Presepsin Levels in Infection-Free Subjects with Diabetes Mellitus: An Exploratory Study Article Swipe
Dimitrios Kouroupis
,
Ioanna Zografou
,
Aikaterini Balaska
,
Andromachi Reklou
,
Anna Varouktsi
,
Anastasia Paschala
,
Athina Pyrpasopoulou
,
Konstantinos Stavropoulos
,
Konstantinos Vogiatzis
,
Anastasia Sarvani
,
Panagiotis Doukelis
,
Dimos Karangelis
,
Georgios Dimakopoulos
,
Kalliopi Kotsa
,
Michael Doumas
,
Theocharis Koufakis
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/biomedicines12091960
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.3390/biomedicines12091960
Systemic inflammation has been recognized as the cause and consequence of metabolic dysregulation in diabetes mellitus (DM). Presepsin has recently emerged as a promising biomarker for the detection of bacterial infections and sepsis. There is evidence that gut dysbiosis results in the increased circulating concentrations of Gram-negative bacteria lipopolysaccharide, the linkage of presepsin, which in turn promotes insulin resistance and correlates with the risk of diabetic complications. Thus, we hypothesized that presepsin could reflect the magnitude of systemic inflammation and metabolic decompensation in patients with DM even in the absence of infection. In this cross-sectional pilot study, we included 75 infection-free individuals with well-controlled (n = 19) and uncontrolled (n = 23) type 2 diabetes (T2D), well-controlled (n = 10) and uncontrolled (n = 10) type 1 diabetes (T1D), and normoglycemic controls (n = 13). Presepsin levels were compared between the groups and potential associations with demographic, clinical, and laboratory parameters were explored. We observed that the duration of DM was associated with presepsin values (p = 0.008). When the participants were classified into the type of DM groups, the presepsin levels were found to be lower in the patients with T2D compared to those with T1D (p = 0.008). However, significance in that case was driven by the difference between the well-controlled groups. After adjusting for the effects of DM duration, presepsin was significantly lower in the well-controlled T2D group compared to the well-controlled T1D group [1.34 (2.02) vs. 2.22 (4.20) ng/mL, p = 0.01]. Furthermore, we adjusted our findings for various confounders, including age, body mass index, and waist circumference, and found that the difference in the presepsin values between the adequately controlled groups remained significant (p = 0.048). In conclusion, our findings suggest that presepsin could potentially serve as a surrogate marker of inflammation and metabolic control in people with DM.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/biomedicines12091960
- https://www.mdpi.com/2227-9059/12/9/1960/pdf?version=1724913306
- OA Status
- gold
- Cited By
- 7
- References
- 45
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4402008282
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4402008282Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.3390/biomedicines12091960Digital Object Identifier
- Title
-
Presepsin Levels in Infection-Free Subjects with Diabetes Mellitus: An Exploratory StudyWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-08-29Full publication date if available
- Authors
-
Dimitrios Kouroupis, Ioanna Zografou, Aikaterini Balaska, Andromachi Reklou, Anna Varouktsi, Anastasia Paschala, Athina Pyrpasopoulou, Konstantinos Stavropoulos, Konstantinos Vogiatzis, Anastasia Sarvani, Panagiotis Doukelis, Dimos Karangelis, Georgios Dimakopoulos, Kalliopi Kotsa, Michael Doumas, Theocharis KoufakisList of authors in order
- Landing page
-
https://doi.org/10.3390/biomedicines12091960Publisher landing page
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https://www.mdpi.com/2227-9059/12/9/1960/pdf?version=1724913306Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
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https://www.mdpi.com/2227-9059/12/9/1960/pdf?version=1724913306Direct OA link when available
- Concepts
