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Metabolites Associated With the Risk of Incident Venous Thromboembolism: A Metabolomic Analysis
Background Venous thromboembolism ( VTE ) is a complex thrombotic disorder that constitutes a major source of mortality and morbidity. To improve understanding of the cause of VTE , we conducted a metabolomic analysis in a case-control study including 240 incident VTE cases and 6963 controls nested...
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| Published in: | Journal of the American Heart Association 2018-11, Vol.7 (22), p.e010317 |
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| container_title | Journal of the American Heart Association |
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| creator | Jiang, Xia Zeleznik, Oana A Lindström, Sara Lasky-Su, Jessica Hagan, Kaitlin Clish, Clary B Eliassen, A Heather Kraft, Peter Kabrhel, Christopher |
| description | Background Venous thromboembolism ( VTE ) is a complex thrombotic disorder that constitutes a major source of mortality and morbidity. To improve understanding of the cause of VTE , we conducted a metabolomic analysis in a case-control study including 240 incident VTE cases and 6963 controls nested within 3 large prospective population-based cohorts, the Nurses' Health Study, the Nurses' Health Study II , and the Health Professionals Follow-Up Study. Methods and Results For each individual, we measured 211 metabolites and collected detailed information on lifestyle factors. We performed logistic regression and enrichment analysis to identify metabolites and biological categories associated with incident VTE risk, accounting for key confounders, such as age, sex, smoking, alcohol consumption, body mass index, and comorbid diseases (eg, cancers). We performed analyses of all VTEs and separate analyses of pulmonary embolism. Using the basic model controlling for age, sex, and primary disease, we identified 60 nominally significant VTE - or pulmonary embolism-associated metabolites ( P |
| doi_str_mv | 10.1161/JAHA.118.010317 |
| format | article |
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<0.05). However, after controlling for multiple testing, only 1 metabolite (C5 carnitine; odds ratio, 1.25; 95% confidence interval, 1.10-1.41; P
=0.03) remained significantly associated with VTE . After further adjustment for body mass index, no metabolites were significantly associated with disease after accounting for multiple testing, and no metabolite classes were enriched for nominally significant associations. Conclusions Although our findings suggest that circulating metabolites may influence the risk of incident VTE , the associations we observed were confounded by body mass index. Larger studies involving additional individuals and with broader metabolomics coverage are needed to confirm our findings.</description><identifier>ISSN: 2047-9980</identifier><identifier>EISSN: 2047-9980</identifier><identifier>DOI: 10.1161/JAHA.118.010317</identifier><identifier>PMID: 30571496</identifier><language>eng</language><publisher>England: John Wiley and Sons Inc</publisher><subject>Age Factors ; Alcohol Drinking - adverse effects ; Body Mass Index ; carnitine ; Carnitine - biosynthesis ; Case-Control Studies ; Diglycerides - blood ; Female ; Humans ; incidence ; lipids ; Logistic Models ; Male ; Medicin och hälsovetenskap ; metabolite ; metabolome ; Metabolomics ; Middle Aged ; Original Research ; pulmonary embolism ; Risk Factors ; Sex Factors ; Smoking - adverse effects ; Venous Thromboembolism - blood ; Venous Thromboembolism - etiology ; Venous Thromboembolism - metabolism</subject><ispartof>Journal of the American Heart Association, 2018-11, Vol.7 (22), p.e010317</ispartof><rights>2018 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c547t-fe6dff97fee78554527effca1f7e802e65a08cc23e61df901008e42ba6085bd33</citedby><cites>FETCH-LOGICAL-c547t-fe6dff97fee78554527effca1f7e802e65a08cc23e61df901008e42ba6085bd33</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404443/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6404443/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30571496$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttp://kipublications.ki.se/Default.aspx?queryparsed=id:139849228$$DView record from Swedish Publication Index$$Hfree_for_read</backlink></links><search><creatorcontrib>Jiang, Xia</creatorcontrib><creatorcontrib>Zeleznik, Oana A</creatorcontrib><creatorcontrib>Lindström, Sara</creatorcontrib><creatorcontrib>Lasky-Su, Jessica</creatorcontrib><creatorcontrib>Hagan, Kaitlin</creatorcontrib><creatorcontrib>Clish, Clary B</creatorcontrib><creatorcontrib>Eliassen, A