Quantitative Assessment of Serum Amino Acids and Association with Early-Onset Coronary Artery Disease

Chao Xuan,1 Hui Li,1 Qing-Wu Tian,1 Jun-Jie Guo,2 Guo-Wei He,3,4 Li-Min Lun,1 Qing Wang1 1Department of Clinical Laboratory, The Affiliated Hospital of Qingdao University, Qingdao, People’s Republic of China; 2Department of Cardiology, The Affiliated Hospital of Qingdao University, Qingdao...

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Autores principales: Xuan C, Li H, Tian QW, Guo JJ, He GW, Lun LM, Wang Q
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:3b41278862c343f19c985de9d53cdbd32021-12-02T18:23:04ZQuantitative Assessment of Serum Amino Acids and Association with Early-Onset Coronary Artery Disease1178-1998https://doaj.org/article/3b41278862c343f19c985de9d53cdbd32021-03-01T00:00:00Zhttps://www.dovepress.com/quantitative-assessment-of-serum-amino-acids-and-association-with-earl-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Chao Xuan,1 Hui Li,1 Qing-Wu Tian,1 Jun-Jie Guo,2 Guo-Wei He,3,4 Li-Min Lun,1 Qing Wang1 1Department of Clinical Laboratory, The Affiliated Hospital of Qingdao University, Qingdao, People’s Republic of China; 2Department of Cardiology, The Affiliated Hospital of Qingdao University, Qingdao, People’s Republic of China; 3Center for Basic Medical Research & Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, People’s Republic of China; 4Department of Surgery, Oregon Health and Science University, Portland, OR, USACorrespondence: Chao XuanDepartment of Clinical Laboratory, The Affiliated Hospital of Qingdao University, No. 1677, Wutai Mountain Road, Qingdao (West Coast), 266500, People’s Republic of ChinaTel +86-532-82919388Email bio-x.c@hotmail.comQing WangDepartment of Clinical Laboratory, The Affiliated Hospital of Qingdao University, No. 59, Haier Road, Qingdao, 266100, People’s Republic of ChinaTel +86-532-82913085Email wangqing0533@yeah.netBackground: Amino acids play essential roles in protein construction and metabolism. Our study aims to provide a profile of amino acid changes in the serum of patients with early-onset coronary artery disease (EOCAD) and identify potential disease biomarkers.Methods: Ultra-performance liquid chromatography-multiple reaction monitoring-multistage/mass spectrometry (UPLC-MRM-MS/MS) was used to determine the amino acid profile of patients with EOCAD in sample pools. In the validation stage, the serum levels of candidate amino acids of interest are determined for each sample.Results: A total of 128 EOCAD patients and 64 healthy controls were included in the study. Eight serum amino acids associated with disease state were identified. Compared with the control group, serum levels of seven amino acids (L-Arginine, L-Methionine, L-Tyrosine, L-Serine, L-Aspartic acid, L-Phenylalanine, and L-Glutamic acid) increased and one (4-Hydroxyproline) decreased in the patient group. Results from the validation stage demonstrate that serum levels of 4-Hydroxyproline were significantly lower in myocardial infarction (MI) patients (9.889 ± 3.635 μg/mL) than those in the controls (16.433 ± 4.562 μmol/L, p < 0.001). Elevated serum 4-Hydroxyproline levels were shown to be an independent protective factor for MI (OR = 0.863, 95% CI: 0.822– 0.901). The significant negative correlation was seen between serum 4-Hydroxyproline levels and cardiac troponin I (r = − 0.667) in MI patients.Conclusion: We have provided a serum amino acid profile for EOCAD patients and screened eight disease state-related amino acids, and we have also shown that 4-Hydroxyproline is a promising target for further biomarker studies in early-onset MI.Keywords: amino acid, coronary artery disease, myocardial infarction, 4-HydroxyprolineXuan CLi HTian QWGuo JJHe GWLun LMWang QDove Medical Pressarticleamino acidcoronary artery diseasemyocardial infarction4-hydroxyproline.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 16, Pp 465-474 (2021)
institution DOAJ
collection DOAJ
language EN
topic amino acid
coronary artery disease
myocardial infarction
4-hydroxyproline.
