March 15, 2016
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Serum leucine, isoleucine may predict hypertriglyceridemia in early adulthood

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Serum levels of the amino acids leucine and isoleucine in girls during pubertal growth may predict hypertriglyceridemia in early adulthood and serve as biomarkers identifying people at high risk for developing hypertriglyceridemia and cardiovascular disease later in life, study data show.

Perspective from Kenji Nagao, PhD

Sulin Cheng, PhD, a professor in the Exercise, Health and Technology Center at Shanghai Jiao Tong University, China, and in the department of health sciences at the University of Jyväskylä, Finland, and colleagues evaluated 396 Finnish girls (mean age, 11.2 years at baseline) without diabetes who were participants in a longitudinal study for an average of 7.5 years. Researchers sought to determine whether serum amino acid profiles were linked to triglyceride concentrations during pubertal growth and could predict hypertriglyceridemia in early adulthood.

Triglyceride levels were correlated with alanine, isoleucine and leucine (P < .05 for all), whereas no link was found between other amino acids and triglycerides. Baseline triglyceride level predicted triglyceride level at 2-year follow-up and 7-year follow-up (P < .001 for both); this association did not remain after adjusting for baseline leucine and isoleucine level.

Seven-year triglyceride level was predicted by baseline isoleucine (P = .026) and 2-year triglyceride by baseline leucine (P = .01); these associations remained after adjustment for baseline triglyceride level. Fat mass and homeostasis model of assessment for insulin resistance (HOMA-IR) were correlated with triglyceride level (P < .05 for both).

At the end of the follow-up period, when participants were aged 18 years, 13% presented with hypertriglyceridemia. Alanine, isoleucine (P < .01 for both) and leucine (P = .000001) were all determinants of hypertriglyceridemia, whereas HOMA-IR and fat mass were not.

“This study demonstrated that serum leucine and isoleucine associated with future serum triglyceride level in girls during pubertal growth, independent of baseline triglyceride level and predicted hypertriglyceridemia in early adulthood,” the researchers wrote. “Therefore, these amino acid indices may serve as biomarkers to identify individuals at high risk for developing hypertriglyceridemia and CVD later in life.” – by Amber Cox

Disclosure: The researchers report no relevant financial disclosures.