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11/6/2026 1:05:19 AM | Browse: 1 | Download: 1
Publication Name World Journal of Diabetes
Manuscript ID 122820
Country China
Received
2026-04-29 01:40
Peer-Review Started
2026-04-30 08:14
First Decision by Editorial Office Director
2026-06-08 06:18
Return for Revision
2026-06-08 06:18
Revised
2026-07-04 15:44
Publication Fee Transferred
2026-07-19 09:56
Second Decision by Editor
2026-08-10 09:31
Second Decision by Editor-in-Chief
Final Decision by Editorial Office Director
2026-10-08 08:50
Articles in Press
2026-10-08 08:50
Edit the Manuscript by Language Editor
Typeset the Manuscript
2026-10-26 13:19
Publish the Manuscript Online
2026-11-06 01:05
ISSN 1948-9358 (online)
Open Access This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Copyright ©Author(s) (or their employer(s)) 2026. No commercial re-use. See Permissions. Published by Baishideng Publishing Group Inc.
Article Reprints For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
Permissions For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
Publisher Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA
Website http://www.wjgnet.com
Category Endocrinology & Metabolism
Manuscript Type Clinical Trials Study
Article Title Cluster-based metabolic subphenotypes and projected cross-organ risk in Chinese adults with prediabetes
Manuscript Source Unsolicited Manuscript
All Author List Shu-Han Zhang, Li-Ping Yu, Jin-Ping Zhang, Lu-Lu Song, Li-Li Wu, Zhao-Qing Li, Yi-Fan He, Rui-Fen Deng, Wan-Lu Ma, Cong Zhang, Xian Jin and Bo Zhang
ORCID
Author(s) ORCID Number
Shu-Han Zhang http://orcid.org/0000-0001-7608-8246
Li-Ping Yu http://orcid.org/0000-0001-9322-8837
Lu-Lu Song http://orcid.org/0000-0003-0705-8873
Wan-Lu Ma http://orcid.org/0000-0001-7363-4432
Bo Zhang http://orcid.org/0000-0003-3060-7850
Funding Agency and Grant Number
Funding Agency Grant Number
National High-Level Hospital Clinical Research Funding No. 2025-NHLHCRF-JBGS-B-WZ-01
National Key Research and Development Program of China No. 2018YFC1313902
Corresponding Author Bo Zhang, MD, Professor, Department of Endocrinology, China-Japan Friendship Hospital, No. 2 Yinghua East Street, Chaoyang District, Beijing 100029, China. zhangbo@zryhyy.com.cn
Key Words Prediabetic state; Metabolic subphenotypes; Cluster analysis; Cardiovascular-kidney-metabolic syndrome; Cardiovascular diseases; Chronic renal insufficiency; Liver fibrosis; Insulin deficiency
Core Tip Prediabetes is not a uniform metabolic state. In this Chinese multicenter cohort, cluster-defined subphenotypes showed distinct projected cardio–kidney–liver risk-score patterns. Mild age-related dysmetabolism represented a broad, age-loaded projected-risk subtype across Framingham, chronic kidney disease prognosis consortium, and fibrosis-4 domains. Severe insulin deficiency showed the most unexpected signal: Despite lower adiposity and lack of a classical insulin-resistant phenotype, it remained enriched for projected chronic kidney disease risk and fibrosis-4-defined liver fibrosis-risk signal. These findings connect prediabetes subphenotyping with an integrated organ-risk framework and support prospective validation of subtype-informed risk assessment before overt diabetes.
Publish Date 2026-11-06 01:05
Citation

Zhang SH, Yu LP, Zhang JP, Song LL, Wu LL, Li ZQ, He YF, Deng RF, Ma WL, Zhang C, Jin X, Zhang B. Cluster-based metabolic subphenotypes and projected cross-organ risk in Chinese adults with prediabetes. World J Diabetes 2026; 17(11): 122820

URL https://www.wjgnet.com/1948-9358/full/v17/i11/122820.htm
DOI https://doi.org/10.4239/wjd.122820
Full Article (PDF) WJD-17-122820-with-cover.pdf