Plasma concentrations of molecular lipid species in relation to coronary plaque characteristics and cardiovascular outcome: Results of the ATHEROREMO-IVUS study

Abstract Background and Aims Previous lipidomics analyses have demonstrated that several lipid molecules in plasma are associated with fatal outcome in patients with coronary artery disease (CAD). This study aims to investigate the associations of previously identified high risk lipid molecules in p...

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Veröffentlicht in:Atherosclerosis 2015-12, Vol.243 (2), p.560-566
Hauptverfasser: Cheng, Jin M, Suoniemi, Matti, Kardys, Isabella, Vihervaara, Terhi, de Boer, Sanneke P.M, Akkerhuis, K. Martijn, Sysi-Aho, Marko, Ekroos, Kim, Garcia-Garcia, Hector M, Oemrawsingh, Rohit M, Regar, Evelyn, Koenig, Wolfgang, Serruys, Patrick W, van Geuns, Robert-Jan, Boersma, Eric, Laaksonen, Reijo
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container_end_page 566
container_issue 2
container_start_page 560
container_title Atherosclerosis
container_volume 243
creator Cheng, Jin M
Suoniemi, Matti
Kardys, Isabella
Vihervaara, Terhi
de Boer, Sanneke P.M
Akkerhuis, K. Martijn
Sysi-Aho, Marko
Ekroos, Kim
Garcia-Garcia, Hector M
Oemrawsingh, Rohit M
Regar, Evelyn
Koenig, Wolfgang
Serruys, Patrick W
van Geuns, Robert-Jan
Boersma, Eric
Laaksonen, Reijo
description Abstract Background and Aims Previous lipidomics analyses have demonstrated that several lipid molecules in plasma are associated with fatal outcome in patients with coronary artery disease (CAD). This study aims to investigate the associations of previously identified high risk lipid molecules in plasma with coronary plaque characteristics derived from intravascular ultrasound virtual histology (IVUS-VH) imaging, with coronary lipid core burden index (LCBI) on near-infrared spectroscopy (NIRS), and with one year cardiovascular outcome in patients with CAD. Methods Between 2008 and 2011, IVUS-VH imaging of a non-culprit coronary artery was performed in 581 patients who underwent coronary angiography for acute coronary syndrome (ACS) or stable CAD. NIRS imaging was additionally performed in 191 patients. Plasma concentrations of molecular lipids were measured with mass spectrometry. Results Several cholesteryl ester, ceramide and lactosylceramide species and ceramide ratios were associated with vulnerable plaque characteristics on IVUS-VH and NIRS imaging and with 1-year major adverse cardiac events (MACE, defined as all-cause mortality, ACS and unplanned coronary revascularization). In particular, ceramide d18:1/16:0 was consistently associated with higher necrotic core fraction on IVUS-VH (p = 0.001), higher LCBI (p = 0.024) on NIRS and higher MACE rate (adjusted HR 1.79 per standard deviation increase in log-transformed lipid concentration, 95%CI 1.24–2.59, p = 0.002). Conclusion Several molecular lipid species, and particularly ceramide(d18:1/16:0), are associated with the fraction of necrotic core tissue and lipid core burden in coronary atherosclerosis, and are predictive for 1-year clinical outcome after coronary angiography. These molecular lipids may improve risk stratification in CAD and may also be interesting therapeutic targets for the treatment of atherosclerotic disease.
