Evidence map›Paper›PMID 39499445›Full record

ArticleJournal of cardiovascular translational research2025

β-Hydroxybutyrate and Citrate Synthase as Potential Diagnostic Biomarkers in Aging-Related Atrial Fibrillation.

Jia-Kang He, Xiao-Xiao Jiang, Shi-Yu Dai, Xiao-Han, Qian-Qiu Zhu, Jie-Yang, Yun-Long Zhang, Xiao-Hong Yu

Abstract read
In one paragraph

Article in Journal of cardiovascular translational research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Multicellular senescence programs in the aged heart.Journal of molecular and cellular cardiology plus · 2026
    Review
  4. Article
  5. Review
  6. Review
  7. 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

8 authors.

Jia-Kang He *Department of Cardiology, First Affiliated Hospital of Dalian Medical University, No.193, Lianhe Road, Xigang District, Dalian, 116011, China.
Xiao-Xiao Jiang *Department of Cardiology, First Affiliated Hospital of Dalian Medical University, No.193, Lianhe Road, Xigang District, Dalian, 116011, China.
Shi-Yu DaiDepartment of Cardiology, First Affiliated Hospital of Dalian Medical University, No.193, Lianhe Road, Xigang District, Dalian, 116011, China.
Xiao-HanInstitute of Cardio-Cerebrovacular Medicine, Central Hospital of Dalian University of Technology, No.826, South West Road, Shahekou District, Dalian, 116089, China.
Qian-Qiu ZhuDepartment of Cardiology, Yijishan Hospital of Wannan Medical College, No. 2, Zheshan West Road, Wuhu, 241000, China.
Jie-YangSchool of Public Health, Dalian Medical University, No. 9W. Lvshun South Road, Dalian, 116044, China. yjie521@163.com.
Yun-Long ZhangDepartment of Cardiology, Yijishan Hospital of Wannan Medical College, No. 2, Zheshan West Road, Wuhu, 241000, China. zyldy111@vip.163.com.
Xiao-Hong YuDepartment of Cardiology, First Affiliated Hospital of Dalian Medical University, No.193, Lianhe Road, Xigang District, Dalian, 116011, China. yuxiaohong0707@163.com.ORCID 0000-0002-0200-6591

Funding

National Natural Science Foundation of China 82000398National Natural Science Foundation of China 82371587Natural Science Foundation of Liaoning Province 2022-MS-336Outstanding Youth Research Project of Anhui, Department of Education 2023AH030103
6 · The paper itself

Abstract

The incidence of atrial fibrillation (AF) increases with age; however, the precise mechanisms by which aging elevates AF risk and the effective biomarkers for managing AF in elderly patients remain unclear. We analyzed plasma samples from 100 elderly AF patients, 100 young and 100 elderly patients without atrial fibrillation (NAF), along with left atrial tissues obtained from both AF and NAF patients following valve replacement. Our findings indicate reduced levels of β-OHB and citrate synthase (CS) activity in elderly AF patients compared to their NAF counterparts. Statistical analysis revealed a protective association between β-OHB and CS activity concerning the occurrence of elderly AF. Furthermore, atrial tissues from elderly AF patients exhibited mitochondrial dysfunction, structural remodeling, and low-voltage areas. These results suggest that dysregulation of β-OHB levels and CS activity may contribute to aging-related AF by affecting mitochondrial function and atrial remodeling, highlighting their potential as diagnostic biomarkers for this condition.

Indexed as

3-Hydroxybutyric AcidAgingAtrial FibrillationCitrate (si)-SynthaseAdultAgedAged, 80 and overAge FactorsAtrial RemodelingBiomarkersCase-Control StudiesFemaleHeart AtriaHumansMaleMiddle Aged3-Hydroxybutyric AcidBiomarkersCitrate (si)-SynthaseAging-related atrial fibrillationAtrial remodelingCitrate synthaseMitochondrial dysfunctionβ-Hydroxybutyrate

Identifiers

PMID39499445
PMCPMC11885335

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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.