2022
DOI: 10.3389/fendo.2022.843556
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Altered Caffeine Metabolism Is Associated With Recurrent Hypoglycemia in Type 2 Diabetes Mellitus: A UPLC–MS-Based Untargeted Metabolomics Study

Abstract: BackgroundRecurrent hypoglycemia (RH) is well known to impair awareness of hypoglycemia and increase the risk of severe hypoglycemia; the underlying mechanism requires further understanding. We aimed to investigate the metabolic characteristic profile for RH in type 2 diabetes mellitus (T2DM) patients and explore the potential metabolic mechanism and prevention strategies.MethodsWe screened 553 community-based T2DM patients. T2DM with RH (DH group, n=40) and T2DM without hypoglycemia (DC group, n=40) were assi… Show more

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Cited by 5 publications
(3 citation statements)
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“…Furthermore, it is known that the upregulation of PPARα through FXR stimulates free fatty acids β-oxidation and, consequently, a reduction in VLDL [165]. The decrease in triglycerides associated with the upregulation of O-acylcarnitine suggests an increase in FFA β-oxidation and a consequent improvement in the lipid profile and related metabolic syndromes [166].…”
Section: Caffeine-mechanisms Of Action On Obesitymentioning
confidence: 99%
“…Furthermore, it is known that the upregulation of PPARα through FXR stimulates free fatty acids β-oxidation and, consequently, a reduction in VLDL [165]. The decrease in triglycerides associated with the upregulation of O-acylcarnitine suggests an increase in FFA β-oxidation and a consequent improvement in the lipid profile and related metabolic syndromes [166].…”
Section: Caffeine-mechanisms Of Action On Obesitymentioning
confidence: 99%
“…After absorption, caffeine is mainly metabolized in the liver, with several cytochrome P-450(CYP) isoforms (CYP1A2, CYP2E1, CYP2D5-Met, and CYP1A1) being responsible for its primary alterations, generating several biologically active metabolites (i.e., paraxanthine, theobromine, and theophylline) (10).Genetic background partly accounts for the inter-individual variation in caffeine metabolism, whereas metabolic disorders, drinking, and smoking habits also exert an in uence. Obesity mildly modi es caffeine pharmacokinetics (11,12), and altered patterns of caffeine and its main downstream metabolites have been observed in diabetic patients with hypoglycemia (13). Furthermore, alcohol and smoking have been shown to affect caffeine clearance by regulating CYP activity (14,15).…”
Section: Introductionmentioning
confidence: 99%
“…Notably, the genetic background partly accounts for the inter-individual variation in caffeine metabolism, as well as metabolic disorders, drinking, and smoking habits. Obesity mildly modifies caffeine pharmacokinetics [11,12], and altered patterns of caffeine and its main downstream metabolites have been observed in diabetic patients with hypoglycemia [13]. Furthermore, alcohol and smoking have been shown to affect caffeine clearance by regulating CYP activity [14,15].…”
Section: Introductionmentioning
confidence: 99%