doi_str_mv 10.1016/j.atherosclerosis.2015.10.022
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Martijn ; Sysi-Aho, Marko ; Ekroos, Kim ; Garcia-Garcia, Hector M ; Oemrawsingh, Rohit M ; Regar, Evelyn ; Koenig, Wolfgang ; Serruys, Patrick W ; van Geuns, Robert-Jan ; Boersma, Eric ; Laaksonen, Reijo</creator><creatorcontrib>Cheng, Jin M ; Suoniemi, Matti ; Kardys, Isabella ; Vihervaara, Terhi ; de Boer, Sanneke P.M ; Akkerhuis, K. Martijn ; Sysi-Aho, Marko ; Ekroos, Kim ; Garcia-Garcia, Hector M ; Oemrawsingh, Rohit M ; Regar, Evelyn ; Koenig, Wolfgang ; Serruys, Patrick W ; van Geuns, Robert-Jan ; Boersma, Eric ; Laaksonen, Reijo</creatorcontrib><description>Abstract Background and Aims Previous lipidomics analyses have demonstrated that several lipid molecules in plasma are associated with fatal outcome in patients with coronary artery disease (CAD). This study aims to investigate the associations of previously identified high risk lipid molecules in plasma with coronary plaque characteristics derived from intravascular ultrasound virtual histology (IVUS-VH) imaging, with coronary lipid core burden index (LCBI) on near-infrared spectroscopy (NIRS), and with one year cardiovascular outcome in patients with CAD. Methods Between 2008 and 2011, IVUS-VH imaging of a non-culprit coronary artery was performed in 581 patients who underwent coronary angiography for acute coronary syndrome (ACS) or stable CAD. NIRS imaging was additionally performed in 191 patients. Plasma concentrations of molecular lipids were measured with mass spectrometry. Results Several cholesteryl ester, ceramide and lactosylceramide species and ceramide ratios were associated with vulnerable plaque characteristics on IVUS-VH and NIRS imaging and with 1-year major adverse cardiac events (MACE, defined as all-cause mortality, ACS and unplanned coronary revascularization). In particular, ceramide d18:1/16:0 was consistently associated with higher necrotic core fraction on IVUS-VH (p = 0.001), higher LCBI (p = 0.024) on NIRS and higher MACE rate (adjusted HR 1.79 per standard deviation increase in log-transformed lipid concentration, 95%CI 1.24–2.59, p = 0.002). Conclusion Several molecular lipid species, and particularly ceramide(d18:1/16:0), are associated with the fraction of necrotic core tissue and lipid core burden in coronary atherosclerosis, and are predictive for 1-year clinical outcome after coronary angiography. These molecular lipids may improve risk stratification in CAD and may also be interesting therapeutic targets for the treatment of atherosclerotic disease.</description><identifier>ISSN: 0021-9150</identifier><identifier>EISSN: 1879-1484</identifier><identifier>DOI: 10.1016/j.atherosclerosis.2015.10.022</identifier><identifier>PMID: 26523994</identifier><language>eng</language><publisher>Ireland: Elsevier Ireland Ltd</publisher><subject>Acute Coronary Syndrome - blood ; Acute Coronary Syndrome - diagnostic imaging ; Acute Coronary Syndrome - mortality ; Acute Coronary Syndrome - therapy ; Aged ; Atherosclerosis ; Biomarkers - blood ; Cardiovascular ; Coronary Angiography ; Coronary Artery Disease - blood ; Coronary Artery Disease - diagnostic imaging ; Coronary Artery Disease - mortality ; Coronary Artery Disease - therapy ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - metabolism ; Disease Progression ; Female ; Humans ; Intravascular ultrasound ; Kaplan-Meier Estimate ; Lipids ; Lipids - blood ; Male ; Mass Spectrometry ; Middle Aged ; Myocardial Revascularization ; Near-infrared spectroscopy ; Necrosis ; Netherlands ; Plaque, Atherosclerotic ; Predictive Value of Tests ; Prognosis ; Proportional Hazards Models ; Risk Factors ; Rupture, Spontaneous ; Spectroscopy, Near-Infrared ; Ultrasonography, Interventional</subject><ispartof>Atherosclerosis, 2015-12, Vol.243 (2), p.560-566</ispartof><rights>Elsevier Ireland Ltd</rights><rights>2015 Elsevier Ireland Ltd</rights><rights>Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c510t-fb57e67ef635ea28bd60fc4510ad30e4347c71de39fb664c75b16cf0cac179d3</citedby><cites>FETCH-LOGICAL-c510t-fb57e67ef635ea28bd60fc4510ad30e4347c71de39fb664c75b16cf0cac179d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S0021915015301684$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26523994$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cheng, Jin