Heather</creatorcontrib><creatorcontrib>Kraft, Peter</creatorcontrib><creatorcontrib>Kabrhel, Christopher</creatorcontrib><title>Metabolites Associated With the Risk of Incident Venous Thromboembolism: A Metabolomic Analysis</title><title>Journal of the American Heart Association</title><addtitle>J Am Heart Assoc</addtitle><description>Background Venous thromboembolism ( VTE ) is a complex thrombotic disorder that constitutes a major source of mortality and morbidity. To improve understanding of the cause of VTE , we conducted a metabolomic analysis in a case-control study including 240 incident VTE cases and 6963 controls nested within 3 large prospective population-based cohorts, the Nurses' Health Study, the Nurses' Health Study II , and the Health Professionals Follow-Up Study. Methods and Results For each individual, we measured 211 metabolites and collected detailed information on lifestyle factors. We performed logistic regression and enrichment analysis to identify metabolites and biological categories associated with incident VTE risk, accounting for key confounders, such as age, sex, smoking, alcohol consumption, body mass index, and comorbid diseases (eg, cancers). We performed analyses of all VTEs and separate analyses of pulmonary embolism. Using the basic model controlling for age, sex, and primary disease, we identified 60 nominally significant VTE - or pulmonary embolism-associated metabolites ( P<0.05). These metabolites were enriched for diacylglycerols ( P
<0.05). However, after controlling for multiple testing, only 1 metabolite (C5 carnitine; odds ratio, 1.25; 95% confidence interval, 1.10-1.41; P
=0.03) remained significantly associated with VTE . After further adjustment for body mass index, no metabolites were significantly associated with disease after accounting for multiple testing, and no metabolite classes were enriched for nominally significant associations. Conclusions Although our findings suggest that circulating metabolites may influence the risk of incident VTE , the associations we observed were confounded by body mass index. Larger studies involving additional individuals and with broader metabolomics coverage are needed to confirm our findings.</description><subject>Age Factors</subject><subject>Alcohol Drinking - adverse effects</subject><subject>Body Mass Index</subject><subject>carnitine</subject><subject>Carnitine - biosynthesis</subject><subject>Case-Control Studies</subject><subject>Diglycerides - blood</subject><subject>Female</subject><subject>Humans</subject><subject>incidence</subject><subject>lipids</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Medicin och hälsovetenskap</subject><subject>metabolite</subject><subject>metabolome</subject><subject>Metabolomics</subject><subject>Middle Aged</subject><subject>Original Research</subject><subject>pulmonary embolism</subject><subject>Risk Factors</subject><subject>Sex Factors</subject><subject>Smoking - adverse effects</subject><subject>Venous Thromboembolism - blood</subject><subject>Venous Thromboembolism - etiology</subject><subject>Venous Thromboembolism - metabolism</subject><issn>2047-9980</issn><issn>2047-9980</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp1ks1u1DAUhS0EolXpmh3yC6T1b2yzQIoqSge1qoQKLC3Hue64TeJRnIL69njItHQWeOOj63M-y9ZB6D0lJ5TW9PRrc9EUpU8IJZyqV-iQEaEqYzR5_UIfoOOc70hZNVNcmrfogBOpqDD1IbJXMLs29XGGjJuck49uhg7_jPMaz2vA32K-xyng1ehjB-OMf8CYHjK-WU9paBMM23AePuIG71BpiB43o-sfc8zv0Jvg-gzHu_0IfT__fHN2UV1ef1mdNZeVl0LNVYC6C8GoAKC0lEIyBSF4R4MCTRjU0hHtPeNQ0y6Y8mCiQbDW1UTLtuP8CK0Wbpfcnd1McXDTo00u2r-DNN1aN83R92AlbT01zAcuuQi0dU61goTCl6Lmri2samHl37B5aPdou9F9UWCF5kya4jf_9W-m1P0LPQUpN1oYxnTJflqyxTBA58sPT67fR-ydjHFtb9MvWwsihNg-_HQB-CnlPEF4zlJitzWx25oUpe1Sk5L48PLKZ_9TKfgfYle7sQ</recordid><startdate>20181120</startdate><enddate>20181120</enddate><creator>Jiang, Xia</creator><creator>Zeleznik, Oana A</creator><creator>Lindström, Sara</creator><creator>Lasky-Su, Jessica</creator><creator>Hagan, Kaitlin</creator><creator>Clish, Clary B</creator><creator>Eliassen, A Heather</creator><creator>Kraft, Peter</creator><creator>Kabrhel, Christopher</creator><general>John Wiley and Sons Inc</general><general>Wiley</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>5PM</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><scope>DOA</scope></search><sort><creationdate>20181120</creationdate><title>Metabolites Associated With the Risk of Incident Venous Thromboembolism: A Metabolomic Analysis</title><author>Jiang, Xia ; Zeleznik, Oana A ; Lindström, Sara ; Lasky-Su, Jessica ; Hagan, Kaitlin ; Clish, Clary B ; Eliassen, A Heather ; Kraft, Peter ; Kabrhel, Christopher</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c547t-fe6dff97fee78554527effca1f7e802e65a08cc23e61df901008e42ba6085bd33</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Age