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Exacerbation of cardiovascular ageing by diabetes mellitus and its associations with acyl-carnitines
Objective: To demonstrate differences in cardiovascular structure and function between diabetic and non-diabetic older adults. To investigate associations between acyl-carnitines and cardiovascular function as indexed by imaging measurements. Methods: A community-based cohort of older adults without...
Autores principales: | , , , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Impact Journals
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8221346/ https://www.ncbi.nlm.nih.gov/pubmed/34088887 http://dx.doi.org/10.18632/aging.203144 |
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author | Gao, Fei Kovalik, Jean-Paul Zhao, Xiaodan Chow, Vivian JM. Chew, Hannah Teo, Louis LY. Tan, Ru San Leng, Shuang Ewe, See Hooi Tan, Hong Chang Tan, Tsze Yin Lee, Lye Siang Ching, Jianhong Keng, Bryan MH. Zhong, Liang Koh, Woon-Puay Koh, Angela S. |
author_facet | Gao, Fei Kovalik, Jean-Paul Zhao, Xiaodan Chow, Vivian JM. Chew, Hannah Teo, Louis LY. Tan, Ru San Leng, Shuang Ewe, See Hooi Tan, Hong Chang Tan, Tsze Yin Lee, Lye Siang Ching, Jianhong Keng, Bryan MH. Zhong, Liang Koh, Woon-Puay Koh, Angela S. |
author_sort | Gao, Fei |
collection | PubMed |
description | Objective: To demonstrate differences in cardiovascular structure and function between diabetic and non-diabetic older adults. To investigate associations between acyl-carnitines and cardiovascular function as indexed by imaging measurements. Methods: A community-based cohort of older adults without cardiovascular disease underwent current cardiovascular imaging and metabolomics acyl-carnitines profiling based on current and archived sera obtained fifteen years prior to examination. Results: A total of 933 participants (women 56%, n=521) with a mean age 63±13 years were studied. Old diabetics compared to old non-diabetics had lower myocardial relaxation (0.8±0.2 vs 0.9±0.3, p=0.0039); lower left atrial conduit strain (12±4.3 vs 14±4.1, p=0.045), lower left atrial conduit strain rate (-1.2±0.4 vs -1.3±0.5, p=0.042) and lower ratio of left atrial conduit strain to left atrial booster strain (0.5±0.2 vs 0.7±0.3, p=0.0029). Higher levels of archived short chain acyl-carnitine were associated with present-day impairments in myocardial relaxation (C5:1; OR 1.03, p=0.011), worse left atrial conduit strain function (C5:1; OR 1.03, p=0.037). Increases in hydroxylated acyl-carnitines were associated with worse left atrial conduit strain [(C4-OH; OR 1.05, p=0.0017), (C16:2-OH; OR 1.18, p=0.037)]. Current, archived and changes in long chain acyl-carnitines were associated with cardiovascular functions [(C16; OR 1.02, p=0.002), (C20:3; OR 1.01, p=0.014), (C14:3; OR 1.12, p=0.033), (C18:1; OR 1.01, p=0.018), (C18:2; OR 1.01, p=0.028), (C20:4; OR 1.10, p=0.038)] (all p<0.05). Conclusion: Older diabetic adults had significant impairments in left ventricular myocardial relaxation and left atrial strain, compared to older non-diabetic adults. Short chain and long chain, di-carboxyl and hydroxylated acyl-carnitines were associated with these cardiovascular functional differences. |
format | Online Article Text |
id | pubmed-8221346 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Impact Journals |
record_format | MEDLINE/PubMed |
