循环中的代谢物可能说明酒精消费与心血管疾病的关系
Yi Li1, Mengyao Wang1, Xue Liu1
1Department of Biostatistics, School of Public Health, Boston University, Boston, MA, USA.
BMC medicine
|November 16, 2023
概括
长期饮酒会改变60种循环中的代谢物,影响心血管疾病 (CVD) 风险. 这些与酒精相关的代谢物揭示了与心血管疾病发展的复杂代谢联系.
科学领域:
- 代谢学 代谢学 代谢学
- 心血管流行病学心血管流行病学
- 营养生物化学 营养生物化学
背景情况:
- 慢性酒精摄入的代谢特征仍未得到充分研究.
- 了解酒精消费与心血管疾病 (CVD) 之间的分子联系至关重要.
研究的目的:
- 为了确定与长期饮酒相关的循环代谢物.
- 调查这些与酒精相关的代谢物与发生心血管疾病风险的关联.
主要方法:
- 在2428名弗雷明汉心脏研究参与者的19年累计平均酒精消费量分析.
- 线性混合模型用于评估酒精摄入量和211种血代谢物之间的关联.
- 考克斯模型用于评估酒精相关代谢物评分和发生心血管疾病事件之间的关系.
主要成果:
- 确定了60种与长期饮酒相关的代谢物 (p < 0.00024).
- 特定的代谢物,如胆固醇和酸丁胆,随着饮酒量增加,水平增加.
- 十种与酒精相关的代谢物与差异性心血管疾病风险有关,代谢物评分显示与发生心血管疾病有相反的关联 (HR 1.11与0.88).
结论:
- 60代谢物与长期的酒精消费有显著的关联.
- 这些发现表明,酒精消费与心血管疾病之间的关系存在复杂的代谢基础.
相关概念视频
Coronary Artery Disease IV: Preventive Measures
23
Effective preventive measures for coronary artery disease (CAD) focus on controlling modifiable risk factors, including cholesterol abnormalities and lifestyle changes.Cholesterol ManagementFirst, the Mediterranean diet and the American Heart Association advocate for maintaining low-density lipoprotein (LDL) cholesterol levels below 100 mg/dL, with a more stringent recommendation of below 70 mg/dL for individuals at high risk. LDL cholesterol, often termed "bad cholesterol," can lead to the...
23
Coronary Artery Disease I: Introduction
15
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
15
Aldehydes and Ketones with Alcohols: Hemiacetal Formation
6.3K
Similar to water, alcohols can add to the carbonyl carbon of the aldehydes and ketones. The addition of one molecule of alcohol to the carbonyl compound forms the hemiacetal or half acetal. As depicted below, in a hemiacetal, the carbon is directly linked to an OH and OR group.
6.3K
Overview of Lipid Metabolism
1.6K
Lipid metabolism is a crucial process in the human body that involves the synthesis and degradation of lipids. This process is essential for energy production, cell membrane formation, and hormone production, among other functions.
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
Lipolysis: The Breakdown of Lipids:
Lipolysis is the process of breaking down lipids, particularly triglycerides, into glycerol and fatty acids. This process typically occurs in the adipose tissue and is triggered by various hormones, including glucagon and...
1.6K
CNS Depressants: Alcohol and Nicotine
216
Ethanol, a clear colorless alcohol, has been consumed by humans for millennia, but its effects on the body are far from benign. At lower doses, it induces decreased inhibitions and loquaciousness, leading to its social appeal. However, it can cause severe consequences at higher doses, such as coma and respiratory depression, due to its zero-order elimination kinetics. Chronic ethanol abuse wreaks havoc on multiple organ systems, particularly the CNS and the liver. Abrupt cessation of ethanol...
216
Assessment of the Cardiovascular System I: Subjective Data
343
A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
343


