Articles producció científica> Bioquímica i Biotecnologia

Plasma Arginine/Asymmetric Dimethylarginine Ratio and Incidence of Cardiovascular Events: A Case-Cohort Study

  • Identification data

    Identifier: imarina:2863584
    Authors:
    Yu, EdwardRuiz-Canela, MiguelHu, Frank B.Clish, Clary B.Corella, DoloresSalas-Salvado, JordiHruby, AdelaFito, MontserratLiang, LimingToledo, EstefaniaRos, EmilioEstruch, RamonGomez-Gracia, EnriqueLapetra, JoseAros, FernandoRomaguera, DoraSerra-Majem, LluisGuasch-Ferre, MartaWang, Dong D.Martinez-Gonzalez, Miguel A.
    Abstract:
    Arginine, its methylated metabolites, and other metabolites related to the urea cycle have been independently associated with cardiovascular risk, but the potential causal meaning of these associations (positive for some metabolites and negative for others) remains elusive due to a lack of studies measuring metabolite changes over time.To examine the association between baseline and 1-year concentrations of urea cycle metabolites and cardiovascular disease (CVD) in a case-cohort setting.A case-cohort study was nested within the Prevención con Dieta Mediterránea trial. We used liquid chromatography-tandem mass spectrometry to assess metabolite levels at baseline and after 1-year follow-up. The primary CVD outcome was a composite of myocardial infarction, stroke and cardiovascular death. We used weighted Cox regression models (Barlow weights) to estimate multivariable-adjusted hazard ratios (HRs) and their 95% confidence intervals (CIs).Multicenter randomized trial in Spain.Participants were 984 participants accruing 231 events over 4.7 years' median follow-up.Incident CVD.Baseline arginine/asymmetric dimethylarginine ratio [HR per standard deviation (SD) = 0.80; 95% CI, 0.67 to 0.96] and global arginine availability [arginine / (ornithine + citrulline)] (HR per SD = 0.83; 95% CI, 0.69 to 1.00) were significantly associated with lower risk of CVD. We observed no significant association for 1-year changes in these ratios or any effect modification by the Mediterranean diet (MD) intervention.A higher baseline arginine/asymmetric dimethylarginine ratio was associated with lower CVD incidence in a high cardiovascular risk population. The intervention with the MD did not change 1-year levels of these metabolites.Copyright © 2017 Endocrine Society
  • Others:

    Author, as appears in the article.: Yu, Edward; Ruiz-Canela, Miguel; Hu, Frank B.; Clish, Clary B.; Corella, Dolores; Salas-Salvado, Jordi; Hruby, Adela; Fito, Montserrat; Liang, Liming; Toledo, Estefania; Ros, Emilio; Estruch, Ramon; Gomez-Gracia, Enrique; Lapetra, Jose; Aros, Fernando; Romaguera, Dora; Serra-Majem, Lluis; Guasch-Ferre, Marta; Wang, Dong D.; Martinez-Gonzalez, Miguel A.;
    Department: Bioquímica i Biotecnologia
    URV's Author/s: Salas Salvadó, Jorge
    Keywords: Risk-factors Randomized-trial Nitric-oxide synthase Metabolic syndrome Mediterranean-style diet L-arginine intake Endothelial dysfunction Coronary-heart-disease Clinical-trial Asymmetric dimethylarginine
    Abstract: Arginine, its methylated metabolites, and other metabolites related to the urea cycle have been independently associated with cardiovascular risk, but the potential causal meaning of these associations (positive for some metabolites and negative for others) remains elusive due to a lack of studies measuring metabolite changes over time.To examine the association between baseline and 1-year concentrations of urea cycle metabolites and cardiovascular disease (CVD) in a case-cohort setting.A case-cohort study was nested within the Prevención con Dieta Mediterránea trial. We used liquid chromatography-tandem mass spectrometry to assess metabolite levels at baseline and after 1-year follow-up. The primary CVD outcome was a composite of myocardial infarction, stroke and cardiovascular death. We used weighted Cox regression models (Barlow weights) to estimate multivariable-adjusted hazard ratios (HRs) and their 95% confidence intervals (CIs).Multicenter randomized trial in Spain.Participants were 984 participants accruing 231 events over 4.7 years' median follow-up.Incident CVD.Baseline arginine/asymmetric dimethylarginine ratio [HR per standard deviation (SD) = 0.80; 95% CI, 0.67 to 0.96] and global arginine availability [arginine / (ornithine + citrulline)] (HR per SD = 0.83; 95% CI, 0.69 to 1.00) were significantly associated with lower risk of CVD. We observed no significant association for 1-year changes in these ratios or any effect modification by the Mediterranean diet (MD) intervention.A higher baseline arginine/asymmetric dimethylarginine ratio was associated with lower CVD incidence in a high cardiovascular risk population. The intervention with the MD did not change 1-year levels of these metabolites.Copyright © 2017 Endocrine Society
    Thematic Areas: Sociología Saúde coletiva Odontología Nutrição Medicine (miscellaneous) Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Farmacia Engenharias ii Enfermagem Endocrinology, diabetes and metabolism Endocrinology & metabolism Endocrinology Educação física Clinical biochemistry Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Biotecnología Biochemistry (medical) Biochemistry
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 0021972X
    Author's mail: jordi.salas@urv.cat
    Author identifier: 0000-0003-2700-7459
    Record's date: 2024-09-07
    Papper version: info:eu-repo/semantics/acceptedVersion
    Link to the original source: https://academic.oup.com/jcem/article/102/6/1879/3060512?login=false
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Papper original source: Journal Of Clinical Endocrinology & Metabolism. 102 (6): 1879-1888
    APA: Yu, Edward; Ruiz-Canela, Miguel; Hu, Frank B.; Clish, Clary B.; Corella, Dolores; Salas-Salvado, Jordi; Hruby, Adela; Fito, Montserrat; Liang, Liming; (2017). Plasma Arginine/Asymmetric Dimethylarginine Ratio and Incidence of Cardiovascular Events: A Case-Cohort Study. Journal Of Clinical Endocrinology & Metabolism, 102(6), 1879-1888. DOI: 10.1210/jc.2016-3569
    Article's DOI: 10.1210/jc.2016-3569
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2017
    Publication Type: Journal Publications
  • Keywords:

    Biochemistry,Biochemistry (Medical),Clinical Biochemistry,Endocrinology,Endocrinology & Metabolism,Endocrinology, Diabetes and Metabolism,Medicine (Miscellaneous)
    Risk-factors
    Randomized-trial
    Nitric-oxide synthase
    Metabolic syndrome
    Mediterranean-style diet
    L-arginine intake
    Endothelial dysfunction
    Coronary-heart-disease
    Clinical-trial
    Asymmetric dimethylarginine
    Sociología
    Saúde coletiva
    Odontología
    Nutrição
    Medicine (miscellaneous)
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General medicine
    Farmacia
    Engenharias ii
    Enfermagem
    Endocrinology, diabetes and metabolism
    Endocrinology & metabolism
    Endocrinology
    Educação física
    Clinical biochemistry
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Biotecnología
    Biochemistry (medical)
    Biochemistry
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