Plasma Phospholipid Fatty Acid Profiles in Korean Adults With and Without Acute Coronary Syndrome
Bibliographic record
Abstract
Background and Objectives Acute coronary syndrome (ACS), a clinical manifestation of coronary artery disease presenting as unstable angina and/or myocardial infarction, is the third‐leading cause of death in South Korea. Plasma phospholipid (PL) fatty acid profiles are considered objective biomarkers of both dietary fat type and indicator of endogenous fatty acid metabolism, and have been associated with cardiovascular disease risk in multiple cohorts. Little data are available about the relationship between these biomarkers and ACS in the Korean population. Our objective was to assess the relationship of plasma PL fatty acid profiles among Korean adults with (cases) and without (controls) diagnosed ACS. Methods Plasma was collected from newly diagnosed cases (n=30) and controls (n=29) at Ewha Womans University Medical Center (EUMC), Seoul, South Korea. Cases and controls were matched on the basis of age (51±7 y) and sex. PL fatty acids profiles were determined by gas chromatography, and expressed as molar percentage (mol%). Thirty‐six fatty acids were resolved. Fatty acid product‐to‐precursor ratios were calculated to estimate desaturase enzyme activities (stearoyl‐CoA‐desaturase [SCD1; 161n‐7/16:0], SCD2 [18:1n‐9/18:0], delta‐6‐desaturase [D6D; 20:3n‐6/18:2n‐6] and delta‐5‐desaturase [D5D; 20:4n‐6/3n‐6]). Data were analyzed using either paired t ‐test or Wilcoxon signed rank test as appropriate. Fatty acids were categorized into tertiles and logistic regression was used to calculate odds ratios (95% confidence intervals) for ACS risk with the lowest tertile serving as the reference. Results Myristic (14:0; p = 0.041), gamma‐linolenic (18:3n‐6; p = 0.029), dihomo‐gamma‐linolenic (20:3n‐6; p = 0.050), docosadienoic acid (22:2n‐6; p = 0.050), docosatetraenoic (22:4n‐6; p = 0.037) and conjugated linoleic acid (18:2C; p = 0.025) were significantly higher, whereas nervonic acid (24:1n‐9; p = 0.042) and DHA/AA ratio ( p = 0.030) were significantly lower in cases compared to the control subjects. A trend toward higher arachidonic (20:4n‐6; p = 0.068) was observed in the cases. ACS risk was significantly lower among those in the highest tertile of DHA/AA (OR: 0.25 [95% CI: 0.07– 0.94]) and significantly higher among those in the highest tertile of gamma‐linolenic (18:3n‐6; OR: 4.6 [95% CI: 1.2–18.1]). Conclusions These data indicate that ACS cases have a higher proportion of fatty acids in the endogenous omega‐6 pathway and lower DHA/AA ratio. Support or Funding Information Sources of Funding: This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (NRF‐2012R1A1A2008597) and a National Heart, Lung, and Blood Institute T32 Nutrition and Cardiometabolic Disorders Pre‐doctoral Research Training Grant (NIH T32HL069772‐15).
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.000 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".