Vitamin B status in patients with type 2 diabetes mellitus with and without incipient nephropathy

AbstractAimTo investigate the vitamin B status, with particular focus on vitamin B6, in adults with and without incipient nephropathy secondary to type 2 diabetes mellitus.MethodsPlasma and/or urine concentrations of vitamins B6, B1, B12, related vitamers and biomarkers (including total homocysteine, methylmalonic acid) were measured in 120 adults with type 2 diabetes (including 46 patients with microalbuminuria) and 52 non-diabetic control subjects.ResultsPlasma concentrations of pyridoxal 5′-phosphate (PLP) were significantly lower in patients with type 2 diabetes than in control subjects (median: 22.7nmol/L, diabetes with microalbuminuria; 26.8nmol/L, diabetes without microalbuminuria; 39.5nmol/L, non-diabetic control; p<0.0001). The prevalence of low PLP (<30nmol/L) was 63%, 58%, and 25% in the diabetes groups with and without microalbuminuria and the control group, respectively. Plasma levels of pyridoxine and pyridoxal were also lower (p<0.0001), but levels of pyridoxamine, pyridoxamine 5′-phosphate, and pyridoxic acid were higher in both groups with diabetes compared to the control group (p<0.001). Thiamine deficiency was highly prevalent in all groups, whereas low vitamin B12 and elevated methylmalonic acid were rare. Increased levels of C-reactive protein and soluble vascular cell adhesion molecule-1 were observed in the groups with diabetes (p<0.05, versus healthy control).ConclusionsDeficiency of vitamin B6 (PLP, pyridoxine, pyridoxal) and vitamin B1 (thiamine) was prevalent in type 2 diabetes. Incipient nephropathy was associated with more pronounced alterations in vitamin B6 metabolism and stronger indications of endothelial dysfunction and inflammation

Platform Reagents Enable Synthesis of Ligand-Directed Cova-lent Probes: Study of Cannabinoid Receptor 2 in Live Cells

Pharmacological modulation of cannabinoid receptor type 2 (CB2R) holds promise for the treatment of neuroinflammatory disorders, such as Alzheimer’s disease. Despite the importance of CB2R, its expression and downstream signaling are insufficiently understood in disease- and tissue-specific con-texts. Ligand-directed covalent (LDC) labeling enables the study of endogenously expressed proteins in living cells, tissues, and animals without impairment of native protein function. Herein, we employed in silico docking and molecular dynamics simulations to evaluate feasibility of LDC labeling of CB2R and guide design of LDC probes. We demonstrate selective, covalent labeling of a peripheral lysine residue of CB2R by exploiting fluorogenic O-nitrobenzoxadiazole (O-NBD) functionalized probes in a TR-FRET as-say. The rapid proof-of-concept verification with O-NBD probes inspired incorporation of advanced elec-trophiles suitable for experiments in live cells. To this end, novel synthetic strategies towards N-sulfonyl pyridone and N-acyl-N-alkyl sulfonamide LDC probes were developed, which allowed covalent delivery of fluorophores suitable for cellular experiments. The LDC probes were characterized in vitro by a radi-oligand binding assay and TR-FRET experiments. Application of the LDC probes in flow cytometry, imag-ing flow cytometry, and confocal fluorescence microscopy confirmed specific labeling of CB2R in live cells