Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc
Journal website https://www.cardiologyres.org

Original Article

Volume 14, Number 3, June 2023, pages 167-175


Preliminary Study on the Association of Serum Branched-Chain Amino Acids With Lipid and Hepatic Markers

Figures

Figure 1.
Figure 1. The 25th, 50th, and 75th percentiles were used as cut-off points to stratify participants according to the plasma levels of individual BCAAs. HDL: high-density lipoprotein; BCAAs: branched-chain amino acids.
Figure 2.
Figure 2. Relationship between serum isoleucine and serum HDL. HDL: high-density lipoprotein.
Figure 3.
Figure 3. Relationship between serum leucine and serum HDL. HDL: high-density lipoprotein.
Figure 4.
Figure 4. Relationship between serum valine and serum HDL. HDL: high-density lipoprotein.

Tables

Table 1. Baseline Properties of the Study
 
BiomarkerMean ± SD
SD: standard deviation; LDL: low-density lipoprotein.
Gender (n = 714)
  Male47.22 ± 16.88
  Female49.34 ± 16.59
Cardiac markers (mg/dL)
  Cholesterol182.5 ± 43.04
  High-density lipoprotein57.51 ± 17.29
  Triglyceride92.22 ± 61.68
  Low-density lipoprotein115.7 ± 38.75
  Apolipoprotein A1165.1 ± 37.4
  Apolipoprotein B92.19 ± 25.73
  Lipoprotein (a)37.45 ± 39.97
  N-terminal pro-B-type natriuretic peptide93.37 ± 238.5
  Small dense LDL28.49 ± 11.69
  High-sensitivity C-reactive protein2.436 ± 6.864
  Homocysteine9.655 ± 3.617
  Oxidized LDL44.44 ± 19.35
  Myeloperoxidase1102 ± 929.2
  Lipoprotein-associated phospholipase A2163 ± 43.13
Hepatic markers (U/L)
  Alanine transaminase (ALT)26.05 ± 38.1
  Aspartate transaminase (AST)27.51 ± 38.04
  Total bilirubin0.5558 ± 0.318
  Total protein7.154 ± 0.5635
  Albumin4.686 ± 0.418
  Alkaline phosphatase (ALK)73.58 ± 32.23

 

Table 2. Quartiles of Serum Levels of Isoleucine
 
Isoleucine quartile range
Q1 (< 47)Q2 (48 - 62)Q3 (63 - 79)Q4 (> 79)P valuea
aP values among the T-BCAA quartiles were obtained using the analysis of variance or the Kruskal-Wallis test. LDL: low-density lipoprotein; T-BCAA: total BCAA.
N179178178178
Cholesterol184.8 ± 40.9182.8 ± 43.5185.5 ± 44.5177.1 ± 42.90.4425
High-density lipoprotein60.96 ± 18.760.08 ± 17.057.09 ± 16.551.88 ± 15.4< 0.0001
Triglyceride88.0 ± 43.984.4 ± 43.689.5 ± 47.6106.9 ± 94.20.0223
Low-density lipoprotein118.8 ± 39.8114.3 ± 39.1116.9 ± 39.8112.7 ± 36.10.7016
Apolipoprotein A1168.2 ± 37.5168.6 ± 38.9166.9 ± 37.3156.5 ± 34.60.0117
Apolipoprotein B93.4 ± 26.190.8 ± 25.194.0 ± 27.290.4 ± 24.10.6524
Lipoprotein (a)43.1 ± 44.336.1 ± 39.331.6 ± 34.539.1 ± 40.70.2088
N-terminal pro-B-type natriuretic peptide94.27 ± 195.8119.3 ± 385.5145.5 ± 925.384.45 ± 176.70.0007
Small dense LDL27.6 ± 12.027.5 ± 10.329.7 ± 12.428.9 ± 11.80.1163
High-sensitivity C-reactive protein2.1 ± 4.63.5 ± 11.21.7 ± 4.02.3 ± 4.90.5935
Homocysteine9.2 ± 3.49.3 ± 3.59.4 ± 2.910.5 ± 4.20.0007
Oxidized LDL46.01 ± 21.642.9 ± 18.143.3 ± 19.545.4 ± 17.60.3754
Myeloperoxidase1,041 ± 852.61,061 ± 903.41,139 ± 923.71,167 ± 10320.9008
Lipoprotein-associated phospholipase A2162.9 ± 45.9160.6 ± 42.4162.5 ± 43.5165.9 ± 40.60.6616
Alanine transaminase (ALT)25.8 ± 30.728.3 ± 66.322.4 ± 12.627.6 ± 17.20.0002
Aspartate transaminase (AST)29.3 ± 52.928.0 ± 44.626.0 ± 28.926.5 ± 13.10.861
Total bilirubin0.53 ± 0.260.57 ± 0.320.56 ± 0.350.55 ± 0.320.9263
Total protein7.1 ± 0.527.1 ± 0.557.2 ± 0.637.0 ± 0.520.4228
Albumin4.7 ± 0.44.6 ± 0.34.7 ± 0.44.6 ± 0.40.191
Alkaline phosphatase (ALK)73.8 ± 26.669.7 ± 26.076.3 ± 34.374.4 ± 39.80.1666

