RT Journal Article T1 Metabolomics of the tryptophan-kynurenine degradation pathway and risk of atrial fibrillation and heart failure: potential modification effect of Mediterranean diet A1 Razquin, Cristina A1 Ruiz-Canela, Miguel A1 Toledo, Estefania A1 Hernandez-Alonso, Pablo A1 Clish, Clary B. A1 Guasch-Ferre, Marta A1 Li, Jun A1 Wittenbecher, Clemens A1 Dennis, Courtney A1 Alonso-Gomez, Angel A1 Fito, Montse A1 Liang, Liming A1 Corella, Dolores A1 Gomez-Gracia, Enrique A1 Estruch, Ramon A1 Fiol, Miquel A1 Lapetra, Jose A1 Serra-Majem, Lluis A1 Ros, Emilio A1 Aros, Fernando A1 Salas-Salvado, Jordi A1 Hu, Frank B. A1 Martinez-Gonzalez, Miguel A. K1 tryptophan K1 kynurenine K1 heart failure K1 atrial fibrillation K1 metabolomics K1 Mediterranean diet K1 case-control K1 PREDIMED K1 Cardiovascular-disease K1 Olive oil K1 Inflammation K1 Biomarkers K1 Predictors K1 Cancer K1 Adults AB 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 PB Oxford univ press SN 0002-9165 YR 2021 FD 2021-07-22 LK https://hdl.handle.net/10668/26963 UL https://hdl.handle.net/10668/26963 LA en DS RISalud RD Apr 17, 2025