Evidence map›Paper›PMID 31092011›Full record

ArticleArteriosclerosis, thrombosis, and vascular biology2019

Metabolomic Pattern Predicts Incident Coronary Heart Disease.

Zhe Wang, Cong Zhu, Vijay Nambi, Alanna C Morrison, Aaron R Folsom, Christie M Ballantyne, Eric Boerwinkle, Bing Yu

Open access · bronzeAbstract read
In one paragraph

Article in Arteriosclerosis, thrombosis, and vascular biology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
3.6field-weighted citation impact, top 6% 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

61 citing papers in PubMed, 99 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Early changes in urineMetabolomics : Official journal of the Metabolomic Society · 2025
    Article
  11. Review
  12. Article
  13. Identification of potential biomarkers for coronary slow flow using untargeted metabolomics.Metabolomics : Official journal of the Metabolomic Society · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Metabolomics for the identification of biomarkers in endometriosis.Archives of gynecology and obstetrics · 2024
    Review
  18. Article
  19. Article
  20. Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Zhe WangFrom the Human Genetics Center, University of Texas Health Science Center at Houston (Z.W., C.Z., A.C.M., E.B., B.Y.).
Cong ZhuFrom the Human Genetics Center, University of Texas Health Science Center at Houston (Z.W., C.Z., A.C.M., E.B., B.Y.).
Vijay NambiMichael E. Debakey Veterans Affairs Hospital, Houston, TX (V.N.).
Alanna C MorrisonFrom the Human Genetics Center, University of Texas Health Science Center at Houston (Z.W., C.Z., A.C.M., E.B., B.Y.).
Aaron R FolsomDivision of Epidemiology and Community Health, University of Minnesota, Minneapolis (A.R.F.).
Christie M BallantyneDivision of Atherosclerosis and Vascular Medicine, Department of Medicine, Baylor College of Medicine, Houston, TX (V.N., C.M.B.).
Eric BoerwinkleFrom the Human Genetics Center, University of Texas Health Science Center at Houston (Z.W., C.Z., A.C.M., E.B., B.Y.).
Bing YuFrom the Human Genetics Center, University of Texas Health Science Center at Houston (Z.W., C.Z., A.C.M., E.B., B.Y.).
The University of Texas Health Science Center at Houston · USBaylor College of Medicine · USUniversity of Minnesota · US

Funding

GWA for Gene-Environment Interaction Effects Influencing CHDU01HG004402 · NHGRI · UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON · PI BOERWINKLE, ERIC A. · 2007 to 2009
$1.6M
American Heart Association-American Stroke Association 17SDG33661228NHGRI NIH HHS U01 HG004402NHLBI NIH HHS HHSN268201700001CNHLBI NIH HHS HHSN268201700001INHLBI NIH HHS HHSN268201700002CNHLBI NIH HHS HHSN268201700002INHLBI NIH HHS HHSN268201700003CNHLBI NIH HHS HHSN268201700003INHLBI NIH HHS HHSN268201700004CNHLBI NIH HHS HHSN268201700004INHLBI NIH HHS HHSN268201700005CNHLBI NIH HHS HHSN268201700005I
6 · The paper itself

Abstract

Objective- Alterations in the serum metabolome may be detectable in at-risk individuals before the onset of coronary heart disease (CHD). Identifying metabolomic signatures associated with CHD may provide insight into disease pathophysiology and prevention. Approach and Results- Metabolomic profiling (chromatography-mass spectrometry) was performed in 2232 African Americans and 1366 European Americans from the ARIC study (Atherosclerosis Risk in Communities). We applied Cox regression with least absolute shrinkage and selection operator to select metabolites associated with incident CHD. A metabolite risk score was constructed to evaluate whether the metabolite risk score predicted CHD risk beyond traditional risk factors. After 30 years of follow-up, we observed 633 incident CHD cases. Thirty-two metabolites were selected by least absolute shrinkage and selection operator to be associated with CHD, and 19 of the 32 showed significant individual associations with CHD, including a sugar substitute, erythritol. Theophylline (hazard ratio [95% CI] =1.16 [1.09-1.25]) and gamma-linolenic acid (hazard ratio [95% CI] =0.89 [0.81-0.97]) showed the greatest positive and negative associations with CHD, respectively. A 1 SD greater standardized metabolite risk score was associated with a 1.37-fold higher risk of CHD (hazard ratio [95% CI] =1.37 [1.27-1.47]). Adding the metabolite risk score to the traditional risk factors significantly improved model predictive performance (30-year risk prediction: Δ C statistics [95% CI] =0.016 [0.008-0.024], continuous net reclassification index [95% CI] =0.522 [0.480-0.556], integrated discrimination index [95% CI] =0.038 [0.019-0.065]). Conclusions- We identified 19 metabolites from known and novel metabolic pathways that collectively improved CHD risk prediction. Visual Overview- An online visual overview is available for this article.

Indexed as

MetabolomicsAtherosclerosisCoronary DiseaseFemaleHumansMaleMiddle AgedProportional Hazards ModelsProspective StudiesRisk Factorsbiomarkerscoronary diseasemetabolomerisk factors

Identifiers

PMID31092011
PMCPMC6839698
OpenAlexW2948432991

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.