RT Journal Article T1 Clinical phenotype clustering in cardiovascular risk patients for the identification of responsive metabotypes after red wine polyphenol intake. A1 Vázquez-Fresno, Rosa A1 Llorach, Rafael A1 Perera, Alexandre A1 Mandal, Rupasri A1 Feliz, Miguel A1 Tinahones, Francisco J A1 Wishart, David S A1 Andres-Lacueva, Cristina K1 4-Hydroxyphenylacetate K1 Cardiovascular disease K1 Gut microbiota K1 Metabolic phenotype K1 Metabolomics K1 Metabotype K1 NMR K1 Wine polyphenols AB This study aims to evaluate the robustness of clinical and metabolic phenotyping through, for the first time, the identification of differential responsiveness to dietary strategies in the improvement of cardiometabolic risk conditions. Clinical phenotyping of 57 volunteers with cardiovascular risk factors was achieved using k-means cluster analysis based on 69 biochemical and anthropometric parameters. Cluster validation based on Dunn and Figure of Merit analysis for internal coherence and external homogeneity were employed. k-Means produced four clusters with particular clinical profiles. Differences on urine metabolomic profiles among clinical phenotypes were explored and validated by multivariate orthogonal signal correction partial least-squares discriminant analysis (OSC-PLS-DA) models. OSC-PLS-DA of (1)H-NMR data revealed that model comparing "obese and diabetic cluster" (OD-c) against "healthier cluster" (H-c) showed the best predictability and robustness in terms of explaining the pairwise differences between clusters. Considering these two clusters, distinct groups of metabolites were observed following an intervention with wine polyphenol intake (WPI; 733 equivalents of gallic acid/day) per 28days. Glucose was significantly linked to OD-c metabotype (P YR 2015 FD 2015-10-26 LK http://hdl.handle.net/10668/9837 UL http://hdl.handle.net/10668/9837 LA en DS RISalud RD Apr 8, 2025