Factors</topic><topic>Alcohol Drinking - adverse effects</topic><topic>Body Mass Index</topic><topic>carnitine</topic><topic>Carnitine - biosynthesis</topic><topic>Case-Control Studies</topic><topic>Diglycerides - blood</topic><topic>Female</topic><topic>Humans</topic><topic>incidence</topic><topic>lipids</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Medicin och hälsovetenskap</topic><topic>metabolite</topic><topic>metabolome</topic><topic>Metabolomics</topic><topic>Middle Aged</topic><topic>Original Research</topic><topic>pulmonary embolism</topic><topic>Risk Factors</topic><topic>Sex Factors</topic><topic>Smoking - adverse effects</topic><topic>Venous Thromboembolism - blood</topic><topic>Venous Thromboembolism - etiology</topic><topic>Venous Thromboembolism - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jiang, Xia</creatorcontrib><creatorcontrib>Zeleznik, Oana A</creatorcontrib><creatorcontrib>Lindström, Sara</creatorcontrib><creatorcontrib>Lasky-Su, Jessica</creatorcontrib><creatorcontrib>Hagan, Kaitlin</creatorcontrib><creatorcontrib>Clish, Clary B</creatorcontrib><creatorcontrib>Eliassen, A Heather</creatorcontrib><creatorcontrib>Kraft, Peter</creatorcontrib><creatorcontrib>Kabrhel, Christopher</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Journal of the American Heart Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jiang, Xia</au><au>Zeleznik, Oana A</au><au>Lindström, Sara</au><au>Lasky-Su, Jessica</au><au>Hagan, Kaitlin</au><au>Clish, Clary B</au><au>Eliassen, A Heather</au><au>Kraft, Peter</au><au>Kabrhel, Christopher</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Metabolites Associated With the Risk of Incident Venous Thromboembolism: A Metabolomic Analysis</atitle><jtitle>Journal of the American Heart Association</jtitle><addtitle>J Am Heart Assoc</addtitle><date>2018-11-20</date><risdate>2018</risdate><volume>7</volume><issue>22</issue><spage>e010317</spage><pages>e010317-</pages><issn>2047-9980</issn><eissn>2047-9980</eissn><abstract>Background Venous thromboembolism ( VTE ) is a complex thrombotic disorder that constitutes a major source of mortality and morbidity. To improve understanding of the cause of VTE , we conducted a metabolomic analysis in a case-control study including 240 incident VTE cases and 6963 controls nested within 3 large prospective population-based cohorts, the Nurses' Health Study, the Nurses' Health Study II , and the Health Professionals Follow-Up Study. Methods and Results For each individual, we measured 211 metabolites and collected detailed information on lifestyle factors. We performed logistic regression and enrichment analysis to identify metabolites and biological categories associated with incident VTE risk, accounting for key confounders, such as age, sex, smoking, alcohol consumption, body mass index, and comorbid diseases (eg, cancers). We performed analyses of all VTEs and separate analyses of pulmonary embolism. Using the basic model controlling for age, sex, and primary disease, we identified 60 nominally significant VTE - or pulmonary embolism-associated metabolites ( P<0.05). These metabolites were enriched for diacylglycerols ( P
<0.05). However, after controlling for multiple testing, only 1 metabolite (C5 carnitine; odds ratio, 1.25; 95% confidence interval, 1.10-1.41; P
=0.03) remained significantly associated with VTE . After further adjustment for body mass index, no metabolites were significantly associated with disease after accounting for multiple testing, and no metabolite classes were enriched for nominally significant associations. Conclusions Although our findings suggest that circulating metabolites may influence the risk of incident VTE , the associations we observed were confounded by body mass index. Larger studies involving additional individuals and with broader metabolomics coverage are needed to confirm our findings.</abstract><cop>England</cop><pub>John Wiley and Sons Inc</pub><pmid>30571496</pmid><doi>10.1161/JAHA.118.010317</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Age Factors Alcohol Drinking - adverse effects Body Mass Index carnitine Carnitine - biosynthesis Case-Control Studies Diglycerides - blood Female Humans incidence lipids Logistic Models Male Medicin och hälsovetenskap metabolite metabolome Metabolomics Middle Aged Original Research pulmonary embolism Risk Factors Sex Factors Smoking - adverse effects Venous Thromboembolism - blood Venous Thromboembolism - etiology Venous Thromboembolism - metabolism |
| title | Metabolites Associated With the Risk of Incident Venous Thromboembolism: A Metabolomic Analysis |
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