Evidence map›Paper›PMID 27264226›Full record

ArticleAmerican heart journal2016

Asymmetric dimethylarginine, related arginine derivatives, and incident atrial fibrillation.

Renate B Schnabel, Renke Maas, Na Wang, Xiaoyan Yin, Martin G Larson, Daniel Levy, Patrick T Ellinor, Steven A Lubitz, David D McManus, Jared W Magnani and 5 more

Open access · greenAbstract read
In one paragraph

Article in American heart journal, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.9field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. SDMA as a marker and mediator in cerebrovascular disease.Clinical science (London, England : 1979) · 2024
    Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Arginine derivatives in atrial fibrillation progression phenotypes.Journal of molecular medicine (Berlin, Germany) · 2020
    Article
  8. Review
  9. Article
  10. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 9 institutions in 3 countries.

Renate B SchnabelNHLBI's and Boston University's Framingham Study, Framingham, MA; Department of General and Interventional Cardiology, University Heart Center Hamburg, DZHK (German Centre for Cardiovascular Research), Partner Site Hamburg/Kiel/Lübeck, Hamburg, Germany. Electronic address: r.schnabel@uke.de.
Renke MaasInstitute of Experimental and Clinical Pharmacology and Toxicology, Friedrich-Alexander-Universität Erlangen-Nürnberg, Erlangen, Germany.
Na WangData Coordinating Center, Boston University School of Public Health, Boston, MA.
Xiaoyan YinNHLBI's and Boston University's Framingham Study, Framingham, MA.
Martin G LarsonNHLBI's and Boston University's Framingham Study, Framingham, MA; Department of Biostatistics, Boston University School of Public Health, Boston, MA.
Daniel LevyNHLBI's and Boston University's Framingham Study, Framingham, MA; Evans Memorial Medicine Department, Boston University School of Medicine, Boston, MA; Population Sciences Branch, Division of Intramural Research, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD.
Patrick T EllinorCardiovascular Research Center, University of Massachusetts Medical School, Worcester, MA; Program in Medical Population Genetics, The Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA; Cardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Steven A LubitzProgram in Medical Population Genetics, The Broad Institute of Harvard and Massachusetts Institute of Technology, Cambridge, MA; Cardiology Division, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
David D McManusCardiology Division, Department of Medicine, University of Massachusetts Medical School, Worcester, MA.
Jared W MagnaniSections of Cardiology, Boston University School of Medicine, Boston, MA.
Dorothee AtzlerRadcliffe Department of Medicine, University of Oxford, Oxford, United Kingdom.
Rainer H BögerInstitute of Clinical Pharmacology and Toxicology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Cardiovascular Research Center, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Edzard SchwedhelmInstitute of Clinical Pharmacology and Toxicology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany; Cardiovascular Research Center, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Ramachandran S VasanNHLBI's and Boston University's Framingham Study, Framingham, MA; Evans Memorial Medicine Department, Boston University School of Medicine, Boston, MA; Sections of Cardiology, Boston University School of Medicine, Boston, MA; Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, MA; Preventive Medicine, Boston University School of Medicine, Boston, MA.
Emelia J BenjaminNHLBI's and Boston University's Framingham Study, Framingham, MA; Whitaker Cardiovascular Institute, Boston University School of Medicine, Boston, MA; Evans Memorial Medicine Department, Boston University School of Medicine, Boston, MA; Sections of Cardiology, Boston University School of Medicine, Boston, MA; Preventive Medicine, Boston University School of Medicine, Boston, MA; Epidemiology Department, Public Health School, Boston University, Boston, MA.
Boston University · USUniversität Hamburg · DEFramingham Heart Study · USFriedrich-Alexander-Universität Erlangen-Nürnberg · DEGerman Centre for Cardiovascular Research · DEHarvard University · USMassachusetts Institute of Technology · USUniversity of Massachusetts Chan Medical School · USUniversity of Oxford · GB

