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鉴定随机喂养研究中膳食限制高血压饮食的蛋白质生物标志物,并在观察性研究中进行验证。

Identification of Protein Biomarkers of the Dietary Approaches to Stop Hypertension Diet in Randomized Feeding Studies and Validation in an Observational Study.

机构信息

Department of Epidemiology Johns Hopkins Bloomberg School of Public Health Baltimore MD.

Welch Center for Prevention, Epidemiology, and Clinical Research Johns Hopkins University Baltimore MD.

出版信息

J Am Heart Assoc. 2023 Apr 4;12(7):e028821. doi: 10.1161/JAHA.122.028821. Epub 2023 Mar 28.

Abstract

Background The Dietary Approaches to Stop Hypertension (DASH) diet is recommended for cardiovascular disease prevention. We aimed to identify protein biomarkers of the DASH diet using data from 2 randomized feeding studies and validate them in an observational study, the ARIC (Atherosclerosis Risk in Communities) study. Methods and Results Large-scale proteomic profiling was conducted in serum specimens (SomaLogic) collected at the end of 8-week and 4-week DASH diet interventions in multicenter, randomized controlled feeding studies of the DASH trial (N=215) and the DASH-Sodium trial (N=396), respectively. Multivariable linear regression models were used to compare the relative abundance of 7241 proteins between the DASH and control diet interventions. Estimates from the 2 trials were meta-analyzed using fixed-effects models. We validated significant proteins in the ARIC study (N=10 490) using the DASH diet score. At a false discovery rate <0.05, there were 71 proteins that were different between the DASH diet and control diet in the DASH and DASH-Sodium trials. Nineteen proteins were validated in the ARIC study. The 19 proteins collectively improved the prediction of the DASH diet intervention in the feeding studies (range of difference in C statistics, 0.267-0.313; <0.001 for both tests) and the DASH diet score in the ARIC study (difference in C statistics, 0.017; <0.001) beyond participant characteristics. Conclusions We identified 19 proteins robustly associated with the DASH diet in 3 studies, which may serve as biomarkers of the DASH diet. These results suggest potential pathways that are impacted by consumption of the DASH diet. Registration URL: https://www.clinicaltrials.gov; Unique identifiers: NCT03403166, NCT00000608.

摘要

背景

多吃蔬菜水果、低脂饮食可预防心血管疾病,这种饮食方式被称为 DASH 饮食。我们旨在通过 2 项随机饮食干预研究的数据,利用蛋白质组学方法来寻找 DASH 饮食的生物标志物,并在 ARIC(社区动脉粥样硬化风险研究)研究中对这些标志物进行验证。

方法和结果

我们对 DASH 试验(n=215)和 DASH-钠试验(n=396)中分别接受 8 周和 4 周 DASH 饮食干预的参与者的血清标本(SomaLogic)进行了大规模蛋白质组学分析。使用多变量线性回归模型比较 DASH 饮食和对照饮食干预之间 7241 种蛋白质的相对丰度。使用固定效应模型对来自 2 项试验的结果进行了荟萃分析。使用 DASH 饮食评分在 ARIC 研究(n=10490)中验证了有统计学意义的蛋白质。在错误发现率<0.05 时,DASH 和 DASH-钠试验中 DASH 饮食和对照饮食之间有 71 种蛋白质存在差异。在 ARIC 研究中验证了 19 种蛋白质。这 19 种蛋白质联合改善了喂养研究中 DASH 饮食干预的预测效果(C 统计量差值范围,0.267-0.313;两者检验均<0.001),并提高了 ARIC 研究中 DASH 饮食评分的预测效果(C 统计量差值,0.017;<0.001),且效果超过了参与者特征的影响。

结论

我们在 3 项研究中发现了 19 种与 DASH 饮食显著相关的蛋白质,它们可能作为 DASH 饮食的生物标志物。这些结果提示了 DASH 饮食可能影响的潜在代谢途径。

登记网址

https://www.clinicaltrials.gov;唯一标识符:NCT03403166,NCT00000608。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e11/10122905/1a2278560d56/JAH3-12-e028821-g002.jpg

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