Plasma fluorescent oxidation products: independent predictors of coronary heart disease in men
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Updated: Jul 13, 2026

Coronary Progenitor Cells and Soluble Biomarkers in Cardiovascular Prognosis after Coronary Angioplasty
Published on: January 28, 2020
Tianying Wu1, Nader Rifai, Walter C Willett
1Department of Nutrition, Harvard School of Public Health, Boston, MA 02115, USA. hptwu@channing.harvard.edu
Insights
Plasma fluorescent oxidation products are stable and may predict future coronary heart disease (CHD). Higher levels indicated an increased risk of CHD events in men without prior cardiovascular disease.
Area of Science:
- Biochemistry
- Cardiovascular Medicine
- Epidemiology
Background:
- Plasma fluorescent oxidation products (FOPs) are stable biomarkers reflecting oxidative stress.
- Their predictive value for future coronary heart disease (CHD) has not been established.
Purpose of the Study:
- To investigate whether baseline plasma FOP levels predict incident CHD in men without pre-existing cardiovascular disease.
Main Methods:
- A nested case-control study design was employed within the Health Professionals Follow-up Study.
- Baseline plasma FOPs were measured in 266 men with incident CHD and matched controls over 6 years.
- Multivariate analyses controlled for traditional cardiovascular risk factors.
Main Results:
- A significant association was observed between higher plasma FOP levels and increased CHD risk (RR 1.83 for extreme quintiles).
- This association remained significant after adjusting for C-reactive protein and glycated hemoglobin A1c.
- The risk prediction was stronger in men who fasted for >10 hours (RR 3.36 for extreme quintiles).
Conclusions:
- Plasma FOPs are significant and independent predictors of future CHD incidence in men.
- FOPs may serve as a valuable biomarker for assessing cardiovascular risk.
Abstract:
Fluorescent oxidation products in plasma are stable with routine blood collection methods and reflect oxidation in food, animals, and in vitro. Whether plasma fluorescent oxidation products predict future coronary heart disease has not been established. Among US men without cardiovascular disease who provided blood specimens in 1994 in the Health Professionals Follow-up Study, the authors confirmed 266 incident nonfatal myocardial infarction or fatal coronary heart disease endpoints during 6 years of follow-up. Using a nested case-control design, they measured baseline levels of fluorescent oxidation products. Each case was matched with two controls according to age, smoking status, and time of blood draw. The relative risk of coronary heart disease between extreme quintiles was 1.83 (95% confidence interval: 1.07, 3.13; p for trend = 0.005) in the multivariate analysis controlling for other cardiovascular risk factors and traditional lipid markers. Further adjustment for C-reactive protein and glycated hemoglobin A(1c) did not materially attenuate this association. The multivariate-adjusted relative risk between extreme quintiles was 3.36 (95% confidence interval: 1.33, 8.48; p for trend = 0.005) when the analysis was restricted to men who had fasted for more than 10 hours before blood draw. The authors found that plasma fluorescent oxidation products significantly and independently predicted coronary heart disease incidence among men without previous cardiovascular events.
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