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Basic Study
Copyright: ©Author(s) 2026.
World J Diabetes. Aug 15, 2026; 17(8): 113938
Published online Aug 15, 2026. doi: 10.4239/wjd.113938
Table 1 Multivariate analysis of variance results of blood glucose in mice at week 8
Factors
F value
P value
Genotype0.1570.694
Diabetes7.5910.009
Pb exposure268.756< 0.001
Genotype × diabetes5.1310.030
Genotype × Pb 0.0010.974
Diabetes × Pb 7.7260.009
Genotype × diabetes × Pb5.6190.024
Table 2 Multivariate analysis of variance results of blood lead levels in each group of mice
Factors
F value
P value
Genotype0.0020.964
Diabetes23.619< 0.001
Pb exposure198.072< 0.001
Genotype × diabetes0.4990.486
Genotype × Pb0.0060.937
Diabetes × Pb 20.556< 0.001
Genotype × diabetes × Pb 0.4150.525
Table 3 Multivariate analysis of variance results on the escape latency of mice on day 5
Factors
F value
P value
Genotype0.0560.814
Diabetes9.9990.002
Pb exposure6.0910.016
Genotype × diabetes0.0330.856
Genotype × Pb 0.0090.923
Diabetes × Pb0.7290.397
Genotype × diabetes × Pb 0.0010.998
Table 4 Multivariate analysis of variance for glutathione levels in the hippocampus of mice
Factors
F value
P value
Genotype80.520< 0.001
Diabetes21.955< 0.001
Pb 228.467< 0.001
Genotype × diabetes8.9430.009
Genotype × Pb 18.901< 0.001
Diabetes × Pb 6.6840.020
Genotype × diabetes × Pb1.7600.203
Table 5 General characteristics of different lead groups in urine
Characteristic
Group
P value
Low urinary lead group (n = 341)
High urinary lead group (n = 113)
Age (year, mean ± SD)56.20 ± 12.8060.91 ± 12.040.007
Sex, n (%)0.202
    Male174 (71.31) 70 (28.69)
    Female121 (77.07) 36 (22.93)
Urinary lead levels (μg/L, mean ± SD)1.02, 0.863.19, 1.81< 0.001
Fasting blood glucose (mmol/L, M, IQR)5.99, 3.056.41, 3.990.837
BMI (kg/m2, M, IQR)24.10, 4.3123.67, 4.220.059
VMA (μg/mL, M, IQR)1.17, 1.913.17, 4.53< 0.001
5-HIAA (μg/mL, M, IQR)1.90, 4.101.75, 2.160.808
DOPAC (μg/mL, M, IQR)6.76, 9.437.63, 9.430.034
HVA (μg/mL, M, IQR)1.36, 1.893.68, 5.00< 0.001
Table 6 Interaction of urinary lead levels, blood glucose levels and rs6784267 locus with four neurotransmitter metabolites
Interactive factors
Target
F value
P value
Urinary lead × blood sugarVMA14.298< 0.001
5-HIAA0.9110.404
DOPAC2.6930.070
HVA7.856< 0.001
Urinary lead × rs6784267 locusVMA14.939< 0.001
5-HIAA0.1160.891
DOPAC2.2740.105
HVA7.031< 0.001
Blood sugar × rs6784267 locusVMA5.0380.007
5-HIAA2.2820.104
DOPAC0.7920.454
HVA1.9550.144
Urinary lead × blood sugar × rs6784267 locusVMA9.838< 0.001
5-HIAA0.8560.465
DOPAC1.9840.118
HVA4.7880.003


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