Metabolomics of the tryptophan-kynurenine degradation pathway and risk of atrial fibrillation and heart failure: potential modification effect of Mediterranean diet

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2021-07-22

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Razquin, Cristina
Ruiz-Canela, Miguel
Toledo, Estefania
Hernandez-Alonso, Pablo
Clish, Clary B.
Guasch-Ferre, Marta
Li, Jun
Wittenbecher, Clemens
Dennis, Courtney
Alonso-Gomez, Angel

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Oxford univ press
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Background: The tryptophan-kynurenine pathway is linked to inflammation. We hypothesize that metabolites implicated in this pathway may be associated with the risk of heart failure (HF) or atrial fibrillation (AF) in a population at high risk of cardiovascular disease.Objectives: We aimed to prospectively analyze the associations of kynurenine-related metabolites with the risk of HF and AF and to analyze a potential effect modification by the randomized interventions of the PREDIMED (Prevencion con Dieta MediterrAnea) trial with Mediterranean diet (MedDiet).Methods: Two case-control studies nested within the PREDIMED trial were designed. We selected 324 incident HF cases and 502 incident AF cases individually matched with

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tryptophan, kynurenine, heart failure, atrial fibrillation, metabolomics, Mediterranean diet, case-control, PREDIMED, Cardiovascular-disease, Olive oil, Inflammation, Biomarkers, Predictors, Cancer, Adults

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