 

Table 3. Quartiles of Serum Levels of Leucine
 
Leucine quartile range
Q1 (< 137)Q2 (138 - 157)Q3 (158 - 186)Q4 (> 186)P valuea
aP values among the T-BCAA quartiles were obtained using the analysis of variance or the Kruskal-Wallis test. LDL: low-density lipoprotein; T-BCAA: total BCAA.
N179178178178
Cholesterol182.2 ± 39.6183.8 ± 42.5189.5 ± 47.2174.8 ± 41.40.0161
High-density lipoprotein62.9 ± 17.858.3 ± 17.157.3 ± 17.151.45 ± 16.5< 0.0001
Triglyceride83.78 ± 41.986.21 ± 41.990.34 ± 51.6108.6 ± 93.30.0012
Low-density lipoprotein109.6 ± 35.3117.4 ± 40.1122.8 ± 41.0113.1 ± 37.30.0086
Apolipoprotein A1176.5 ± 38.1167.7 ± 34.3163.3 ± 37.0152.7 ± 36.2< 0.0001
Apolipoprotein B87.6 ± 23.092.9 ± 25.996.5 ± 27.891.6 ± 25.20.0151
Lipoprotein (a)32.6 ± 32.742.8 ± 43.342.2 ± 47.832.0 ± 33.10.0849
N-terminal pro-B-type natriuretic peptide121.1 ± 352.880.81 ± 112.2106.4 ± 273.2137.5 ± 946.7< 0.0001
Small dense LDL25.7 ± 9.428.02 ± 11.430.59 ± 13.229.57 ± 11.80.0004
High-sensitivity C-reactive protein2.1 ± 4.82.3 ± 6.62.8 ± 9.92.3 ± 4.80.4858
Homocysteine8.9 ± 3.210.0 ± 4.29.4 ± 3.210.1 ± 3.50.0003
Oxidized LDL45.6 ± 19.543.1 ± 19.743.2 ± 19.045.8 ± 19.10.3837
Myeloperoxidase1,113 ± 953.91,016 ± 819.91,063 ± 897.31,217 ± 10310.3047
Lipoprotein-associated phospholipase A2149.9 ± 41.8164.7 ± 41.1170.7 ± 43.9166.7 ± 42.9< 0.0001
Alanine transaminase (ALT)22.4 ± 19.423.2 ± 11.626.6 ± 29.031.8 ± 66.3< 0.0001
Aspartate transaminase (AST)24.6 ± 16.225 ± 9.230.5 ± 58.629.7 ± 44.70.0233
Total bilirubin0.50 ± 0.270.54 ± 0.260.58 ± 0.310.59 ± 0.390.0209
Total protein7.06 ± 0.517.1 ± 0.517.1 ± 0.527.2 ± 0.670.1506
Albumin4.6 ± 0.374.6 ± 0.334.6 ± 0.424.7 ± 0.510.1036
Alkaline phosphatase (ALK)73.17 ± 36.075.24 ± 36.671.37 ± 24.174.54 ± 30.50.2264

 

