Evidence of a causal and modifiable relationship between kidney function and circulating trimethylamine N-oxide

Research output: Contribution to journalJournal articleResearchpeer-review

Standard

Evidence of a causal and modifiable relationship between kidney function and circulating trimethylamine N-oxide. / Andrikopoulos, Petros; Aron-Wisnewsky, Judith; Chakaroun, Rima; Myridakis, Antonis; Forslund, Sofia K.; Nielsen, Trine; Adriouch, Solia; Holmes, Bridget; Chilloux, Julien; Vieira-Silva, Sara; Falony, Gwen; Salem, Joe Elie; Andreelli, Fabrizio; Belda, Eugeni; Kieswich, Julius; Chechi, Kanta; Puig-Castellvi, Francesc; Chevalier, Mickael; Le Chatelier, Emmanuelle; Olanipekun, Michael T.; Hoyles, Lesley; Alves, Renato; Helft, Gerard; Isnard, Richard; Køber, Lars; Coelho, Luis Pedro; Rouault, Christine; Gauguier, Dominique; Gøtze, Jens Peter; Prifti, Edi; Froguel, Philippe; Alili, Rohia; Galijatovic, Ehm Astrid Andersson; Barthelemy, Olivier; Bastard, Jean Philippe; Batisse, Jean Paul; Bel-Lassen, Pierre; Berland, Magalie; Bittar, Randa; Blottière, Hervé; Bosquet, Frederic; Boubrit, Rachid; Bourron, Olivier; Camus, Mickael; Ciangura, Cecile; Collet, Jean Philippe; Dietrich, Arne; Djebbar, Morad; Doré, Angélique; Engelbrechtsen, Line; Fezeu, Leopold; Fromentin, Sebastien; Pons, Nicolas; Graine, Marianne; Grünemann, Caroline; Hartemann, Agnes; Hartmann, Bolette; Hornbak, Malene; Jaqueminet, Sophie; Jørgensen, Niklas Rye; Julienne, Hanna; Justesen, Johanne; Kammer, Judith; Karup, Nikolaj; Kozlowski, Ruby; Kuhn, Michael; Lejard, Véronique; Letunic, Ivica; Levenez, Florence; Marko, Lajos; Martinez-Gili, Laura; Massey, Robin; Maziers, Nicolas; Moitinho-Silva, Lucas; Montalescot, Gilles; Neves, Ana Luisa; Le Pavin, Laetitia Pasero; Pousset, Francoise; Rodriguez-Martinez, Andrea; Schmidt, Sebastien; Schütz, Tatjana; Silva, Lucas; Silvain, Johanne; Svendstrup, Mathilde; Swartz, Timothy D.; Vanduyvenboden, Thierry; Verger, Eric O.; Walther, Stefanie; Zucker, Jean Daniel; Bäckhed, Fredrik; Vestergaard, Henrik; Hansen, Torben; Oppert, Jean Michel; Blüher, Matthias; Nielsen, Jens; Raes, Jeroen; Bork, Peer; Yaqoob, Muhammad M.; Stumvoll, Michael; Pedersen, Oluf; Ehrlich, S. Dusko; Clément, Karine; Dumas, Marc Emmanuel.

In: Nature Communications, Vol. 14, 5843, 2023.

Research output: Contribution to journalJournal articleResearchpeer-review

Harvard

Andrikopoulos, P, Aron-Wisnewsky, J, Chakaroun, R, Myridakis, A, Forslund, SK, Nielsen, T, Adriouch, S, Holmes, B, Chilloux, J, Vieira-Silva, S, Falony, G, Salem, JE, Andreelli, F, Belda, E, Kieswich, J, Chechi, K, Puig-Castellvi, F, Chevalier, M, Le Chatelier, E, Olanipekun, MT, Hoyles, L, Alves, R, Helft, G, Isnard, R, Køber, L, Coelho, LP, Rouault, C, Gauguier, D, Gøtze, JP, Prifti, E, Froguel, P, Alili, R, Galijatovic, EAA, Barthelemy, O, Bastard, JP, Batisse, JP, Bel-Lassen, P, Berland, M, Bittar, R, Blottière, H, Bosquet, F, Boubrit, R, Bourron, O, Camus, M, Ciangura, C, Collet, JP, Dietrich, A, Djebbar, M, Doré, A, Engelbrechtsen, L, Fezeu, L, Fromentin, S, Pons, N, Graine, M, Grünemann, C, Hartemann, A, Hartmann, B, Hornbak, M, Jaqueminet, S, Jørgensen, NR, Julienne, H, Justesen, J, Kammer, J, Karup, N, Kozlowski, R, Kuhn, M, Lejard, V, Letunic, I, Levenez, F, Marko, L, Martinez-Gili, L, Massey, R, Maziers, N, Moitinho-Silva, L, Montalescot, G, Neves, AL, Le Pavin, LP, Pousset, F, Rodriguez-Martinez, A, Schmidt, S, Schütz, T, Silva, L, Silvain, J, Svendstrup, M, Swartz, TD, Vanduyvenboden, T, Verger, EO, Walther, S, Zucker, JD, Bäckhed, F, Vestergaard, H, Hansen, T, Oppert, JM, Blüher, M, Nielsen, J, Raes, J, Bork, P, Yaqoob, MM, Stumvoll, M, Pedersen, O, Ehrlich, SD, Clément, K & Dumas, ME 2023, 'Evidence of a causal and modifiable relationship between kidney function and circulating trimethylamine N-oxide', Nature Communications, vol. 14, 5843. https://doi.org/10.1038/s41467-023-39824-4