Funding

Framingham Project/LevyZIAHL006001 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI LEVY, DANIEL · 2009 to 2025
$51.1M
IDENTIFICATION OF COMMON GENETIC VARIANTS FOR ATRIAL FIBRILLATION AND PR INTERVALR01HL092577 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2009 to 2025
$20.6M
AFGen Consortium: Atrial Fibrillation Genomics to Functional AnalysesR01HL128914 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI BENJAMIN, EMELIA J., ELLINOR, PATRICK THOMAS · 2015 to 2018
$3.1M
Epidemiology of Precursors to Type 2 DiabetesK24DK080140 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MEIGS, JAMES B · 2007 to 2016
$1.9M
Mentoring in Arrhythmia ResearchK24HL105780 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS · 2011 to 2020
$1.2M
Risk prediction of atrial fibrillation: clinical, biological and genetic markersRC1HL101056 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI ALONSO, ALVARO, BENJAMIN, EMELIA J. · 2009 to 2010
$967k
Atrial Fibrillation: Bridging genetic discovery and clinical associationsK23HL114724 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI LUBITZ, STEVEN A · 2013 to 2017
$893k
The Genetic Basis of Atrial FibrillationK23HL071632 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI ELLINOR, PATRICK THOMAS · 2003 to 2007
$785k
ASYMPTOMATIC LEFT VENTRICULAR DYSFUNCTIONK24HL004334 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI RAMACHANDRAN, VASAN S · 2001 to 2008
$707k
Genetics of Oxidative Stress in Ventricular RemodelingR01HL071039 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · PI RAMACHANDRAN, VASAN S. · 2002 to 2003
$252k
THE FRAMINGHAM HEART STUDY-N01HC25195-268025195-268025195N01HC025195 · HC · TRUSTEES OF BOSTON UNIVERSITY · PI WOLF, PHILIP A · 2002 to 2006
–
NHLBI NIH HHS HHSN268201500001INHLBI NIH HHS K23 HL071632NHLBI NIH HHS K23 HL114724NHLBI NIH HHS K24 HL004334NHLBI NIH HHS K24 HL105780NHLBI NIH HHS L30 HL094094NHLBI NIH HHS N01 HC025195NHLBI NIH HHS R01 HL071039NHLBI NIH HHS R01 HL092577NHLBI NIH HHS R01 HL128914NHLBI NIH HHS RC1 HL101056NIDDK NIH HHS K24 DK080140
6 · The paper itself

Abstract

backgroundOxidative stress plays an important role in the development of atrial fibrillation (AF). Arginine derivatives including asymmetric dimethylarginine (ADMA) are central to nitric oxide metabolism and nitrosative stress. Whether blood concentrations of arginine derivatives are related to incidence of AF is uncertain. METHODS AND

resultsIn 3,310 individuals (mean age 58 ± 10 years, 54% women) from the community-based Framingham Study, we prospectively examined the relations of circulating levels of ADMA, l-arginine, symmetric dimethylarginine (SDMA), and the ratio of l-arginine/ADMA to incidence of AF using proportional hazards regression models. Over a median follow-up time of 10 years, 247 AF cases occurred. Using age- and sex-adjusted regression models, ADMA was associated with a hazard ratio of 1.15 per 1-SD increase in loge-biomarker concentration (95% CI 1.02-1.29, P = .02) for AF, which was no longer significant after further risk factor adjustment (hazard ratio 1.09, 95% CI 0.97-1.23, P = .15). Neither l-arginine nor SDMA was related to new-onset AF. A clinical model comprising clinical risk factors for AF (for age, sex, height, weight, systolic blood pressure, diastolic blood pressure, current smoking, diabetes, hypertension treatment, myocardial infarction, and heart failure; c statistic = 0.781; 95% CI 0.753-0.808) was not improved by the addition of ADMA (0.782; 95% CI 0.755-0.809).

conclusionsAsymmetric dimethylarginine and related arginine derivatives were not associated with incident AF in the community after accounting for other clinical risk factors and confounders. Its role in the pathogenesis of AF needs further refinement.

Indexed as

AgedArginineAtrial FibrillationBiomarkersCohort StudiesFemaleHumansIncidenceMaleMiddle AgedOxidative StressProportional Hazards ModelsReproducibility of ResultsStatistics as TopicArginineBiomarkersN,N-dimethylargininesymmetric dimethylarginine

Identifiers

PMID27264226
PMCPMC4899814
OpenAlexW2297609637

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.