articleNature MedicineJan 14, 2026HYBRID OA

Circulating metabolites, genetics and lifestyle factors in relation to future risk of type 2 diabetes

Brigham and Women's Hospital · Harvard University · +30 more institutions

PubMed
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Abstract

The human metabolome reflects complex metabolic states affected by genetic and environmental factors. However, metabolites associated with type 2 diabetes (T2D) risk and their determinants remain insufficiently characterized. Here we integrated blood metabolomic, genomic and lifestyle data from up to 23,634 initially T2D-free participants from ten cohorts. Of 469 metabolites examined, 235 were associated with incident T2D during up to 26 years of follow-up, including 67 associations not previously reported across bile acid, lipid, carnitine, urea cycle and arginine/proline, glycine and histidine pathways. Further genetic analyses linked these metabolites to signaling pathways and clinical traits central to T2D…

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7
total citations
FWCI
72.68
Percentile
100%
References
118
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Authors

52

Topics & keywords

Keywords
  • Type 2 diabetes
  • Metabolome
  • Obesity
  • Insulin resistance
  • Diabetes mellitus
  • Urea cycle
  • Metabolomics
  • Metabolic syndrome
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