Obesity

Comprehensive transcriptomics and metabolomics analyses reveal that hyperhomocysteinemia is a high risk factor for coronary artery disease in a chinese obese population aged 40–65: a prospective cross-sectional study

Cardiovasc DiabetolPublished Cross-sectional study

Main finding · Metabolic phenotypesResult — go to the resultHazard ratio 1.7 95% CI 1.2–2.6

Authors' conclusion

This is the first study to propose that obesity with hyperhomocysteinemia is a useful intermediate metabolism phenotype that could be used to identify obese patients at high risk for developing CAD.

Study context

Population
Obese patients with and without coronary artery disease (CAD) and non-CAD lean controls who consecutively underwent coronary angiography (discovery cohort), plus validation cohortsdiscovery cohort
Participants
62 patients
Exposure
CAD obese vs Non-CAD obese vs Non-CAD leans
Outcome
Intermediate metabolism phenotypes among obese patients with and without CAD
Methodological detailsprospective, transcriptomics and metabolomics, discovery and validation cohorts, consecutive enrolment
  • Prospective
  • Transcriptomics and metabolomics
  • Discovery and validation cohorts
  • Consecutive enrolment

Main finding

Metabolic phenotypes

Hazard ratio

1.7

95% CI 1.2–2.6

Hcy
HR 1.7 (95% CI 1.2–2.6)

As reported in the abstract

AUC, Hcy metabolomic (HCY-Mtb) index
0.819
AUC, HCY-Mtb index plus clinical variables
0.877

Observational data: associations, not effects.

Original publication

Comprehensive transcriptomics and metabolomics analyses reveal that hyperhomocysteinemia is a high risk factor for coronary artery disease in a chinese obese population aged 40–65: a prospective cross-sectional study. Cardiovasc Diabetol. Published 24 August 2023. doi:10.1186/s12933-023-01942-0

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