Circulating choline pathway nutrients and risk of moyamoya disease

BackgroundCirculating choline pathway nutrients play a critical role in first stroke and recurrent stroke. However, there is limited information available on the effects of choline pathway nutrients on the risk of moyamoya disease (MMD) and its subtypes. We investigated the association between circu...

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Main Authors: Peicong Ge, Yaobo Zhao, Yuanren Zhai, Qian Zhang, Xun Ye, Jia Wang, Rong Wang, Yan Zhang, Dong Zhang, Jizong Zhao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-08-01
Series:Frontiers in Nutrition
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2022.953426/full
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author Peicong Ge
Peicong Ge
Peicong Ge
Peicong Ge
Peicong Ge
Yaobo Zhao
Yaobo Zhao
Yuanren Zhai
Yuanren Zhai
Yuanren Zhai
Yuanren Zhai
Yuanren Zhai
Qian Zhang
Qian Zhang
Qian Zhang
Qian Zhang
Qian Zhang
Xun Ye
Xun Ye
Xun Ye
Xun Ye
Xun Ye
Jia Wang
Jia Wang
Jia Wang
Jia Wang
Jia Wang
Rong Wang
Rong Wang
Rong Wang
Rong Wang
Rong Wang
Yan Zhang
Yan Zhang
Yan Zhang
Yan Zhang
Yan Zhang
Dong Zhang
Dong Zhang
Dong Zhang
Dong Zhang
Dong Zhang
Dong Zhang
Jizong Zhao
Jizong Zhao
Jizong Zhao
Jizong Zhao
Jizong Zhao
Jizong Zhao
author_facet Peicong Ge
Peicong Ge
Peicong Ge
Peicong Ge
Peicong Ge
Yaobo Zhao
Yaobo Zhao
Yuanren Zhai
Yuanren Zhai
Yuanren Zhai
Yuanren Zhai
Yuanren Zhai
Qian Zhang
Qian Zhang
Qian Zhang
Qian Zhang
Qian Zhang
Xun Ye
Xun Ye
Xun Ye
Xun Ye
Xun Ye
Jia Wang
Jia Wang
Jia Wang
Jia Wang
Jia Wang
Rong Wang
Rong Wang
Rong Wang
Rong Wang
Rong Wang
Yan Zhang
Yan Zhang
Yan Zhang
Yan Zhang
Yan Zhang
Dong Zhang
Dong Zhang
Dong Zhang
Dong Zhang
Dong Zhang
Dong Zhang
Jizong Zhao
Jizong Zhao
Jizong Zhao
Jizong Zhao
Jizong Zhao
Jizong Zhao
author_sort Peicong Ge
collection DOAJ
description BackgroundCirculating choline pathway nutrients play a critical role in first stroke and recurrent stroke. However, there is limited information available on the effects of choline pathway nutrients on the risk of moyamoya disease (MMD) and its subtypes. We investigated the association between circulating choline and betaine and the incident risk of MMD and its subtypes.MethodsThe case-control study enrolled 385 patients with MMD [i.e., 110 transient ischemic attack (TIA)-type MMD, 157 infarction-type MMD, and 118 hemorrhagic-type MMD] and 89 matched healthy controls.ResultsSerum choline and betaine were inversely related to the risk of MMD and its subtypes. The risk of MMD was decreased with each increment in choline level [per 1 μmol increase: odds ratio (OR), 0.756; 95% CI, 0.678–0.843] and betaine level (per 1 μmol increase: OR, 0.952; 95% CI, 0.932–0.972), respectively. When choline and betaine were assessed as quartiles, compared with the lowest quartile of serum choline and betaine levels, those in the highest quartile had a significantly decreased risk of MMD (choline, Q4 vs. Q1: OR, 0.023; 95% CI, 0.005–0.118; betaine, Q4 vs. Q1: OR, 0.058; 95% CI, 0.018–0.184).ConclusionsSerum choline and betaine were associated with the decreased risk of MMD and its subtypes.
