4.7 Article

Higher Serum Soluble TREM2 as a Potential Indicative Biomarker for Cognitive Impairment in Inadequately Controlled Type 2 Diabetes Without Obesity: The DOR-KyotoJ-1

Journal

FRONTIERS IN ENDOCRINOLOGY
Volume 13, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fendo.2022.880148

Keywords

glycemic control; longitudinal cohort study; serum soluble TREM2; cognitive impairment (CI); type 2 diabetes

Funding

  1. JSPS KAKENHI [JP19K07927, JP19K07905, JP18H02737, 21H02835]
  2. Japan Society for the Promotion of Science [JP18K19769]
  3. Takeda Science Foundation
  4. Health Science University
  5. Smoking Research Foundation [2019T004]
  6. National Hospital Organization [H26-NHO-02, H29-NHO-01]
  7. Grants-in-Aid for Scientific Research [21H02835] Funding Source: KAKEN

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This study investigated the relationship between serum levels of soluble triggering receptor expressed on myeloid cell 2 (sTREM2) and cognitive impairment in type 2 diabetes patients without obesity. The results showed that higher serum sTREM2 levels were significantly associated with cognitive decline, suggesting the importance of glycemic control in preventing cognitive impairment in this population.
ObjectiveType 2 diabetes is a risk factor for dementia. We investigated whether serum levels of soluble triggering receptor expressed on myeloid cell 2 (sTREM2), a soluble form of the cell surface receptor TREM2, were predictive of cognitive impairment in type 2 diabetes without obesity. MethodsA total of 166 Japanese patients with type 2 diabetes without obesity were followed-up for 2 years. We measured clinical parameters, assessed cognitive function using the mini-mental state examination (MMSE), quantified and divided serum sTREM2 levels into quartiles, and examined the longitudinal associations. ResultsDuring the follow-up, HbA(1c) levels were elevated in 98 patients and decreased in 68 patients. In the HbA(1c)-elevated group, higher sTREM2 levels at baseline showed a significant association with a greater tendency for reduction in MMSE scores (P for trend = 0.015), whereas they were not significantly associated with other examined parameters. In the HbA(1c)-decreased group, there was no significant association between sTREM2 levels at baseline and changes in MMSE scores, but higher sTREM2 levels at baseline were significantly associated with a greater tendency for reduction in waist circumference (P for trend = 0.027), homeostasis model assessment of insulin resistance (P for trend = 0.039), and sTREM2 levels (P for trend = 0.023). ConclusionsGlycemic control is suggested to be important in preventing cognitive impairment in patients with type 2 diabetes without obesity. Higher serum sTREM2 levels would be a predictive marker for cognitive impairment in inadequately controlled type 2 diabetes without obesity.

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