Frontiers in Nutrition (Sep 2022)

Association of circulating branched-chain amino acids with risk of moyamoya disease

  • Chaofan Zeng,
  • Chaofan Zeng,
  • Chaofan Zeng,
  • Chaofan Zeng,
  • Chaofan Zeng,
  • Peicong Ge,
  • Peicong Ge,
  • Peicong Ge,
  • Peicong Ge,
  • Peicong Ge,
  • Chenglong Liu,
  • Chenglong Liu,
  • Chenglong Liu,
  • Chenglong Liu,
  • Chenglong Liu,
  • Xiaofan Yu,
  • Xiaofan Yu,
  • Xiaofan Yu,
  • Xiaofan Yu,
  • Xiaofan Yu,
  • Yuanren Zhai,
  • Yuanren Zhai,
  • Yuanren Zhai,
  • Yuanren Zhai,
  • Yuanren Zhai,
  • Wei Liu,
  • Wei Liu,
  • Wei Liu,
  • Wei Liu,
  • Wei Liu,
  • Qiheng He,
  • Qiheng He,
  • Qiheng He,
  • Qiheng He,
  • Qiheng He,
  • Junsheng Li,
  • Junsheng Li,
  • Junsheng Li,
  • Junsheng Li,
  • Junsheng Li,
  • Xingju Liu,
  • Xingju Liu,
  • Xingju Liu,
  • Xingju Liu,
  • Xingju Liu,
  • Jia Wang,
  • Jia Wang,
  • Jia Wang,
  • Jia Wang,
  • Jia Wang,
  • Xun Ye,
  • Xun Ye,
  • Xun Ye,
  • Xun Ye,
  • Xun Ye,
  • Qian Zhang,
  • Qian Zhang,
  • Qian Zhang,
  • Qian Zhang,
  • Qian Zhang,
  • Rong Wang,
  • Rong Wang,
  • Rong Wang,
  • Rong Wang,
  • Rong Wang,
  • Yan Zhang,
  • Yan Zhang,
  • Yan Zhang,
  • Yan Zhang,
  • Yan Zhang,
  • Jizong Zhao,
  • Jizong Zhao,
  • Jizong Zhao,
  • Jizong Zhao,
  • Jizong Zhao,
  • Dong Zhang,
  • Dong Zhang,
  • Dong Zhang,
  • Dong Zhang,
  • Dong Zhang,
  • Dong Zhang

DOI
https://doi.org/10.3389/fnut.2022.994286
Journal volume & issue
Vol. 9

Abstract

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ObjectiveBranched-Chain Amino Acids (BCAAs) has been identified as a risk factor for circulatory disease. Nevertheless, the effects and mechanisms of BCAAs on the risk of moyamoya disease (MMD) remain unrecognized. Hence, we aimed to elucidate the association between circulating BCAAs and the risk of MMD and clinical subtypes.MethodsWe conducted a case-control study of 360 adult MMD patients and 89 matched healthy controls consecutively recruited between September 2020 and December 2021. Serum level of BCAAs was quantified by liquid chromatography-mass spectrometry. The associations between BCAAs and risk of MMD were evaluated.ResultsIncreased level of serum BCAAs was observed in MMD patients (P < 0.001). After adjusting for traditional confounders, the elevated BCAAs level was significantly associated with the risk of MMD (Q4 vs. Q1: odds ratio, 3.10 [95% CI, 1.29–7.50]). The risk of subtypes in MMD also increased with each increment in the quartiles of BCAAs. Furthermore, BCAAs offered substantial improvement in risk reclassification and discrimination for MMD and subtypes.ConclusionHigher level of circulating BCAAs was associated with increased risk of MMD and clinical subtypes. This study will help to elucidate the pathogenesis of MMD, which may provide the support for facilitating the treatments and preventions.

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