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spelling doaj.art-938cb2c930f74268b5ee439b340e8adc2022-12-22T01:39:22ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2022-08-01910.3389/fnut.2022.953426953426Circulating choline pathway nutrients and risk of moyamoya diseasePeicong Ge0Peicong Ge1Peicong Ge2Peicong Ge3Peicong Ge4Yaobo Zhao5Yaobo Zhao6Yuanren Zhai7Yuanren Zhai8Yuanren Zhai9Yuanren Zhai10Yuanren Zhai11Qian Zhang12Qian Zhang13Qian Zhang14Qian Zhang15Qian Zhang16Xun Ye17Xun Ye18Xun Ye19Xun Ye20Xun Ye21Jia Wang22Jia Wang23Jia Wang24Jia Wang25Jia Wang26Rong Wang27Rong Wang28Rong Wang29Rong Wang30Rong Wang31Yan Zhang32Yan Zhang33Yan Zhang34Yan Zhang35Yan Zhang36Dong Zhang37Dong Zhang38Dong Zhang39Dong Zhang40Dong Zhang41Dong Zhang42Jizong Zhao43Jizong Zhao44Jizong Zhao45Jizong Zhao46Jizong Zhao47Jizong Zhao48Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaChina National Clinical Research Center for Neurological Diseases, Beijing, ChinaCenter of Stroke, Beijing Institute for Brain Disorders, Beijing, ChinaBeijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, ChinaBeijing Translational Engineering Center for 3D Printer in Clinical Neuroscience, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaChina National Clinical Research Center for Neurological Diseases, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaChina National Clinical Research Center for Neurological Diseases, Beijing, ChinaCenter of Stroke, Beijing Institute for Brain Disorders, Beijing, ChinaBeijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, ChinaBeijing Translational Engineering Center for 3D Printer in Clinical Neuroscience, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaChina National Clinical Research Center for Neurological Diseases, Beijing, ChinaCenter of Stroke, Beijing Institute for Brain Disorders, Beijing, ChinaBeijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, ChinaBeijing Translational Engineering Center for 3D Printer in Clinical Neuroscience, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaChina National Clinical Research Center for Neurological Diseases, Beijing, ChinaCenter of Stroke, Beijing Institute for Brain Disorders, Beijing, ChinaBeijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, ChinaBeijing Translational Engineering Center for 3D Printer in Clinical Neuroscience, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaChina National Clinical Research Center for Neurological Diseases, Beijing, ChinaCenter of Stroke, Beijing Institute for Brain Disorders, Beijing, ChinaBeijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, ChinaBeijing Translational Engineering Center for 3D Printer in Clinical Neuroscience, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaChina National Clinical Research Center for Neurological Diseases, Beijing, ChinaCenter of Stroke, Beijing Institute for Brain Disorders, Beijing, ChinaBeijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, ChinaBeijing Translational Engineering Center for 3D Printer in Clinical Neuroscience, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaChina National Clinical Research Center for Neurological Diseases, Beijing, ChinaCenter of Stroke, Beijing Institute for Brain Disorders, Beijing, ChinaBeijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, ChinaBeijing Translational Engineering Center for 3D Printer in Clinical Neuroscience, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaChina National Clinical Research Center for Neurological Diseases, Beijing, ChinaCenter of Stroke, Beijing Institute for Brain Disorders, Beijing, ChinaBeijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, ChinaBeijing Translational Engineering Center for 3D Printer in Clinical Neuroscience, Beijing, ChinaDepartment of Neurosurgery, Beijing Hospital, Beijing, ChinaDepartment of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, ChinaChina National Clinical Research Center for Neurological Diseases, Beijing, ChinaCenter of Stroke, Beijing Institute for Brain Disorders, Beijing, ChinaBeijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, ChinaBeijing Translational Engineering Center for 3D Printer in Clinical Neuroscience, Beijing, ChinaSavaid Medical School, University of Chinese Academy of Sciences, Beijing, ChinaBackgroundCirculating choline pathway nutrients play a critical role in first stroke and recurrent stroke. However, there is limited information available on the effects of choline pathway nutrients on the risk of moyamoya disease (MMD) and its subtypes. We investigated the association between circulating choline and betaine and the incident risk of MMD and its subtypes.MethodsThe case-control study enrolled 385 patients with MMD [i.e., 110 transient ischemic attack (TIA)-type MMD, 157 infarction-type MMD, and 118 hemorrhagic-type MMD] and 89 matched healthy controls.ResultsSerum choline and betaine were inversely related to the risk of MMD and its subtypes. The risk of MMD was decreased with each increment in choline level [per 1 μmol increase: odds ratio (OR), 0.756; 95% CI, 0.678–0.843] and betaine level (per 1 μmol increase: OR, 0.952; 95% CI, 0.932–0.972), respectively. When choline and betaine were assessed as quartiles, compared with the lowest quartile of serum choline and betaine levels, those in the highest quartile had a significantly decreased risk of MMD (choline, Q4 vs. Q1: OR, 0.023; 95% CI, 0.005–0.118; betaine, Q4 vs. Q1: OR, 0.058; 95% CI, 0.018–0.184).ConclusionsSerum choline and betaine were associated with the decreased risk of MMD and its subtypes.https://www.frontiersin.org/articles/10.3389/fnut.2022.953426/fullmoyamoyacholinebetainerisk factorssubtypes
spellingShingle Peicong Ge
Peicong Ge
Peicong Ge
Peicong Ge
Peicong Ge
Yaobo Zhao
Yaobo Zhao
Yuanren Zhai
Yuanren Zhai
Yuanren Zhai
Yuanren Zhai
Yuanren Zhai
Qian Zhang
Qian Zhang
Qian Zhang
Qian Zhang
Qian Zhang
Xun Ye
Xun Ye
Xun Ye
Xun Ye
Xun Ye
Jia Wang
Jia Wang
Jia Wang
Jia Wang
Jia Wang
Rong Wang
Rong Wang
Rong Wang
Rong Wang
Rong Wang
Yan Zhang
Yan Zhang
Yan Zhang
Yan Zhang
Yan Zhang
Dong Zhang
Dong Zhang
Dong Zhang
Dong Zhang
Dong Zhang
Dong Zhang
Jizong Zhao
Jizong Zhao
Jizong Zhao
Jizong Zhao
Jizong Zhao
Jizong Zhao
Circulating choline pathway nutrients and risk of moyamoya disease
Frontiers in Nutrition
moyamoya
choline
betaine
risk factors
subtypes
title Circulating choline pathway nutrients and risk of moyamoya disease
title_full Circulating choline pathway nutrients and risk of moyamoya disease
title_fullStr Circulating choline pathway nutrients and risk of moyamoya disease
title_full_unstemmed Circulating choline pathway nutrients and risk of moyamoya disease
title_short Circulating choline pathway nutrients and risk of moyamoya disease
title_sort circulating choline pathway nutrients and risk of moyamoya disease
topic moyamoya
choline
betaine
risk factors
subtypes
url https://www.frontiersin.org/articles/10.3389/fnut.2022.953426/full
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