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Circulating choline pathway nutrients and risk of moyamoya disease
Peicong Ge1,2,3,4,5, Yaobo Zhao1,2, Yuanren Zhai1,2,3,4,5
1Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Background:
Circulating choline pathway nutrients play a critical role in first stroke and recurrent stroke. However, there is limited information available on the effects of choline pathway nutrients on the risk of moyamoya disease (MMD) and its subtypes. We investigated the association between circulating choline and betaine and the incident risk of MMD and its subtypes.
Methods:
The case-control study enrolled 385 patients with MMD [i.e., 110 transient ischemic attack (TIA)-type MMD, 157 infarction-type MMD, and 118 hemorrhagic-type MMD] and 89 matched healthy controls.
Results:
Serum choline and betaine were inversely related to the risk of MMD and its subtypes. The risk of MMD was decreased with each increment in choline level [per 1 μmol increase: odds ratio (OR), 0.756; 95% CI, 0.678-0.843] and betaine level (per 1 μmol increase: OR, 0.952; 95% CI, 0.932-0.972), respectively. When choline and betaine were assessed as quartiles, compared with the lowest quartile of serum choline and betaine levels, those in the highest quartile had a significantly decreased risk of MMD (choline, Q4 vs. Q1: OR, 0.023; 95% CI, 0.005-0.118; betaine, Q4 vs. Q1: OR, 0.058; 95% CI, 0.018-0.184).
Conclusions:
Serum choline and betaine were associated with the decreased risk of MMD and its subtypes.
Insights
Higher levels of circulating choline and betaine are linked to a reduced risk of moyamoya disease (MMD) and its subtypes. This suggests a potential protective role for these nutrients in MMD development.
Area of Science:
- Neurology
- Nutritional Science
- Epidemiology
Background:
- Choline pathway nutrients are crucial for stroke prevention.
- Limited data exists on the impact of choline and betaine on moyamoya disease (MMD) risk.
- MMD is a rare cerebrovascular disorder affecting major arteries at the base of the brain.
Purpose of the Study:
- To investigate the association between serum choline and betaine levels and the incident risk of moyamoya disease (MMD).
- To examine the relationship between these nutrients and MMD subtypes, including transient ischemic attack (TIA)-type, infarction-type, and hemorrhagic-type MMD.
Main Methods:
- A case-control study was conducted.
- Included 385 MMD patients (110 TIA-type, 157 infarction-type, 118 hemorrhagic-type) and 89 matched healthy controls.
- Serum levels of choline and betaine were measured and analyzed for association with MMD risk.
Main Results:
- Serum choline and betaine showed an inverse relationship with MMD risk.
- Increased choline and betaine levels were associated with decreased odds of MMD.
- The highest quartiles of choline and betaine significantly reduced MMD risk compared to the lowest quartiles.
Conclusions:
- Serum choline and betaine are associated with a reduced risk of moyamoya disease.
- These findings highlight a potential neuroprotective role for choline and betaine in MMD.
- Further research may explore therapeutic interventions targeting choline metabolism for MMD prevention.
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