Evidence map›Paper›PMID 31722714›Full record

ArticleCardiovascular diabetology2019

Lysine pathway metabolites and the risk of type 2 diabetes and cardiovascular disease in the PREDIMED study: results from two case-cohort studies.

Cristina Razquin, Miguel Ruiz-Canela, Clary B Clish, Jun Li, Estefania Toledo, Courtney Dennis, Liming Liang, Albert Salas-Huetos, Kerry A Pierce, Marta Guasch-Ferré and 12 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Cardiovascular diabetology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 39 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
39citing papers in PubMed, 2 pooled it
1.9field-weighted citation impact, top 14% 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

39 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  9. Hepatic CBP/p300 Orchestrate Amino Acid-Driven Gluconeogenesis through Histone Crotonylation.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2025
    Article
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  12. Recent advances in precision nutrition and cardiometabolic diseases.Revista espanola de cardiologia (English ed.) · 2025
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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

22 authors at 11 institutions in 2 countries.

Cristina RazquinDepartment of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain.
Miguel Ruiz-CanelaDepartment of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain.
Clary B ClishBroad Institute of MIT and Harvard University, Cambridge, USA.
Jun LiDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Spain.
Estefania ToledoDepartment of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain.
Courtney DennisBroad Institute of MIT and Harvard University, Cambridge, USA.
Liming LiangDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, USA.
Albert Salas-HuetosCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
Kerry A PierceBroad Institute of MIT and Harvard University, Cambridge, USA.
Marta Guasch-FerréDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Spain.
Dolores CorellaCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
Emilio RosLipid Clinic, Department of Endocrinology and Nutrition, Institut d'Investigacions Biomediques August Pi Sunyer (IDI- BAPS), Hospital Clinic, University of Barcelona, Barcelona, Spain.
Ramon EstruchCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
Enrique Gómez-GraciaDepartment of Preventive Medicine, University of Malaga, Malaga, Spain.
Montse FitóCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
Jose LapetraCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
Dora RomagueraCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
Angel Alonso-GómezDepartment of Cardiology, University Hospital of Alava, Vitoria, Spain.
Lluis Serra-MajemCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
Jordi Salas-SalvadóCIBER Fisiopatología de la Obesidad y Nutrición (CIBERObn), Instituto de Salud Carlos III, Madrid, Spain.
Frank B HuDepartment of Nutrition, Harvard T.H. Chan School of Public Health, Boston, Spain.
Miguel A Martínez-GonzálezDepartment of Preventive Medicine and Public Health, University of Navarra, Pamplona, Spain. mamartinez@unav.es.
Spanish Biomedical Research Centre in Physiopathology of Obesity and Nutrition · ESBroad Institute · USHarvard University · USInstituto de Salud Carlos III · ESConsorci Institut D'Investigacions Biomediques August Pi I Sunyer · ESHospital Universitario Araba · ESInstitut d'Investigació Sanitària Pere Virgili · ESUniversidad de Las Palmas de Gran Canaria · ESUniversidad de Málaga · ESUniversidad de Navarra · ESUniversitat de Barcelona · ES

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI MARTIN TORRIANI · 1994 to 2026
$31.6M
Mediterranean diet, Metabolites, and Cardiovascular DiseaseR01HL118264 · NHLBI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI HU, FRANK B, LAMUELA-RAVENTÓS, ROSA · 2013 to 2025
$6.8M
Dietary Interventions, Metabolites, and Risk of Type 2 DiabetesR01DK102896 · NIDDK · HARVARD SCHOOL OF PUBLIC HEALTH · PI HU, FRANK B, MARTINEZ GONZALEZ, MIGUEL A. · 2014 to 2017
$1.9M
Chronic Inflammation and Type 2 Diabetes: A Multi-omics ApproachK99DK122128 · NIDDK · HARVARD SCHOOL OF PUBLIC HEALTH · PI LI, JUN · 2019 to 2021
$249k
NHLBI NIH HHS R01 HL118264NIDDK NIH HHS K99 DK122128NIDDK NIH HHS P30 DK040561NIDDK NIH HHS R01 DK102896
6 · The paper itself

Abstract

backgroundThe pandemic of cardiovascular disease (CVD) and type 2 diabetes (T2D) requires the identification of new predictor biomarkers. Biomarkers potentially modifiable with lifestyle changes deserve a special interest. Our aims were to analyze: (a) The associations of lysine, 2-aminoadipic acid (2-AAA) or pipecolic acid with the risk of T2D or CVD in the PREDIMED trial; (b) the effect of the dietary intervention on 1-year changes in these metabolites, and (c) whether the Mediterranean diet (MedDiet) interventions can modify the effects of these metabolites on CVD or T2D risk.

methodsTwo unstratified case-cohort studies nested within the PREDIMED trial were used. For CVD analyses, we selected 696 non-cases and 221 incident CVD cases; for T2D, we included 610 non-cases and 243 type 2 diabetes incident cases. Metabolites were quantified using liquid chromatography-tandem mass spectrometry, at baseline and after 1-year of intervention.

resultsIn weighted Cox regression models, we found that baseline lysine (HR

conclusionsOur results provide an independent prospective replication of the association of 2-AAA with future risk of T2D. We show an association of lysine with subsequent CVD risk, which is apparently diabetes-dependent. No evidence of effects of MedDiet intervention on lysine, 2-AAA or pipecolic acid changes was found. Trial registration ISRCTN35739639; registration date: 05/10/2005; recruitment start date 01/10/2003.

Indexed as

2-Aminoadipic AcidAgedAged, 80 and overBiomarkersCardiovascular DiseasesDiabetes Mellitus, Type 2Diet, MediterraneanFemaleHumansIncidenceLysineMaleMiddle AgedPipecolic AcidsPrimary PreventionProspective Studies2-Aminoadipic AcidBiomarkersLysinepipecolic acidPipecolic AcidsBiomarkersCardiovascular diseaseDietary interventionMetabolitesType 2 diabetes

Identifiers

PMID31722714
PMCPMC6852717
OpenAlexW2986534663

What OpenQuestion holds

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LicenceCC BY
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.