spelling | pubmed-82213462021-06-26 Exacerbation of cardiovascular ageing by diabetes mellitus and its associations with acyl-carnitines Gao, Fei Kovalik, Jean-Paul Zhao, Xiaodan Chow, Vivian JM. Chew, Hannah Teo, Louis LY. Tan, Ru San Leng, Shuang Ewe, See Hooi Tan, Hong Chang Tan, Tsze Yin Lee, Lye Siang Ching, Jianhong Keng, Bryan MH. Zhong, Liang Koh, Woon-Puay Koh, Angela S. Aging (Albany NY) Research Paper Objective: To demonstrate differences in cardiovascular structure and function between diabetic and non-diabetic older adults. To investigate associations between acyl-carnitines and cardiovascular function as indexed by imaging measurements. Methods: A community-based cohort of older adults without cardiovascular disease underwent current cardiovascular imaging and metabolomics acyl-carnitines profiling based on current and archived sera obtained fifteen years prior to examination. Results: A total of 933 participants (women 56%, n=521) with a mean age 63±13 years were studied. Old diabetics compared to old non-diabetics had lower myocardial relaxation (0.8±0.2 vs 0.9±0.3, p=0.0039); lower left atrial conduit strain (12±4.3 vs 14±4.1, p=0.045), lower left atrial conduit strain rate (-1.2±0.4 vs -1.3±0.5, p=0.042) and lower ratio of left atrial conduit strain to left atrial booster strain (0.5±0.2 vs 0.7±0.3, p=0.0029). Higher levels of archived short chain acyl-carnitine were associated with present-day impairments in myocardial relaxation (C5:1; OR 1.03, p=0.011), worse left atrial conduit strain function (C5:1; OR 1.03, p=0.037). Increases in hydroxylated acyl-carnitines were associated with worse left atrial conduit strain [(C4-OH; OR 1.05, p=0.0017), (C16:2-OH; OR 1.18, p=0.037)]. Current, archived and changes in long chain acyl-carnitines were associated with cardiovascular functions [(C16; OR 1.02, p=0.002), (C20:3; OR 1.01, p=0.014), (C14:3; OR 1.12, p=0.033), (C18:1; OR 1.01, p=0.018), (C18:2; OR 1.01, p=0.028), (C20:4; OR 1.10, p=0.038)] (all p<0.05). Conclusion: Older diabetic adults had significant impairments in left ventricular myocardial relaxation and left atrial strain, compared to older non-diabetic adults. Short chain and long chain, di-carboxyl and hydroxylated acyl-carnitines were associated with these cardiovascular functional differences. Impact Journals 2021-06-04 /pmc/articles/PMC8221346/ /pubmed/34088887 http://dx.doi.org/10.18632/aging.203144 Text en Copyright: © 2021 Gao et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/3.0/) (CC BY 3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
spellingShingle | Research Paper Gao, Fei Kovalik, Jean-Paul Zhao, Xiaodan Chow, Vivian JM. Chew, Hannah Teo, Louis LY. Tan, Ru San Leng, Shuang Ewe, See Hooi Tan, Hong Chang Tan, Tsze Yin Lee, Lye Siang Ching, Jianhong Keng, Bryan MH. Zhong, Liang Koh, Woon-Puay Koh, Angela S. Exacerbation of cardiovascular ageing by diabetes mellitus and its associations with acyl-carnitines |
title | Exacerbation of cardiovascular ageing by diabetes mellitus and its associations with acyl-carnitines |
title_full | Exacerbation of cardiovascular ageing by diabetes mellitus and its associations with acyl-carnitines |
title_fullStr | Exacerbation of cardiovascular ageing by diabetes mellitus and its associations with acyl-carnitines |
title_full_unstemmed | Exacerbation of cardiovascular ageing by diabetes mellitus and its associations with acyl-carnitines |
title_short | Exacerbation of cardiovascular ageing by diabetes mellitus and its associations with acyl-carnitines |
title_sort | exacerbation of cardiovascular ageing by diabetes mellitus and its associations with acyl-carnitines |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8221346/ https://www.ncbi.nlm.nih.gov/pubmed/34088887 http://dx.doi.org/10.18632/aging.203144 |
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