M</creatorcontrib><creatorcontrib>Suoniemi, Matti</creatorcontrib><creatorcontrib>Kardys, Isabella</creatorcontrib><creatorcontrib>Vihervaara, Terhi</creatorcontrib><creatorcontrib>de Boer, Sanneke P.M</creatorcontrib><creatorcontrib>Akkerhuis, K. Martijn</creatorcontrib><creatorcontrib>Sysi-Aho, Marko</creatorcontrib><creatorcontrib>Ekroos, Kim</creatorcontrib><creatorcontrib>Garcia-Garcia, Hector M</creatorcontrib><creatorcontrib>Oemrawsingh, Rohit M</creatorcontrib><creatorcontrib>Regar, Evelyn</creatorcontrib><creatorcontrib>Koenig, Wolfgang</creatorcontrib><creatorcontrib>Serruys, Patrick W</creatorcontrib><creatorcontrib>van Geuns, Robert-Jan</creatorcontrib><creatorcontrib>Boersma, Eric</creatorcontrib><creatorcontrib>Laaksonen, Reijo</creatorcontrib><title>Plasma concentrations of molecular lipid species in relation to coronary plaque characteristics and cardiovascular outcome: Results of the ATHEROREMO-IVUS study</title><title>Atherosclerosis</title><addtitle>Atherosclerosis</addtitle><description>Abstract Background and Aims Previous lipidomics analyses have demonstrated that several lipid molecules in plasma are associated with fatal outcome in patients with coronary artery disease (CAD). This study aims to investigate the associations of previously identified high risk lipid molecules in plasma with coronary plaque characteristics derived from intravascular ultrasound virtual histology (IVUS-VH) imaging, with coronary lipid core burden index (LCBI) on near-infrared spectroscopy (NIRS), and with one year cardiovascular outcome in patients with CAD. Methods Between 2008 and 2011, IVUS-VH imaging of a non-culprit coronary artery was performed in 581 patients who underwent coronary angiography for acute coronary syndrome (ACS) or stable CAD. NIRS imaging was additionally performed in 191 patients. Plasma concentrations of molecular lipids were measured with mass spectrometry. Results Several cholesteryl ester, ceramide and lactosylceramide species and ceramide ratios were associated with vulnerable plaque characteristics on IVUS-VH and NIRS imaging and with 1-year major adverse cardiac events (MACE, defined as all-cause mortality, ACS and unplanned coronary revascularization). In particular, ceramide d18:1/16:0 was consistently associated with higher necrotic core fraction on IVUS-VH (p = 0.001), higher LCBI (p = 0.024) on NIRS and higher MACE rate (adjusted HR 1.79 per standard deviation increase in log-transformed lipid concentration, 95%CI 1.24–2.59, p = 0.002). Conclusion Several molecular lipid species, and particularly ceramide(d18:1/16:0), are associated with the fraction of necrotic core tissue and lipid core burden in coronary atherosclerosis, and are predictive for 1-year clinical outcome after coronary angiography. These molecular lipids may improve risk stratification in CAD and may also be interesting therapeutic targets for the treatment of atherosclerotic disease.</description><subject>Acute Coronary Syndrome - blood</subject><subject>Acute Coronary Syndrome - diagnostic imaging</subject><subject>Acute Coronary Syndrome - mortality</subject><subject>Acute Coronary Syndrome - therapy</subject><subject>Aged</subject><subject>Atherosclerosis</subject><subject>Biomarkers - blood</subject><subject>Cardiovascular</subject><subject>Coronary Angiography</subject><subject>Coronary Artery Disease - blood</subject><subject>Coronary Artery Disease - diagnostic imaging</subject><subject>Coronary Artery Disease - mortality</subject><subject>Coronary Artery Disease - therapy</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - metabolism</subject><subject>Disease Progression</subject><subject>Female</subject><subject>Humans</subject><subject>Intravascular ultrasound</subject><subject>Kaplan-Meier Estimate</subject><subject>Lipids</subject><subject>Lipids - blood</subject><subject>Male</subject><subject>Mass Spectrometry</subject><subject>Middle Aged</subject><subject>Myocardial Revascularization</subject><subject>Near-infrared spectroscopy</subject><subject>Necrosis</subject><subject>Netherlands</subject><subject>Plaque, Atherosclerotic</subject><subject>Predictive Value of Tests</subject><subject>Prognosis</subject><subject>Proportional Hazards