exposure to environment-polluting chemicals (epc) is associated with the development of diabetes. Many EPCs exert toxic effects via aryl hydrocarbon receptor (AhR) and/or mitochondrial inhibition. Here we investigated if the levels of human exposure to a mixture of EPC and/or mitochondrial inhibitors could predict the development of diabetes in a prospective study, the Korean Genome and epidemiological Study (KoGeS). We analysed AhR ligands (AhRL) and mitochondria-inhibiting substances (MiS) in serum samples (n = 1,537), collected during the 2008 Ansung KoGES survey with a 4-year-follow-up. Serum AhRL, determined by the AhR-dependent luciferase reporter assay, represents the contamination level of AhR ligand mixture in serum. Serum levels of MiS, analysed indirectly by MIS-ATP or MIS-ROS, are the serum MIS-induced mitochondria inhibiting effects on ATP content or reactive oxygen species (ROS) production in the cultured cells. Among 919 normal subjects at baseline, 7.1% developed impaired glucose tolerance (IGT) and 1.6% diabetes after 4 years. At the baseline, diabetic and iGt sera displayed higher AhRL and MiS than normal sera, which correlated with indices of insulin resistance. When the subjects were classified according to ROC cut-off values, fully adjusted relative risks of diabetes development within 4 years were 7.60 (95% CI, 4.23-13.64), 4.27 (95% CI, 2.38-7.64), and 21.11 (95% CI, 8.46-52.67) for AhRL ≥ 2.70 pM, MIS-ATP ≤ 88.1%, and both, respectively. Gender analysis revealed that male subjects with AhRL ≥ 2.70 pM or MIS-ATP ≤ 88.1% showed higher risk than female subjects. High serum levels of AhRL and/or MIS strongly predict the future development of diabetes, suggesting that the accumulation of AhR ligands and/or mitochondrial inhibitors in body may play an important role in the pathogenesis of diabetes.Exposure to multiple environment-polluting chemicals (EPC) is becoming increasingly important to understand the pathogenesis of metabolic disease and diabetes epidemics 1-3 . Many epidemiological studies have shown that high serum concentrations of EPCs are strongly associated with obesity 4 , diabetes 5 , and metabolic syndrome 6 . Many endocrine-disrupting chemicals (EDCs) 7,8 and metabolism-disrupting chemicals (MDCs) 2 are listed as causes of obesity and diabetes, and thus referred to as obesogens and diabetogens. However, establishing the cause-effect relationship between exposure to these chemicals and development of obesity or diabetes in humans have been inconsistent 9 . Among the many reasons behind this, the limitation of the methods estimating the exposure level to EPCs seems to be the most important 10,11 . Humans are exposed to an immense variety of