated whether blood taurine levels modified the overall genetic susceptibility to diabetes on improvement of insulin sensitivity in a randomized dietary trial. DESIGN AND SETTING: We genotyped 31 diabetes-associated variants to calculate a genetic risk score (GRS) and measured plasma taurine levels and glycemic traits among participants from the Preventing Overweight Using Novel Dietary Strategies (POUNDS Lost) trial. PARTICIPANTS: Seven-hundred eleven overweight or obese participants (age 30-70 y; 60% females) had genetic variants genotyped and blood taurine levels measured. INTERVENTION: Participants went on 2-year weight-loss diets, which were different in macronutrient composition. MAIN OUTCOME MEASURE: Improvements in glycemic traits were measured. RESULTS: We found that baseline taurine levels significantly modified the effects of diabetes GRS on changes in fasting glucose, insulin, and homeostatic model assessment of insulin resistance (HOMA-IR) during the 2-year diet intervention (P-interaction = .04, .01, .002, respectively), regardless of weight loss. High baseline taurine levels were associated with a less reduction in both glucose and HOMA-IR among the participants with the lowest tertile of diabetes GRS (both P = .02), and with a greater reduction in both insulin and HOMA-IR among those with the highest tertile of diabetes GRS (both P = .04). CONCLUSIONS: Our data suggest that blood taurine levels might differentially modulate the effects of diabetes-related genes on improvement of insulin sensitivity among overweight/obese patients on weight-loss diets.
RCT Entities:
CONTEXT: Taurine metabolism disturbance is closely linked to obesity, insulin resistance, and diabetes. Previous evidence suggested that the preventative effects of taurine on diabetes might be through regulating the expression levels of diabetes-related genes. OBJECTIVE: We estimated whether blood taurine levels modified the overall genetic susceptibility to diabetes on improvement of insulin sensitivity in a randomized dietary trial. DESIGN AND SETTING: We genotyped 31 diabetes-associated variants to calculate a genetic risk score (GRS) and measured plasma taurine levels and glycemic traits among participants from the Preventing Overweight Using Novel Dietary Strategies (POUNDS Lost) trial. PARTICIPANTS: Seven-hundred eleven overweight or obeseparticipants (age 30-70 y; 60% females) had genetic variants genotyped and blood taurine levels measured. INTERVENTION: Participants went on 2-year weight-loss diets, which were different in macronutrient composition. MAIN OUTCOME MEASURE: Improvements in glycemic traits were measured. RESULTS: We found that baseline taurine levels significantly modified the effects of diabetes GRS on changes in fasting glucose, insulin, and homeostatic model assessment of insulin resistance (HOMA-IR) during the 2-year diet intervention (P-interaction = .04, .01, .002, respectively), regardless of weight loss. High baseline taurine levels were associated with a less reduction in both glucose and HOMA-IR among the participants with the lowest tertile of diabetes GRS (both P = .02), and with a greater reduction in both insulin and HOMA-IR among those with the highest tertile of diabetes GRS (both P = .04). CONCLUSIONS: Our data suggest that blood taurine levels might differentially modulate the effects of diabetes-related genes on improvement of insulin sensitivity among overweight/obesepatients on weight-loss diets.
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