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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2018
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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) |
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DOAJ |
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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 |
work_keys_str_mv |
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