Personalized computational model quantifies heterogeneity in postprandial responses to oral glucose challenge

PLoS Comput Biol. 2021 Mar 31;17(3):e1008852. doi: 10.1371/journal.pcbi.1008852. eCollection 2021 Mar.

Abstract

Plasma glucose and insulin responses following an oral glucose challenge are representative of glucose tolerance and insulin resistance, key indicators of type 2 diabetes mellitus pathophysiology. A large heterogeneity in individuals' challenge test responses has been shown to underlie the effectiveness of lifestyle intervention. Currently, this heterogeneity is overlooked due to a lack of methods to quantify the interconnected dynamics in the glucose and insulin time-courses. Here, a physiology-based mathematical model of the human glucose-insulin system is personalized to elucidate the heterogeneity in individuals' responses using a large population of overweight/obese individuals (n = 738) from the DIOGenes study. The personalized models are derived from population level models through a systematic parameter selection pipeline that may be generalized to other biological systems. The resulting personalized models showed a 4-5 fold decrease in discrepancy between measurements and model simulation compared to population level. The estimated model parameters capture relevant features of individuals' metabolic health such as gastric emptying, endogenous insulin secretion and insulin dependent glucose disposal into tissues, with the latter also showing a significant association with the Insulinogenic index and the Matsuda insulin sensitivity index, respectively.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Blood Glucose / drug effects
  • Blood Glucose / physiology
  • Diabetes Mellitus, Type 2* / blood
  • Diabetes Mellitus, Type 2* / metabolism
  • Diabetes Mellitus, Type 2* / physiopathology
  • Female
  • Glucose Tolerance Test
  • Glucose* / administration & dosage
  • Glucose* / metabolism
  • Glucose* / pharmacology
  • Humans
  • Insulin Resistance / physiology*
  • Male
  • Middle Aged
  • Patient-Specific Modeling*
  • Postprandial Period / drug effects
  • Postprandial Period / physiology

Substances

  • Blood Glucose
  • Glucose

Grants and funding

The project is organized by and executed under the auspices of TiFN [https://www.tifn.nl/], a public - private partnership on precompetitive research in food and nutrition. Funding for this research was obtained by E.B., M.A., I.A. and N.vR. from DSM Nutritional Products [https://www.dsm.com], FrieslandCampina [https://www.frieslandcampina.com/], Danone Nutricia Research [https://www.nutriciaresearch.com/] and the Topsector Agri&Food [https://topsectoragrifood.nl/] (grant number: TiFN 16NH04). Additional funding by the Netherlands Organisation for Scientific Research [https://www.nwo.nl/] (grant number: ALWTF.2016.021) was awarded to I.A and N.vR. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.