Identification of metabolic pathways and serum biomarkers in diabetic cardiomyopathy using untargeted metabolomics

Abstract Diabetic cardiomyopathy represents a significant and irreversible chronic cardiovascular complication among diabetic patients. The condition is characterised by early diastolic dysfunction, myocardial fibrosis, cardiac hypertrophy, systolic dysfunction, and other complex pathophysiological...

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Main Authors: Jialong Li, Huaming Qiu, Yanjun Wu, Li Su
Format: Article
Language:English
Published: Nature Portfolio 2025-05-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-98753-y
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author Jialong Li
Huaming Qiu
Yanjun Wu
Li Su
author_facet Jialong Li
Huaming Qiu
Yanjun Wu
Li Su
author_sort Jialong Li
collection DOAJ
description Abstract Diabetic cardiomyopathy represents a significant and irreversible chronic cardiovascular complication among diabetic patients. The condition is characterised by early diastolic dysfunction, myocardial fibrosis, cardiac hypertrophy, systolic dysfunction, and other complex pathophysiological events that ultimately lead to heart failure. Untargeted metabolomic analysis represents a powerful tool for the discovery of novel biomarkers. It can not only reveal the metabolic disorder model of diabetic cardiomyopathy, and find specific biomarkers, but also help analyse its pathogenesis and provide new clues for developing treatment strategies. Nevertheless, the precise mechanisms that give rise to diabetic cardiomyopathy remain unclear. In this study, we established a rat model of diabetic cardiomyopathy. We evaluated the model using various established methods, including fasting glucose, glycated hemoglobin, insulin resistance index, cardiac histopathology, and cardiac ultrasound. We then proceeded to identify diabetic cardiomyopathy serum biomarkers by untargeted metabolomics. The potential metabolic pathways of the multiple metabolic differentials were mainly related to amino acid metabolism and arachidonic acid metabolism. Two common metabolites, 5-OxoETE and D-Glutamine, were identified through various cross-comparisons. These two metabolites have good diagnostic ability, especially between DCM vs. CTR, DCM vs. NDCM, and NDCM vs. CTR. These findings may provide new insights into the study of DCM.
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spelling doaj-art-bedb7d73f85b4a69b6de5b32e0b69a272025-08-20T03:22:12ZengNature PortfolioScientific Reports2045-23222025-05-0115111310.1038/s41598-025-98753-yIdentification of metabolic pathways and serum biomarkers in diabetic cardiomyopathy using untargeted metabolomicsJialong Li0Huaming Qiu1Yanjun Wu2Li Su3Department of Cardiology, The Second Afffliated Hospital, Chongqing Medical UniversityGuizhou University of Traditional Chinese MedicineGuizhou University of Traditional Chinese MedicineDepartment of Cardiology, The Second Afffliated Hospital, Chongqing Medical UniversityAbstract Diabetic cardiomyopathy represents a significant and irreversible chronic cardiovascular complication among diabetic patients. The condition is characterised by early diastolic dysfunction, myocardial fibrosis, cardiac hypertrophy, systolic dysfunction, and other complex pathophysiological events that ultimately lead to heart failure. Untargeted metabolomic analysis represents a powerful tool for the discovery of novel biomarkers. It can not only reveal the metabolic disorder model of diabetic cardiomyopathy, and find specific biomarkers, but also help analyse its pathogenesis and provide new clues for developing treatment strategies. Nevertheless, the precise mechanisms that give rise to diabetic cardiomyopathy remain unclear. In this study, we established a rat model of diabetic cardiomyopathy. We evaluated the model using various established methods, including fasting glucose, glycated hemoglobin, insulin resistance index, cardiac histopathology, and cardiac ultrasound. We then proceeded to identify diabetic cardiomyopathy serum biomarkers by untargeted metabolomics. The potential metabolic pathways of the multiple metabolic differentials were mainly related to amino acid metabolism and arachidonic acid metabolism. Two common metabolites, 5-OxoETE and D-Glutamine, were identified through various cross-comparisons. These two metabolites have good diagnostic ability, especially between DCM vs. CTR, DCM vs. NDCM, and NDCM vs. CTR. These findings may provide new insights into the study of DCM.https://doi.org/10.1038/s41598-025-98753-yDiabetic cardiomyopathyUntargeted metabolomicsCardiac ultrasoundEjection fractionDiagnostic biomarkers
spellingShingle Jialong Li
Huaming Qiu
Yanjun Wu
Li Su
Identification of metabolic pathways and serum biomarkers in diabetic cardiomyopathy using untargeted metabolomics
Scientific Reports
Diabetic cardiomyopathy
Untargeted metabolomics
Cardiac ultrasound
Ejection fraction
Diagnostic biomarkers
title Identification of metabolic pathways and serum biomarkers in diabetic cardiomyopathy using untargeted metabolomics
title_full Identification of metabolic pathways and serum biomarkers in diabetic cardiomyopathy using untargeted metabolomics
title_fullStr Identification of metabolic pathways and serum biomarkers in diabetic cardiomyopathy using untargeted metabolomics
title_full_unstemmed Identification of metabolic pathways and serum biomarkers in diabetic cardiomyopathy using untargeted metabolomics
title_short Identification of metabolic pathways and serum biomarkers in diabetic cardiomyopathy using untargeted metabolomics
title_sort identification of metabolic pathways and serum biomarkers in diabetic cardiomyopathy using untargeted metabolomics
topic Diabetic cardiomyopathy
Untargeted metabolomics
Cardiac ultrasound
Ejection fraction
Diagnostic biomarkers
url https://doi.org/10.1038/s41598-025-98753-y
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AT yanjunwu identificationofmetabolicpathwaysandserumbiomarkersindiabeticcardiomyopathyusinguntargetedmetabolomics
AT lisu identificationofmetabolicpathwaysandserumbiomarkersindiabeticcardiomyopathyusinguntargetedmetabolomics