Ceramide Remodeling and Risk of Cardiovascular Events and Mortality

BackgroundRecent studies suggest that circulating concentrations of specific ceramide species may be associated with coronary risk and mortality. We sought to determine the relations between the most abundant plasma ceramide species of differing acyl chain lengths and the risk of coronary heart dise...

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Autores principales: Linda R. Peterson, Vanessa Xanthakis, Meredith S. Duncan, Stefan Gross, Nele Friedrich, Henry Völzke, Stephan B. Felix, Hui Jiang, Rohini Sidhu, Matthias Nauck, Xuntian Jiang, Daniel S. Ory, Marcus Dörr, Ramachandran S. Vasan, Jean E. Schaffer
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Publicado: Wiley 2018
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spelling oai:doaj.org-article:d01b8de6f1be44618c9fb0f3db3e2e1c2021-11-12T17:01:54ZCeramide Remodeling and Risk of Cardiovascular Events and Mortality10.1161/JAHA.117.0079312047-9980https://doaj.org/article/d01b8de6f1be44618c9fb0f3db3e2e1c2018-05-01T00:00:00Zhttps://www.ahajournals.org/doi/10.1161/JAHA.117.007931https://doaj.org/toc/2047-9980BackgroundRecent studies suggest that circulating concentrations of specific ceramide species may be associated with coronary risk and mortality. We sought to determine the relations between the most abundant plasma ceramide species of differing acyl chain lengths and the risk of coronary heart disease (CHD) and mortality in community‐based samples. Methods and ResultsWe developed a liquid chromatography/mass spectrometry assay to quantify plasma C24:0, C22:0, and C16:0 ceramides and ratios of these very–long‐chain/long‐chain ceramides in 2642 FHS (Framingham Heart Study) participants and in 3134 SHIP (Study of Health in Pomerania) participants. Over a mean follow‐up of 6 years in FHS, there were 88 CHD and 90 heart failure (HF) events and 239 deaths. Over a median follow‐up time in SHIP of 5.75 years for CHD and HF and 8.24 years for mortality, there were 209 CHD and 146 HF events and 377 deaths. In meta‐analysis of the 2 cohorts and adjusting for standard CHD risk factors, C24:0/C16:0 ceramide ratios were inversely associated with incident CHD (hazard ratio per average SD increment, 0.79; 95% confidence interval, 0.71–0.89; P<0.0001) and inversely associated with incident HF (hazard ratio, 0.78; 95% confidence interval, 0.61–1.00; P=0.046). Moreover, the C24:0/C16:0 and C22:0/C16:0 ceramide ratios were inversely associated with all‐cause mortality (C24:0/C16:0: hazard ratio, 0.60; 95% confidence interval, 0.56–0.65; P<0.0001; C22:0/C16:0: hazard ratio, 0.65; 95% confidence interval, 0.60–0.70; P<0.0001). ConclusionsThe ratio of C24:0/C16:0 ceramides in blood may be a valuable new biomarker of CHD risk, HF risk, and all‐cause mortality in the community.Linda R. PetersonVanessa XanthakisMeredith S. DuncanStefan GrossNele FriedrichHenry VölzkeStephan B. FelixHui JiangRohini SidhuMatthias NauckXuntian JiangDaniel S. OryMarcus DörrRamachandran S. VasanJean E. SchafferWileyarticlecardiovascular disease risk factorsceramidesmortalityDiseases of the circulatory (Cardiovascular) systemRC666-701ENJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, Vol 7, Iss 10 (2018)
institution DOAJ
collection DOAJ
language EN
topic cardiovascular disease risk factors
ceramides
mortality
Diseases of the circulatory (Cardiovascular) system
RC666-701
spellingShingle cardiovascular disease risk factors
ceramides
mortality
Diseases of the circulatory (Cardiovascular) system
RC666-701
Linda R. Peterson
Vanessa Xanthakis
Meredith S. Duncan
Stefan Gross
Nele Friedrich
Henry Völzke
Stephan B. Felix
Hui Jiang
Rohini Sidhu
Matthias Nauck
Xuntian Jiang
Daniel S. Ory
Marcus Dörr
Ramachandran S. Vasan
Jean E. Schaffer
Ceramide Remodeling and Risk of Cardiovascular Events and Mortality
description BackgroundRecent studies suggest that circulating concentrations of specific ceramide species may be associated with coronary risk and mortality. We sought to determine the relations between the most abundant plasma ceramide species of differing acyl chain lengths and the risk of coronary heart disease (CHD) and mortality in community‐based samples. Methods and ResultsWe developed a liquid chromatography/mass spectrometry assay to quantify plasma C24:0, C22:0, and C16:0 ceramides and ratios of these very–long‐chain/long‐chain ceramides in 2642 FHS (Framingham Heart Study) participants and in 3134 SHIP (Study of Health in Pomerania) participants. Over a mean follow‐up of 6 years in FHS, there were 88 CHD and 90 heart failure (HF) events and 239 deaths. Over a median follow‐up time in SHIP of 5.75 years for CHD and HF and 8.24 years for mortality, there were 209 CHD and 146 HF events and 377 deaths. In meta‐analysis of the 2 cohorts and adjusting for standard CHD risk factors, C24:0/C16:0 ceramide ratios were inversely associated with incident CHD (hazard ratio per average SD increment, 0.79; 95% confidence interval, 0.71–0.89; P<0.0001) and inversely associated with incident HF (hazard ratio, 0.78; 95% confidence interval, 0.61–1.00; P=0.046). Moreover, the C24:0/C16:0 and C22:0/C16:0 ceramide ratios were inversely associated with all‐cause mortality (C24:0/C16:0: hazard ratio, 0.60; 95% confidence interval, 0.56–0.65; P<0.0001; C22:0/C16:0: hazard ratio, 0.65; 95% confidence interval, 0.60–0.70; P<0.0001). ConclusionsThe ratio of C24:0/C16:0 ceramides in blood may be a valuable new biomarker of CHD risk, HF risk, and all‐cause mortality in the community.
format article
author Linda R. Peterson
Vanessa Xanthakis
Meredith S. Duncan
Stefan Gross
Nele Friedrich
Henry Völzke
Stephan B. Felix
Hui Jiang
Rohini Sidhu
Matthias Nauck
Xuntian Jiang
Daniel S. Ory
Marcus Dörr
Ramachandran S. Vasan
Jean E. Schaffer
author_facet Linda R. Peterson
Vanessa Xanthakis
Meredith S. Duncan
Stefan Gross
Nele Friedrich
Henry Völzke
Stephan B. Felix
Hui Jiang
Rohini Sidhu
Matthias Nauck
Xuntian Jiang
Daniel S. Ory
Marcus Dörr
Ramachandran S. Vasan
Jean E. Schaffer
author_sort Linda R. Peterson
title Ceramide Remodeling and Risk of Cardiovascular Events and Mortality
title_short Ceramide Remodeling and Risk of Cardiovascular Events and Mortality
title_full Ceramide Remodeling and Risk of Cardiovascular Events and Mortality
title_fullStr Ceramide Remodeling and Risk of Cardiovascular Events and Mortality
title_full_unstemmed Ceramide Remodeling and Risk of Cardiovascular Events and Mortality
title_sort ceramide remodeling and risk of cardiovascular events and mortality
publisher Wiley
publishDate 2018
url https://doaj.org/article/d01b8de6f1be44618c9fb0f3db3e2e1c
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