Geriatrics
RC952-954.6
spellingShingle amino acid
coronary artery disease
myocardial infarction
4-hydroxyproline.
Geriatrics
RC952-954.6
Xuan C
Li H
Tian QW
Guo JJ
He GW
Lun LM
Wang Q
Quantitative Assessment of Serum Amino Acids and Association with Early-Onset Coronary Artery Disease
description Chao Xuan,1 Hui Li,1 Qing-Wu Tian,1 Jun-Jie Guo,2 Guo-Wei He,3,4 Li-Min Lun,1 Qing Wang1 1Department of Clinical Laboratory, The Affiliated Hospital of Qingdao University, Qingdao, People’s Republic of China; 2Department of Cardiology, The Affiliated Hospital of Qingdao University, Qingdao, People’s Republic of China; 3Center for Basic Medical Research & Department of Cardiovascular Surgery, TEDA International Cardiovascular Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Tianjin, People’s Republic of China; 4Department of Surgery, Oregon Health and Science University, Portland, OR, USACorrespondence: Chao XuanDepartment of Clinical Laboratory, The Affiliated Hospital of Qingdao University, No. 1677, Wutai Mountain Road, Qingdao (West Coast), 266500, People’s Republic of ChinaTel +86-532-82919388Email bio-x.c@hotmail.comQing WangDepartment of Clinical Laboratory, The Affiliated Hospital of Qingdao University, No. 59, Haier Road, Qingdao, 266100, People’s Republic of ChinaTel +86-532-82913085Email wangqing0533@yeah.netBackground: Amino acids play essential roles in protein construction and metabolism. Our study aims to provide a profile of amino acid changes in the serum of patients with early-onset coronary artery disease (EOCAD) and identify potential disease biomarkers.Methods: Ultra-performance liquid chromatography-multiple reaction monitoring-multistage/mass spectrometry (UPLC-MRM-MS/MS) was used to determine the amino acid profile of patients with EOCAD in sample pools. In the validation stage, the serum levels of candidate amino acids of interest are determined for each sample.Results: A total of 128 EOCAD patients and 64 healthy controls were included in the study. Eight serum amino acids associated with disease state were identified. Compared with the control group, serum levels of seven amino acids (L-Arginine, L-Methionine, L-Tyrosine, L-Serine, L-Aspartic acid, L-Phenylalanine, and L-Glutamic acid) increased and one (4-Hydroxyproline) decreased in the patient group. Results from the validation stage demonstrate that serum levels of 4-Hydroxyproline were significantly lower in myocardial infarction (MI) patients (9.889 ± 3.635 μg/mL) than those in the controls (16.433 ± 4.562 μmol/L, p < 0.001). Elevated serum 4-Hydroxyproline levels were shown to be an independent protective factor for MI (OR = 0.863, 95% CI: 0.822– 0.901). The significant negative correlation was seen between serum 4-Hydroxyproline levels and cardiac troponin I (r = − 0.667) in MI patients.Conclusion: We have provided a serum amino acid profile for EOCAD patients and screened eight disease state-related amino acids, and we have also shown that 4-Hydroxyproline is a promising target for further biomarker studies in early-onset MI.Keywords: amino acid, coronary artery disease, myocardial infarction, 4-Hydroxyproline
format article
author Xuan C
Li H
Tian QW
Guo JJ
He GW
Lun LM
Wang Q
author_facet Xuan C
Li H
Tian QW
Guo JJ
He GW
Lun LM
Wang Q
author_sort Xuan C
title Quantitative Assessment of Serum Amino Acids and Association with Early-Onset Coronary Artery Disease
title_short Quantitative Assessment of Serum Amino Acids and Association with Early-Onset Coronary Artery Disease
title_full Quantitative Assessment of Serum Amino Acids and Association with Early-Onset Coronary Artery Disease
title_fullStr Quantitative Assessment of Serum Amino Acids and Association with Early-Onset Coronary Artery Disease
title_full_unstemmed Quantitative Assessment of Serum Amino Acids and Association with Early-Onset Coronary Artery Disease
title_sort quantitative assessment of serum amino acids and association with early-onset coronary artery disease
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/3b41278862c343f19c985de9d53cdbd3
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