Table 4. Quartiles of Serum Levels of Valine
 
Valine quartile range
Q1 (< 207)Q2 (207 - 243)Q3 (243 - 285)Q4 (> 285)P valuea
aP values among the T-BCAA quartiles were obtained using the analysis of variance or the Kruskal-Wallis test. LDL: low-density lipoprotein; T-BCAA: total BCAA.
N179178176180
Cholesterol184.7 ± 43.7182.8 ± 38.9183.7 ± 44.0179 ± 45.20.5521
High-density lipoprotein62.77 ± 19.3358.72 ± 17.355.38 ± 15.9353.16 ± 14.85< 0.0001
Triglyceride83.69 ± 34.0891.68 ± 51.5190.65 ± 52.99102.8 ± 91.310.0656
Low-density lipoprotein112.2 ± 39.3115.6 ± 36.5119.6 ± 39.0115.5 ± 39.80.1488
Apolipoprotein A1174.7 ± 41.9167.4 ± 37.1160.3 ± 34.2157.8 ± 33.4< 0.0001
Apolipoprotein B89.44 ± 25.591.88 ± 25.094.49 ± 25.892.99 ± 26.30.1266
Lipoprotein (a)37.07 ± 39.237.53 ± 39.735.98 ± 37.739.27 ± 43.40.988
N-terminal pro-B-type natriuretic peptide109.6 ± 338.296.8 ± 210.768.01 ± 93.8168.2 ± 945.20.0139
Small dense LDL27.1 ± 11.328.2 ± 11.229.7 ± 12.928.7 ± 11.10.1352
High-sensitivity C-reactive protein3.1 ± 10.12.1 ± 5.01.9 ± 4.32.4 ± 6.20.1159
Homocysteine9.13 ± 3.210.05 ± 4.09.5 ± 3.29.8 ± 3.80.0443
Oxidized LDL47.02 ± 21.240.5 ± 18.346.7 ± 19.143.67 ± 18.00.008
Myeloperoxidase1,085 ± 836.81,179 ± 1,0831,123 ± 983.31,025 ± 796.10.94
Lipoprotein-associated phospholipase A2152.9 ± 43.5165.1 ± 43.5167.9 ± 40.9166 ± 43.10.0056
Alanine transaminase (ALT)20.74 ± 14.427.46 ± 29.330.02 ± 66.326.06 ± 19.1< 0.0001
Aspartate transaminase (AST)24.03 ± 14.029.95 ± 51.828.68 ± 44.727.4 ± 30.10.0293
Total bilirubin0.51 ± 0.260.55 ± 0.280.58 ± 0.360.56 ± 0.30.2668
Total protein7.09 ± 0.567.2 ± 0.517.1 ± 0.557.1 ± 0.610.0795
Albumin4.5 ± 0.444.75 ± 0.384.68 ± 0.334.71 ± 0.480.0162
Alkaline phosphatase (ALK)72.22 ± 27.372.35 ± 31.978.74 ± 42.671.08 ± 23.70.3241

 

Table 5. Pearson Correlation of BCAA With Vital Cardio and Hepatic Biomarkers
 
IsoleucineLeucineValine
rP (two-tailed)rP (two-tailed)rP (two-tailed)
BCAA: branched-chain amino acid; LDL: low-density lipoprotein.
Cholesterol-0.070.05-0.060.10-0.040.27
High-density lipoprotein-0.22< 0.0001-0.24< 0.0001-0.19< 0.0001
Triglyceride0.15< 0.00010.16< 0.00010.100.01
Low-density lipoprotein-0.050.230.030.360.030.40
Apolipoprotein A1-0.130.00-0.23< 0.0001-0.16< 0.0001
Apolipoprotein B-0.030.450.060.130.040.29
Lipoprotein (a)-0.040.33-0.030.490.020.72
N-terminal pro-B-type natriuretic peptide-0.020.620.030.390.080.03
Small dense LDL0.050.220.140.000.050.21
High-sensitivity C-reactive protein-0.010.85-0.020.62-0.020.64
Homocysteine0.100.010.090.020.070.08
Oxidized LDL0.010.79-0.010.85-0.030.42
Myeloperoxidase0.030.400.060.14-0.030.39
Lipoprotein-associated phospholipase A20.010.820.120.000.100.01
Alanine transaminase (ALT)0.000.940.080.030.040.26
Aspartate transaminase (AST)-0.030.490.050.210.010.79
Total bilirubin0.000.910.110.000.070.06
Total protein-0.020.680.090.010.050.17
Albumin-0.070.070.120.000.080.03
Alkaline phosphatase (ALK)0.030.450.020.660.020.67