Evidence map›Paper›PMID 38812081›Full record

ArticleESC heart failure2024

Adverse plasma branched-chain amino acid profile mirrors fatty muscle degeneration in diabetic heart failure patients.

Hidemichi Kouzu, Toshiyuki Yano, Satoshi Katano, Wataru Kawaharata, Keishi Ogura, Ryo Numazawa, Ryohei Nagaoka, Katsuhiko Ohori, Ryo Nishikawa, Wataru Ohwada and 3 more

Abstract read
In one paragraph

Article in ESC heart failure, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

13 authors.

Hidemichi KouzuDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.ORCID 0000-0001-7815-1464
Toshiyuki YanoDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.ORCID 0000-0001-9655-3985
Satoshi KatanoDivision of Rehabilitation, Sapporo Medical University Hospital, Sapporo, Japan.ORCID 0000-0002-2562-1685
Wataru KawaharataDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.
Keishi OguraDivision of Radiology and Nuclear Medicine, Sapporo Medical University Hospital, Sapporo, Japan.
Ryo NumazawaDivision of Rehabilitation, Sapporo Medical University Hospital, Sapporo, Japan.ORCID 0009-0002-7238-1589
Ryohei NagaokaDivision of Rehabilitation, Sapporo Medical University Hospital, Sapporo, Japan.ORCID 0009-0002-0740-8677
Katsuhiko OhoriDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.
Ryo NishikawaDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.
Wataru OhwadaDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.
Takefumi FujitoDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.
Nobutaka NaganoDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.
Masato FuruhashiDepartment of Cardiovascular, Renal and Metabolic Medicine, Sapporo Medical University School of Medicine, Sapporo, Japan.ORCID 0000-0002-0145-3541

Funding

Japan Society for the Promotion of Science 23K07481MSD Life Science Foundation, Public Interest Incorporated Foundation
6 · The paper itself

Abstract

aimsElevated plasma branched-chain amino acids (BCAAs) are tightly linked to incident diabetes and its complications, while lower BCAAs are associated with adverse outcomes in the elderly and heart failure (HF) patients. The interplay between body compositions and plasma BCAAs, especially under the influence of co-morbid diabetes in HF patients, is not well understood. Here, we examined the impact of diabetes on the prognostic value of plasma BCAA and its association with body compositions in HF patients. METHODS AND

resultsWe retrospectively examined 301 HF patients (70 ± 15 years old; 59% male), among which 36% had diabetes. Blood samples for plasma BCAA measurements were collected in a fasting state after stabilization of HF and analysed using ultraperformance liquid chromatography. A dual-energy X-ray absorptiometry scan assessed regional body compositions, and muscle wasting was defined as appendicular skeletal muscle mass index (ASMI) < 7.00 and <5.40 kg/m

conclusionsDespite higher plasma BCAA levels in HF patients with diabetes, the prognostic value of low valine remained consistent regardless of diabetes status. However, low BCAAs were distinctly associated with fatty muscle degeneration in the extremities in diabetic patients, suggesting the importance of targeted interventions to prevent such tissue remodelling in this population.

Indexed as

Amino Acids, Branched-ChainHeart FailureAgedBiomarkersBody CompositionFemaleFollow-Up StudiesHumansMaleMiddle AgedMuscle, SkeletalPrognosisRetrospective StudiesAmino Acids, Branched-ChainBiomarkersBody compositionBranched‐chain amino acidDiabetesHeart failurePrognosis

Identifiers

PMID38812081
PMCPMC11424297

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.