Models</subject><subject>Risk Factors</subject><subject>Rupture, Spontaneous</subject><subject>Spectroscopy, Near-Infrared</subject><subject>Ultrasonography, Interventional</subject><issn>0021-9150</issn><issn>1879-1484</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUk1vEzEUXCEQDYW_gHxB4rKpvV_OIoFUVaGtVBSUBq6W8_xWdfCug5-3Uv4NP7XepnDoiYt9eDPzNDMvyz4IPhdcNGe7uY53GDyBm15L84KLOs3mvCheZDOxkG0uqkX1MptxXoi8FTU_yd4Q7TjnlRSL19lJ0dRF2bbVLPvz3WnqNQM_AA4x6Gj9QMx3rPcOYXQ6MGf31jDaI1gkZgcW0D3iWPSJGPygw4Htnf49IoM7HTREDJaiBWJ6MAx0MNbfazrq-TGC7_ETWyONLj5uS57Y-eZquV6tl99W-fXPH7eM4mgOb7NXnXaE757-02zzdbm5uMpvVpfXF-c3OdSCx7zb1hIbiV1T1qiLxdY0vIMqzbQpOVZlJUEKg2XbbZumAllvRQMdBw1CtqY8zT4eZffBJxsUVW8J0Dk9oB9JCVnKSjZ1yRP08xEKKX8K2Kl9sH2KQAmupo7UTj3rSE0dTePUUeK_f1o1bns0_9h_S0mAyyMAk997i0FRSj71Y2xAiMp4-9-rvjxTAmcHC9r9wgPSzo9hSKEqoahQXN1OBzPdi0g-RbOoygcsTsWT</recordid><startdate>20151201</startdate><enddate>20151201</enddate><creator>Cheng, Jin M</creator><creator>Suoniemi, Matti</creator><creator>Kardys, Isabella</creator><creator>Vihervaara, Terhi</creator><creator>de Boer, Sanneke P.M</creator><creator>Akkerhuis, K. Martijn</creator><creator>Sysi-Aho, Marko</creator><creator>Ekroos, Kim</creator><creator>Garcia-Garcia, Hector M</creator><creator>Oemrawsingh, Rohit M</creator><creator>Regar, Evelyn</creator><creator>Koenig, Wolfgang</creator><creator>Serruys, Patrick W</creator><creator>van Geuns, Robert-Jan</creator><creator>Boersma, Eric</creator><creator>Laaksonen, Reijo</creator><general>Elsevier Ireland Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20151201</creationdate><title>Plasma concentrations of molecular lipid species in relation to coronary plaque characteristics and cardiovascular outcome: Results of the ATHEROREMO-IVUS study</title><author>Cheng, Jin M ; Suoniemi, Matti ; Kardys, Isabella ; Vihervaara, Terhi ; de Boer, Sanneke P.M ; Akkerhuis, K. Martijn ; Sysi-Aho, Marko ; Ekroos, Kim ; Garcia-Garcia, Hector M ; Oemrawsingh, Rohit M ; Regar, Evelyn ; Koenig, Wolfgang ; Serruys, Patrick W ; van Geuns, Robert-Jan ; Boersma, Eric ; Laaksonen, Reijo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c510t-fb57e67ef635ea28bd60fc4510ad30e4347c71de39fb664c75b16cf0cac179d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Acute Coronary Syndrome - blood</topic><topic>Acute Coronary Syndrome - diagnostic imaging</topic><topic>Acute Coronary Syndrome - mortality</topic><topic>Acute Coronary Syndrome - therapy</topic><topic>Aged</topic><topic>Atherosclerosis</topic><topic>Biomarkers - blood</topic><topic>Cardiovascular</topic><topic>Coronary Angiography</topic><topic>Coronary Artery Disease - blood</topic><topic>Coronary Artery Disease - diagnostic imaging</topic><topic>Coronary Artery Disease - mortality</topic><topic>Coronary Artery Disease - therapy</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Coronary Vessels - metabolism</topic><topic>Disease Progression</topic><topic>Female</topic><topic>Humans</topic><topic>Intravascular ultrasound</topic><topic>Kaplan-Meier Estimate</topic><topic>Lipids</topic><topic>Lipids - blood</topic><topic>Male</topic><topic>Mass Spectrometry</topic><topic>Middle Aged</topic><topic>Myocardial Revascularization</topic><topic>Near-infrared spectroscopy</topic><topic>Necrosis</topic><topic>Netherlands</topic><topic>Plaque, Atherosclerotic</topic><topic>Predictive Value of Tests</topic><topic>Prognosis</topic><topic>Proportional Hazards Models</topic><topic>Risk Factors</topic><topic>Rupture, Spontaneous</topic><topic>Spectroscopy, Near-Infrared</topic><topic>Ultrasonography, Interventional</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Cheng, Jin M</creatorcontrib><creatorcontrib>Suoniemi, Matti</creatorcontrib><creatorcontrib>Kardys, Isabella</creatorcontrib><creatorcontrib>Vihervaara, Terhi</creatorcontrib><creatorcontrib>de Boer, Sanneke P.M</creatorcontrib><creatorcontrib>Akkerhuis, K. Martijn</creatorcontrib><creatorcontrib>Sysi-Aho, Marko</creatorcontrib><creatorcontrib>Ekroos, Kim</creatorcontrib><creatorcontrib>Garcia-Garcia, Hector M</creatorcontrib><creatorcontrib>Oemrawsingh, Rohit M</creatorcontrib><creatorcontrib>Regar, Evelyn</creatorcontrib><creatorcontrib>Koenig, Wolfgang</creatorcontrib><creatorcontrib>Serruys, Patrick W</creatorcontrib><creatorcontrib>van