Circulating Trimethylamine-N-Oxide Is Elevated in Liver Transplant Recipients Article Swipe
YOU?
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· 2024
· Open Access
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· DOI: https://doi.org/10.3390/ijms25116031
Liver transplant recipients (LTRs) have lower long-term survival rates compared with the general population. This underscores the necessity for developing biomarkers to assess post-transplantation mortality. Here we compared plasma trimethylamine-N-oxide (TMAO) levels with those in the general population, investigated its determinants, and interrogated its association with all-cause mortality in stable LTRs. Plasma TMAO was measured in 367 stable LTRs from the TransplantLines cohort (NCT03272841) and in 4837 participants from the population-based PREVEND cohort. TMAO levels were 35% higher in LTRs compared with PREVEND participants (4.3 vs. 3.2 µmol/L, p < 0.001). Specifically, TMAO was elevated in LTRs with metabolic dysfunction-associated steatotic liver disease, alcohol-associated liver disease, and polycystic liver disease as underlying etiology (p < 0.001 for each). Among LTRs, TMAO levels were independently associated with eGFR (std. β = −0.43, p < 0.001) and iron supplementation (std. β = 0.13, p = 0.008), and were associated with mortality (29 deaths during 8.6 years follow-up; log-rank test p = 0.017; hazard ratio of highest vs. lowest tertile 4.14, p = 0.007). In conclusion, plasma TMAO is likely elevated in stable LTRs, with impaired eGFR and iron supplementation as potential contributory factors. Our preliminary findings raise the possibility that plasma TMAO could contribute to increased mortality risk in such patients, but this need to be validated through a series of rigorous and methodical studies.
Related Topics
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.3390/ijms25116031
- https://www.mdpi.com/1422-0067/25/11/6031/pdf?version=1717077080
- OA Status
- gold
- Cited By
- 4
- References
- 80
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399239606
Raw OpenAlex JSON
- OpenAlex ID
-
https://openalex.org/W4399239606Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.3390/ijms25116031Digital Object Identifier
- Title
-
Circulating Trimethylamine-N-Oxide Is Elevated in Liver Transplant RecipientsWork title
- Type
-
articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-30Full publication date if available
- Authors
-
María Camila Trillos-Almanza, Mateo Chvatal‐Medina, Margery A. Connelly, Han Moshage, Stephan J. L. Bakker, Vincent E. de Meijer, Hans Blokzijl, Robin P. F. DullaartList of authors in order
- Landing page
-
https://doi.org/10.3390/ijms25116031Publisher landing page
- PDF URL
-
https://www.mdpi.com/1422-0067/25/11/6031/pdf?version=1717077080Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
goldOpen access status per OpenAlex
- OA URL
-
https://www.mdpi.com/1422-0067/25/11/6031/pdf?version=1717077080Direct OA link when available
- Concepts
-
Medicine, Trimethylamine N-oxide, Hazard ratio, Internal medicine, Cohort, Population, Liver transplantation, Gastroenterology, Transplantation, Endocrinology, Confidence interval, Trimethylamine, Biology, Biochemistry, Environmental healthTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
4Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 4Per-year citation counts (last 5 years)
- References (count)
-
80Number of works referenced by this work
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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