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Updated: Jun 10, 2026

Isolation, Characterization, and Proteomic Analysis of Plasma-Derived Extracellular Vesicles for Cardiovascular Biomarker Discovery
Published on: January 31, 2025
Plasma metabolomics reveals biomarkers of the atherosclerosis
Xi Chen1, Lian Liu, Gustavo Palacios
1Institute of Medicinal Plant Development, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing, P. R. China.
Insights
This study identifies altered fatty acid metabolism, particularly palmitate, as a key indicator for diagnosing atherosclerosis. These findings offer potential new biomarkers for early clinical detection of cardiovascular disease.
Area of Science:
- Biochemistry
- Cardiovascular Medicine
- Metabolomics
Background:
- Atherosclerotic cardiovascular disease is a major cause of death globally.
- Current clinical diagnosis of atherosclerosis is limited by a lack of reliable metabolite biomarkers.
- Identifying specific metabolic signatures could improve early detection and management.
Purpose of the Study:
- To investigate plasma metabolome differences between atherosclerosis patients and healthy individuals.
- To identify potential metabolite biomarkers for atherosclerosis diagnosis.
- To confirm the role of specific fatty acids, like palmitate, in atherosclerosis pathogenesis.
Main Methods:
- Plasma samples were collected from 16 stable atherosclerosis patients and 28 healthy controls.
- Gas chromatography-mass spectrometry (GC/MS) based metabolomics analysis was performed.
- Advanced pattern recognition techniques, including PCA, OPLS-DA, and HCA, were employed for data analysis.
Main Results:
- Significant differences in plasma metabolome were observed between atherosclerotic and non-atherosclerotic subjects.
- Fatty acid metabolism, including palmitate, stearate, and 1-monolinoleoylglycerol, was notably perturbed in atherosclerosis patients.
- Palmitate was identified as a significant contributor to atherosclerosis, impacting apoptosis and inflammation pathways.
Conclusions:
- Atherosclerosis development directly alters fatty acid metabolism.
- Palmitate is a promising phenotypic biomarker for the clinical diagnosis of atherosclerosis.
- These findings pave the way for improved diagnostic strategies for cardiovascular disease.
Abstract:
Atherosclerotic cardiovascular disease remains the leading cause of morbidity and mortality in industrialized societies. The lack of metabolite biomarkers has impeded the clinical diagnosis of atherosclerosis so far. In this study, stable atherosclerosis patients (n=16) and age- and sex-matched non-atherosclerosis healthy subjects (n=28) were recruited from the local community (Harbin, P. R. China). The plasma was collected from each study subject and was subjected to metabolomics analysis by GC/MS. Pattern recognition analyses (principal components analysis, orthogonal partial least-squares discriminate analysis, and hierarchical clustering analysis) commonly demonstrated plasma metabolome, which was significantly different from atherosclerotic and non-atherosclerotic subjects. The development of atherosclerosis-induced metabolic perturbations of fatty acids, such as palmitate, stearate, and 1-monolinoleoylglycerol, was confirmed consistent with previous publication, showing that palmitate significantly contributes to atherosclerosis development via targeting apoptosis and inflammation pathways. Altogether, this study demonstrated that the development of atherosclerosis directly perturbed fatty acid metabolism, especially that of palmitate, which was confirmed as a phenotypic biomarker for clinical diagnosis of atherosclerosis.
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