Details

Autor(en) / Beteiligte

• Noguez Imm, Ramsés
• Muñoz-Benitez, Julio
• Medina, Diego
• Barcenas, Everardo
• Molero-Castillo, Guillermo
• Reyes-Ortega, Pamela
• Hughes-Cano, Jorge Armando
• Medrano-Gracia, Leticia
• Miranda-Anaya, Manuel
• Rojas-Piloni, Gerardo
• Quiroz-Mercado, Hugo
• Hernández-Zimbrón, Luis Fernando
• Fajardo-Cruz, Elisa Denisse
• Ferreyra-Severo, Ezequiel
• García-Franco, Renata
• Rubio Mijangos, Juan Fernando
• López-Star, Ellery
• García-Roa, Marlon
• Lansingh, Van Charles
• Thébault, Stéphanie C
• Barnes, Steven

Titel

Preventable risk factors for type 2 diabetes can be detected using noninvasive spontaneous electroretinogram signals

Ist Teil von

• PloS one, 2023-01, Vol.18 (1), p.e0278388-e0278388

Ort / Verlag

United States: Public Library of Science

Erscheinungsjahr

2023

Quelle

MEDLINE

Beschreibungen/Notizen

• Given the ever-increasing prevalence of type 2 diabetes and obesity, the pressure on global healthcare is expected to be colossal, especially in terms of blindness. Electroretinogram (ERG) has long been perceived as a first-use technique for diagnosing eye diseases, and some studies suggested its use for preventable risk factors of type 2 diabetes and thereby diabetic retinopathy (DR). Here, we show that in a non-evoked mode, ERG signals contain spontaneous oscillations that predict disease cases in rodent models of obesity and in people with overweight, obesity, and metabolic syndrome but not yet diabetes, using one single random forest-based model. Classification performance was both internally and externally validated, and correlation analysis showed that the spontaneous oscillations of the non-evoked ERG are altered before oscillatory potentials, which are the current gold-standard for early DR. Principal component and discriminant analysis suggested that the slow frequency (0.4-0.7 Hz) components are the main discriminators for our predictive model. In addition, we established that the optimal conditions to record these informative signals, are 5-minute duration recordings under daylight conditions, using any ERG sensors, including ones working with portative, non-mydriatic devices. Our study provides an early warning system with promising applications for prevention, monitoring and even the development of new therapies against type 2 diabetes.