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Background: In type 1 diabetes (T1D), impaired insulin sensitivity may contribute to the development of diabetic kidney disease (DKD) through alterations in kidney oxidative metabolism., Methods: Young adults with T1D (n = 30) and healthy controls (HC, n = 20) underwent hyperinsulinemic-euglycemic clamp studies, MRI, 11C-acetate PET, kidney biopsies, single-cell RNA sequencing, and spatial metabolomics to assess this relationship., Results: Participants with T1D had significantly higher glomerular basement membrane thickness compared to HC. T1D participants exhibited lower insulin sensitivity and cortical oxidative metabolism, correlating with higher insulin sensitivity. Proximal tubular transcripts of TCA cycle and oxidative phosphorylation enzymes were lower in T1D. Spatial metabolomics showed reductions in tubular TCA cycle intermediates, indicating mitochondrial dysfunction. The Slingshot algorithm identified a lineage of proximal tubular cells progressing from stable to adaptive/maladaptive subtypes, using pseudotime trajectory analysis, which computationally orders cells along a continuum of states. This analysis revealed distinct distribution patterns between T1D and HC, with attenuated oxidative metabolism in T1D attributed to a greater proportion of adaptive/maladaptive subtypes with low expression of TCA cycle and oxidative phosphorylation transcripts. Pseudotime progression associated with higher HbA1c, BMI, GBM, and lower insulin sensitivity and cortical oxidative metabolism., Conclusion: These early structural and metabolic changes in T1D kidneys may precede clinical DKD., Clinicaltrials: gov NCT04074668.

A tandem ion mobility spectrometer at ambient pressure with a reactive stage produced fragment ions by water elimination from protonated monomers of alcohols with carbon numbers three to nine. Protonated monomers of individual alcohols were mobility isolated in a first drift region and were fragmented to carbocations at 64 to 128 Td and 45 to 89°C. Precursor and fragment ions were mobility characterized in a second drift region. Enthalpies for fragmentation of ROH 2 + to primary carbocations were calculated as 76 to 97 kJ/mol and enthalpies for subsequent charge migration to 2° carbocations were -49 to -58 kJ/mol. Plots of drift times for pairs of protonated monomer and fragment ions from alcohols, esters, alkanes, and aldehydes produced distinctive trend lines attributed to fragmentation paths characteristic of chemical class. Specific combinations of drift times for fragments and precursor ions provide additional chemical information for spectral interpretation in ion mobility spectrometry.