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Diabetes mellitus, Exploratory research, Medicine, Internal medicine, Endocrinology, Social science, SociologyTop concepts (fields/topics) attached by OpenAlex
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7Total citation count in OpenAlex
- Citations by year (recent)
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2025: 6, 2024: 1Per-year citation counts (last 5 years)
- References (count)
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45Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.included | 98 |
| abstract_inverted_index.mellitus | 15 |
| abstract_inverted_index.observed | 154 |
| abstract_inverted_index.patients | 83, 189 |
| abstract_inverted_index.promotes | 56 |
| abstract_inverted_index.recently | 19 |
| abstract_inverted_index.remained | 276 |
| abstract_inverted_index.systemic | 77 |
| abstract_inverted_index.Presepsin | 17, 135 |
| abstract_inverted_index.adjusting | 215 |
| abstract_inverted_index.bacterial | 29 |
| abstract_inverted_index.biomarker | 24 |
| abstract_inverted_index.clinical, | 147 |
| abstract_inverted_index.detection | 27 |
| abstract_inverted_index.duration, | 221 |
| abstract_inverted_index.dysbiosis | 38 |
| abstract_inverted_index.explored. | 152 |
| abstract_inverted_index.including | 254 |
| abstract_inverted_index.increased | 42 |
| abstract_inverted_index.magnitude | 75 |
| abstract_inverted_index.metabolic | 11, 80, 298 |
| abstract_inverted_index.potential | 143 |
| abstract_inverted_index.presepsin | 71, 163, 180, 222, 269, 287 |
| abstract_inverted_index.promising | 23 |
| abstract_inverted_index.surrogate | 293 |
| abstract_inverted_index.adequately | 273 |
| abstract_inverted_index.associated | 161 |
| abstract_inverted_index.classified | 172 |
| abstract_inverted_index.controlled | 274 |
| abstract_inverted_index.correlates | 60 |
| abstract_inverted_index.difference | 209, 266 |
| abstract_inverted_index.infection. | 91 |
| abstract_inverted_index.infections | 30 |
| abstract_inverted_index.laboratory | 149 |
| abstract_inverted_index.parameters | 150 |
| abstract_inverted_index.presepsin, | 52 |
| abstract_inverted_index.recognized | 4 |
| abstract_inverted_index.resistance | 58 |
| abstract_inverted_index.circulating | 43 |
| abstract_inverted_index.conclusion, | 282 |
| abstract_inverted_index.consequence | 9 |
| abstract_inverted_index.individuals | 101 |
| abstract_inverted_index.potentially | 289 |
| abstract_inverted_index.significant | 277 |
| abstract_inverted_index.Furthermore, | 246 |
| abstract_inverted_index.associations | 144 |
| abstract_inverted_index.confounders, | 253 |
| abstract_inverted_index.demographic, | 146 |
| abstract_inverted_index.hypothesized | 69 |
| abstract_inverted_index.inflammation | 1, 78, 296 |
| abstract_inverted_index.participants | 170 |
| abstract_inverted_index.significance | 201 |
| abstract_inverted_index.uncontrolled | 108, 121 |
| abstract_inverted_index.Gram-negative | 46 |
| abstract_inverted_index.dysregulation | 12 |
| abstract_inverted_index.normoglycemic | 130 |
| abstract_inverted_index.significantly | 224 |
| abstract_inverted_index.circumference, | 261 |
| abstract_inverted_index.complications. | 66 |
| abstract_inverted_index.concentrations | 44 |
| abstract_inverted_index.decompensation | 81 |
| abstract_inverted_index.infection-free | 100 |
| abstract_inverted_index.cross-sectional | 94 |
| abstract_inverted_index.well-controlled | 103, 116, 212, 228, 234 |
| abstract_inverted_index.lipopolysaccharide, | 48 |
| cited_by_percentile_year.max | 99 |
| cited_by_percentile_year.min | 90 |
| corresponding_author_ids | https://openalex.org/A5006925533 |
| countries_distinct_count | 1 |
| institutions_distinct_count | 16 |
| corresponding_institution_ids | https://openalex.org/I21370196 |
| sustainable_development_goals[0].id | https://metadata.un.org/sdg/3 |
| sustainable_development_goals[0].score | 0.8500000238418579 |
| sustainable_development_goals[0].display_name | Good health and well-being |
| citation_normalized_percentile.value | 0.95385567 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | True |