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| Content Provider | Springer Nature : BioMed Central |
|---|---|
| Author | Gil-Redondo, Rubén Conde, Ricardo Bruzzone, Chiara Seco, Maria Luisa Bizkarguenaga, Maider González-Valle, Beatriz de Diego, Angela Laín, Ana Habisch, Hansjörg Haudum, Christoph Verheyen, Nicolas Obermayer-Pietsch, Barbara Margarita, Sara Pelusi, Serena Verde, Ignacio Oliveira, Nádia Sousa, Adriana Zabala-Letona, Amaia Santos-Martin, Aida Loizaga-Iriarte, Ana Unda-Urzaiz, Miguel Kazenwadel, Jasmin Berezhnoy, Georgy Geisler, Tobias Gawaz, Meinrad Cannet, Claire Schäfer, Hartmut Diercks, Tammo Trautwein, Christoph Carracedo, Arkaitz Madl, Tobias Valenti, Luca Spraul, Manfred Lu, Shelly C. Embade, Nieves Mato, José M. Millet, Oscar |
| Abstract | Background Metabolic syndrome (MetS) is a cluster of medical conditions and risk factors correlating with insulin resistance that increase the risk of developing cardiometabolic health problems. The specific criteria for diagnosing MetS vary among different medical organizations but are typically based on the evaluation of abdominal obesity, high blood pressure, hyperglycemia, and dyslipidemia. A unique, quantitative and independent estimation of the risk of MetS based only on quantitative biomarkers is highly desirable for the comparison between patients and to study the individual progression of the disease in a quantitative manner. Methods We used NMR-based metabolomics on a large cohort of donors (n = 21,323; 37.5% female) to investigate the diagnostic value of serum or serum combined with urine to estimate the MetS risk. Specifically, we have determined 41 circulating metabolites and 112 lipoprotein classes and subclasses in serum samples and this information has been integrated with metabolic profiles extracted from urine samples. Results We have developed MetSCORE, a metabolic model of MetS that combines serum lipoprotein and metabolite information. MetSCORE discriminate patients with MetS (independently identified using the WHO criterium) from general population, with an AUROC of 0.94 (95% CI 0.920–0.952, p < 0.001). MetSCORE is also able to discriminate the intermediate phenotypes, identifying the early risk of MetS in a quantitative way and ranking individuals according to their risk of undergoing MetS (for general population) or according to the severity of the syndrome (for MetS patients). Conclusions We believe that MetSCORE may be an insightful tool for early intervention and lifestyle modifications, potentially preventing the aggravation of metabolic syndrome. |
| Related Links | https://cardiab.biomedcentral.com/counter/pdf/10.1186/s12933-024-02363-3.pdf |
| Ending Page | 13 |
| Page Count | 13 |
| Starting Page | 1 |
| File Format | HTM / HTML |
| ISSN | 14752840 |
| DOI | 10.1186/s12933-024-02363-3 |
| Journal | Cardiovascular Diabetology |
| Issue Number | 1 |
| Volume Number | 23 |
| Language | English |
| Publisher | BioMed Central |
| Publisher Date | 2024-07-24 |
| Access Restriction | Open |
| Subject Keyword | Diabetes Angiology Cardiology Metabolic syndrome Lipoproteins Obesity Dyslipidemia Hypertension NMR spectroscopy Precision medicine |
| Content Type | Text |
| Resource Type | Article |
| Subject | Cardiology and Cardiovascular Medicine Internal Medicine Endocrinology, Diabetes and Metabolism |
| Journal Impact Factor | 8.5/2023 |
| 5-Year Journal Impact Factor | 8.9/2023 |
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