Plasma sphingolipids, lung function and COPD: the Cardiovascular Health Study

Rationale COPD is the third leading cause of death in the United States. Sphingolipids, structural membrane constituents that play a role in cellular stress and apoptosis signalling, may be involved in lung function. Methods In the Cardiovascular Health Study, a prospective cohort of older adults, w...

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Main Authors: Arya R. Gharib, Paul N. Jensen, Bruce M. Psaty, Andrew N. Hoofnagle, David Siscovick, Sina A. Gharib, Colleen M. Sitlani, Nona Sotoodehnia, Rozenn N. Lemaitre
Format: Article
Language:English
Published: European Respiratory Society 2023-04-01
Series:ERJ Open Research
Online Access:http://openres.ersjournals.com/content/9/2/00346-2022.full
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author Arya R. Gharib
Paul N. Jensen
Bruce M. Psaty
Andrew N. Hoofnagle
David Siscovick
Sina A. Gharib
Colleen M. Sitlani
Nona Sotoodehnia
Rozenn N. Lemaitre
author_facet Arya R. Gharib
Paul N. Jensen
Bruce M. Psaty
Andrew N. Hoofnagle
David Siscovick
Sina A. Gharib
Colleen M. Sitlani
Nona Sotoodehnia
Rozenn N. Lemaitre
author_sort Arya R. Gharib
collection DOAJ
description Rationale COPD is the third leading cause of death in the United States. Sphingolipids, structural membrane constituents that play a role in cellular stress and apoptosis signalling, may be involved in lung function. Methods In the Cardiovascular Health Study, a prospective cohort of older adults, we cross-sectionally examined the association of plasma levels of 17 sphingolipid species with lung function and COPD. Multivariable linear regression and logistic regression were used to evaluate associations of sphingolipid concentrations with forced expiratory volume in 1 s (FEV1) and odds of COPD, respectively. Results Of the 17 sphingolipids evaluated, ceramide-18 (Cer-18) and sphingomyelin-18 (SM-18) were associated with lower FEV1 values (–0.061 L per two-fold higher Cer-18, p=0.001; −0.092 L per two-fold higher SM-18, p=0.002) after correction for multiple testing. Several other associations were significant at a 0.05 level, but did not reach statistical significance after correction for multiple testing. Specifically, Cer-18 and SM-18 were associated with higher odds of COPD (odds ratio per two-fold higher Cer-18 1.29, p=0.03 and SM-18 1.73, p=0.008). Additionally, Cer-16 and SM-16 were associated with lower FEV1 values, and Cer-14, SM-14 and SM-16 with a higher odds of COPD. Conclusion In this large cross-sectional study, specific ceramides and sphingomyelins were associated with reduced lung function in a population-based study. Future studies are needed to examine whether these biomarkers are associated with longitudinal change in FEV1 within individuals or with incident COPD.
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spelling doaj.art-943a08c3d26f4ec785d2815f8ca7e6b82023-06-07T13:31:07ZengEuropean Respiratory SocietyERJ Open Research2312-05412023-04-019210.1183/23120541.00346-202200346-2022Plasma sphingolipids, lung function and COPD: the Cardiovascular Health StudyArya R. Gharib0Paul N. Jensen1Bruce M. Psaty2Andrew N. Hoofnagle3David Siscovick4Sina A. Gharib5Colleen M. Sitlani6Nona Sotoodehnia7Rozenn N. Lemaitre8 Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA Department of Laboratory Medicine, University of Washington, Seattle, WA, USA New York Academy of Medicine, New York, NY, USA Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA Cardiovascular Health Research Unit, Department of Medicine, University of Washington, Seattle, WA, USA Rationale COPD is the third leading cause of death in the United States. Sphingolipids, structural membrane constituents that play a role in cellular stress and apoptosis signalling, may be involved in lung function. Methods In the Cardiovascular Health Study, a prospective cohort of older adults, we cross-sectionally examined the association of plasma levels of 17 sphingolipid species with lung function and COPD. Multivariable linear regression and logistic regression were used to evaluate associations of sphingolipid concentrations with forced expiratory volume in 1 s (FEV1) and odds of COPD, respectively. Results Of the 17 sphingolipids evaluated, ceramide-18 (Cer-18) and sphingomyelin-18 (SM-18) were associated with lower FEV1 values (–0.061 L per two-fold higher Cer-18, p=0.001; −0.092 L per two-fold higher SM-18, p=0.002) after correction for multiple testing. Several other associations were significant at a 0.05 level, but did not reach statistical significance after correction for multiple testing. Specifically, Cer-18 and SM-18 were associated with higher odds of COPD (odds ratio per two-fold higher Cer-18 1.29, p=0.03 and SM-18 1.73, p=0.008). Additionally, Cer-16 and SM-16 were associated with lower FEV1 values, and Cer-14, SM-14 and SM-16 with a higher odds of COPD. Conclusion In this large cross-sectional study, specific ceramides and sphingomyelins were associated with reduced lung function in a population-based study. Future studies are needed to examine whether these biomarkers are associated with longitudinal change in FEV1 within individuals or with incident COPD.http://openres.ersjournals.com/content/9/2/00346-2022.full
spellingShingle Arya R. Gharib
Paul N. Jensen
Bruce M. Psaty
Andrew N. Hoofnagle
David Siscovick
Sina A. Gharib
Colleen M. Sitlani
Nona Sotoodehnia
Rozenn N. Lemaitre
Plasma sphingolipids, lung function and COPD: the Cardiovascular Health Study
ERJ Open Research
title Plasma sphingolipids, lung function and COPD: the Cardiovascular Health Study
title_full Plasma sphingolipids, lung function and COPD: the Cardiovascular Health Study
title_fullStr Plasma sphingolipids, lung function and COPD: the Cardiovascular Health Study
title_full_unstemmed Plasma sphingolipids, lung function and COPD: the Cardiovascular Health Study
title_short Plasma sphingolipids, lung function and COPD: the Cardiovascular Health Study
title_sort plasma sphingolipids lung function and copd the cardiovascular health study
url http://openres.ersjournals.com/content/9/2/00346-2022.full
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