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Plasma phospholipid concentration of cis-palmitoleic acid and risk of heart failure
Luc Djoussé1, Natalie L Weir, Naomi Q Hanson
1Division of Aging, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, MA 02120, USA. ldjousse@rics.bwh.harvard.edu
Insights
Higher levels of plasma cis-palmitoleic acid, a fatty acid, are linked to an increased risk of heart failure in men. This finding suggests a potential biomarker for cardiovascular disease risk.
Area of Science:
- Cardiovascular Science
- Nutritional Epidemiology
- Biomarker Discovery
Background:
- Plasma palmitoleic acid is associated with adverse metabolic and inflammatory markers.
- The link between plasma cis-palmitoleic acid and heart failure risk remains uninvestigated.
Purpose of the Study:
- To determine if plasma phospholipid cis-palmitoleic acid levels are associated with the risk of developing heart failure.
Main Methods:
- An ancillary study of the Physicians' Health Study utilized risk set sampling to match 788 cases of heart failure with controls.
- Plasma phospholipid fatty acids were quantified using gas chromatography.
- Multivariable conditional logistic regression analysis was employed to assess associations.
Main Results:
- A positive trend was observed between increasing quartiles of plasma cis-palmitoleic acid and heart failure risk (P for trend = 0.009).
- Each standard deviation increase in cis-palmitoleic acid was associated with a 17% higher odds of heart failure.
- Increased stearoyl-CoA desaturase activity was also linked to higher heart failure risk, while oleic and cis-vaccenic acids showed no association.
Conclusions:
- Plasma phospholipid cis-palmitoleic acid is positively associated with an increased risk of heart failure in male physicians.
- This fatty acid may serve as a potential biomarker for heart failure risk stratification.
Background:
Although plasma palmitoleic acid has been positively associated with blood pressure, inflammation, and insulin resistance, its association with heart failure has not been investigated. We assessed whether plasma phospholipid cis-palmitoleic acid was associated with heart failure risk.
Methods And Results:
This ancillary study of the Physicians' Health Study used a risk set sampling method to select 788 matched pairs. For each case of incident heart failure, we randomly selected a control among subjects that were free of heart failure and alive at the time of index case diagnosis and matched on age, year of birth, race, and time of blood collection. Plasma phospholipid fatty acids were measured using gas chromatography. Heart failure was ascertained using annual follow-up questionnaire and validated in a subsample. In a multivariable conditional logistic regression, odds ratios (95% CI) for heart failure were 1.0 (ref), 1.06 (0.75-1.48), 1.20 (0.85-1.68), and 1.58 (1.11-2.25) across consecutive quartiles of cis-palmitoleic acid (P for trend 0.009). Each SD increase in plasma cis-palmitoleic acid was associated with 17% higher odds of heart failure (95% CI: 2% to 33%) in a multivariable model. In a secondary analysis, each SD increase of log-stearoyl-coA desaturase activity (16:1n-7/16:0 ratio) was positively associated with the risk of heart failure (odds ratio: 1.14 [95% CI: 1.00 to 1.29]), whereas oleic acid and cis-vaccenic acid concentrations were not related to heart failure risk.
Conclusions:
Our data showed a positive association between plasma phospholipid cis- palmitoleic acid and heart failure risk in male physicians.
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