Geuns, Robert-Jan</creatorcontrib><creatorcontrib>Boersma, Eric</creatorcontrib><creatorcontrib>Laaksonen, Reijo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Atherosclerosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cheng, Jin M</au><au>Suoniemi, Matti</au><au>Kardys, Isabella</au><au>Vihervaara, Terhi</au><au>de Boer, Sanneke P.M</au><au>Akkerhuis, K. Martijn</au><au>Sysi-Aho, Marko</au><au>Ekroos, Kim</au><au>Garcia-Garcia, Hector M</au><au>Oemrawsingh, Rohit M</au><au>Regar, Evelyn</au><au>Koenig, Wolfgang</au><au>Serruys, Patrick W</au><au>van Geuns, Robert-Jan</au><au>Boersma, Eric</au><au>Laaksonen, Reijo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Plasma concentrations of molecular lipid species in relation to coronary plaque characteristics and cardiovascular outcome: Results of the ATHEROREMO-IVUS study</atitle><jtitle>Atherosclerosis</jtitle><addtitle>Atherosclerosis</addtitle><date>2015-12-01</date><risdate>2015</risdate><volume>243</volume><issue>2</issue><spage>560</spage><epage>566</epage><pages>560-566</pages><issn>0021-9150</issn><eissn>1879-1484</eissn><abstract>Abstract Background and Aims Previous lipidomics analyses have demonstrated that several lipid molecules in plasma are associated with fatal outcome in patients with coronary artery disease (CAD). This study aims to investigate the associations of previously identified high risk lipid molecules in plasma with coronary plaque characteristics derived from intravascular ultrasound virtual histology (IVUS-VH) imaging, with coronary lipid core burden index (LCBI) on near-infrared spectroscopy (NIRS), and with one year cardiovascular outcome in patients with CAD. Methods Between 2008 and 2011, IVUS-VH imaging of a non-culprit coronary artery was performed in 581 patients who underwent coronary angiography for acute coronary syndrome (ACS) or stable CAD. NIRS imaging was additionally performed in 191 patients. Plasma concentrations of molecular lipids were measured with mass spectrometry. Results Several cholesteryl ester, ceramide and lactosylceramide species and ceramide ratios were associated with vulnerable plaque characteristics on IVUS-VH and NIRS imaging and with 1-year major adverse cardiac events (MACE, defined as all-cause mortality, ACS and unplanned coronary revascularization). In particular, ceramide d18:1/16:0 was consistently associated with higher necrotic core fraction on IVUS-VH (p = 0.001), higher LCBI (p = 0.024) on NIRS and higher MACE rate (adjusted HR 1.79 per standard deviation increase in log-transformed lipid concentration, 95%CI 1.24–2.59, p = 0.002). Conclusion Several molecular lipid species, and particularly ceramide(d18:1/16:0), are associated with the fraction of necrotic core tissue and lipid core burden in coronary atherosclerosis, and are predictive for 1-year clinical outcome after coronary angiography. These molecular lipids may improve risk stratification in CAD and may also be interesting therapeutic targets for the treatment of atherosclerotic disease.</abstract><cop>Ireland</cop><pub>Elsevier Ireland Ltd</pub><pmid>26523994</pmid><doi>10.1016/j.atherosclerosis.2015.10.022</doi><tpages>7</tpages></addata></record>
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subjects Acute Coronary Syndrome - blood
Acute Coronary Syndrome - diagnostic imaging
Acute Coronary Syndrome - mortality
Acute Coronary Syndrome - therapy
Aged
Atherosclerosis
Biomarkers - blood
Cardiovascular
Coronary Angiography
Coronary Artery Disease - blood
Coronary Artery Disease - diagnostic imaging
Coronary Artery Disease - mortality
Coronary Artery Disease - therapy
Coronary Vessels - diagnostic imaging
Coronary Vessels - metabolism
Disease Progression
Female
Humans
Intravascular ultrasound
Kaplan-Meier Estimate
Lipids
Lipids - blood
Male
Mass Spectrometry
Middle Aged
Myocardial Revascularization
Near-infrared spectroscopy
Necrosis
Netherlands
Plaque, Atherosclerotic
Predictive Value of Tests
Prognosis
Proportional Hazards Models
Risk Factors
Rupture, Spontaneous
Spectroscopy, Near-Infrared
Ultrasonography, Interventional
title Plasma concentrations of molecular lipid species in relation to coronary plaque characteristics and cardiovascular outcome: Results of the ATHEROREMO-IVUS study
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