Diabetic Polyneuropathy Patients Exhibit an Altered Skeletal Muscle Proteome Phenotype.
6 affiliations
- 1Department of Biomedicine, Aarhus University, Aarhus, Denmark.
- 2Steno Diabetes Center Aarhus, Aarhus University Hospital, Aarhus, Denmark.
- 3Department of Neurology, Aarhus University Hospital, Aarhus, Denmark.
- 4NMD Pharma A/S, Aarhus, Denmark.
- 5Exercise Biology, Department of Public Health, Aarhus University, Aarhus, Denmark.
- 6Research Unit for Molecular Medicine, Department of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Abstract
Purpose
Diabetic polyneuropathy (DPN) is a debilitating complication of diabetes that affects motor nerves and may impair skeletal muscle health. This study investigated skeletal muscle proteomic alterations associated with DPN compared with type 2 diabetes without DPN (T2D) and healthy controls (CON).Experimental design
An exploratory proteomic profiling was performed in 15 participants divided into three groups based on clinical and neurophysiological diagnosis (DPN, n = 5; T2D, n = 5; CON, n = 5). Biopsies from the gastrocnemius lateralis muscle were analyzed using LC-MS/MS-based proteomics and pathway enrichment analyses.Results
A total of 265 and 444 proteins were differentially expressed in DPN compared with T2D and CON, respectively (q < 0.05). Enrichment analyses revealed marked alterations in mitochondrial-related pathways, including cellular respiration, distinguishing DPN from both comparison groups. Differences between T2D and CON were present but less pronounced. DPN was characterized by downregulation of glycogen-regulating proteins (phosphorylase kinase G1 and A1) and upregulation of ferritin light chain (FTL), alpha actin 2, and myosin-binding protein H.Conclusions and clinical relevance
DPN is associated with a distinct and progressive skeletal muscle proteomic phenotype, supporting mitochondrial dysfunction as a key feature and providing a basis for future mechanistic and therapeutic studies.
Related
- Combined Teriparatide and Exercise Effects on Diabetic Skeletal Muscle Ultrastructure
- Clinical and MEFV variant characteristics of pediatric patients with an FMF-compatible phenotype and PFAPA-compatible features in a Palestinian referral cohort: a retrospective study
- Increased Plasma Endogenous Ethanol Correlates with and Discriminates Against Microvascular Complications in Type-2 Diabetic Traditionally Alcohol-Abstinent Saudi Patients: A Biomarker Cross-Sectional Analysis
- Microbial and inflammatory features linked to distal sensory polyneuropathy in people with HIV
- Salivary ¹H NMR metabolic profiling of diabetic patients with and without periodontitis: an exploratory pilot study.
BibTeX
@article{thybo2026diabetic,
title = {{Diabetic Polyneuropathy Patients Exhibit an Altered Skeletal Muscle Proteome Phenotype.}},
author = {Frederik Forsberg Thybo and Karolina Snopek Khan and Jesper Emil Jakobsgaard and Henning Andersen and Kristian Vissing and Johan Palmfeldt},
journal = {Proteomics. Clinical applications},
year = {2026},
month = oct,
doi = {10.1002/prca.70060},
url = {https://europepmc.org/article/MED/42894376},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Diabetic Polyneuropathy Patients Exhibit an Altered Skeletal Muscle Proteome Phenotype.
AU - Frederik Forsberg Thybo
AU - Karolina Snopek Khan
AU - Jesper Emil Jakobsgaard
AU - Henning Andersen
AU - Kristian Vissing
AU - Johan Palmfeldt
PY - 2026
DA - 2026/10/30
JO - Proteomics. Clinical applications
DO - 10.1002/prca.70060
UR - https://europepmc.org/article/MED/42894376
AB - Purpose Diabetic polyneuropathy (DPN) is a debilitating complication of diabetes that affects motor nerves and may impair skeletal muscle health. This study investigated skeletal muscle proteomic alterations associated with DPN compared with type 2 diabetes without DPN (T2D) and healthy controls (CON).Experimental design An exploratory proteomic profiling was performed in 15 participants divided into three groups based on clinical and neurophysiological diagnosis (DPN, n = 5; T2D, n = 5; CON, n = 5). Biopsies from the gastrocnemius lateralis muscle were analyzed using LC-MS/MS-based proteomics and pathway enrichment analyses.Results A total of 265 and 444 proteins were differentially expressed in DPN compared with T2D and CON, respectively (q < 0.05). Enrichment analyses revealed marked alterations in mitochondrial-related pathways, including cellular respiration, distinguishing DPN from both comparison groups. Differences between T2D and CON were present but less pronounced. DPN was characterized by downregulation of glycogen-regulating proteins (phosphorylase kinase G1 and A1) and upregulation of ferritin light chain (FTL), alpha actin 2, and myosin-binding protein H.Conclusions and clinical relevance DPN is associated with a distinct and progressive skeletal muscle proteomic phenotype, supporting mitochondrial dysfunction as a key feature and providing a basis for future mechanistic and therapeutic studies.
SN - 1862-8346
SN - 1862-8354
ER -