APA

Andrikopoulos, P., Aron-Wisnewsky, J., Chakaroun, R., Myridakis, A., Forslund, S. K., Nielsen, T., Adriouch, S., Holmes, B., Chilloux, J., Vieira-Silva, S., Falony, G., Salem, J. E., Andreelli, F., Belda, E., Kieswich, J., Chechi, K., Puig-Castellvi, F., Chevalier, M., Le Chatelier, E., ... Dumas, M. E. (2023). Evidence of a causal and modifiable relationship between kidney function and circulating trimethylamine N-oxide. Nature Communications, 14, [5843]. https://doi.org/10.1038/s41467-023-39824-4

Vancouver

Andrikopoulos P, Aron-Wisnewsky J, Chakaroun R, Myridakis A, Forslund SK, Nielsen T et al. Evidence of a causal and modifiable relationship between kidney function and circulating trimethylamine N-oxide. Nature Communications. 2023;14. 5843. https://doi.org/10.1038/s41467-023-39824-4

Author

Andrikopoulos, Petros ; Aron-Wisnewsky, Judith ; Chakaroun, Rima ; Myridakis, Antonis ; Forslund, Sofia K. ; Nielsen, Trine ; Adriouch, Solia ; Holmes, Bridget ; Chilloux, Julien ; Vieira-Silva, Sara ; Falony, Gwen ; Salem, Joe Elie ; Andreelli, Fabrizio ; Belda, Eugeni ; Kieswich, Julius ; Chechi, Kanta ; Puig-Castellvi, Francesc ; Chevalier, Mickael ; Le Chatelier, Emmanuelle ; Olanipekun, Michael T. ; Hoyles, Lesley ; Alves, Renato ; Helft, Gerard ; Isnard, Richard ; Køber, Lars ; Coelho, Luis Pedro ; Rouault, Christine ; Gauguier, Dominique ; Gøtze, Jens Peter ; Prifti, Edi ; Froguel, Philippe ; Alili, Rohia ; Galijatovic, Ehm Astrid Andersson ; Barthelemy, Olivier ; Bastard, Jean Philippe ; Batisse, Jean Paul ; Bel-Lassen, Pierre ; Berland, Magalie ; Bittar, Randa ; Blottière, Hervé ; Bosquet, Frederic ; Boubrit, Rachid ; Bourron, Olivier ; Camus, Mickael ; Ciangura, Cecile ; Collet, Jean Philippe ; Dietrich, Arne ; Djebbar, Morad ; Doré, Angélique ; Engelbrechtsen, Line ; Fezeu, Leopold ; Fromentin, Sebastien ; Pons, Nicolas ; Graine, Marianne ; Grünemann, Caroline ; Hartemann, Agnes ; Hartmann, Bolette ; Hornbak, Malene ; Jaqueminet, Sophie ; Jørgensen, Niklas Rye ; Julienne, Hanna ; Justesen, Johanne ; Kammer, Judith ; Karup, Nikolaj ; Kozlowski, Ruby ; Kuhn, Michael ; Lejard, Véronique ; Letunic, Ivica ; Levenez, Florence ; Marko, Lajos ; Martinez-Gili, Laura ; Massey, Robin ; Maziers, Nicolas ; Moitinho-Silva, Lucas ; Montalescot, Gilles ; Neves, Ana Luisa ; Le Pavin, Laetitia Pasero ; Pousset, Francoise ; Rodriguez-Martinez, Andrea ; Schmidt, Sebastien ; Schütz, Tatjana ; Silva, Lucas ; Silvain, Johanne ; Svendstrup, Mathilde ; Swartz, Timothy D. ; Vanduyvenboden, Thierry ; Verger, Eric O. ; Walther, Stefanie ; Zucker, Jean Daniel ; Bäckhed, Fredrik ; Vestergaard, Henrik ; Hansen, Torben ; Oppert, Jean Michel ; Blüher, Matthias ; Nielsen, Jens ; Raes, Jeroen ; Bork, Peer ; Yaqoob, Muhammad M. ; Stumvoll, Michael ; Pedersen, Oluf ; Ehrlich, S. Dusko ; Clément, Karine ; Dumas, Marc Emmanuel. / Evidence of a causal and modifiable relationship between kidney function and circulating trimethylamine N-oxide. In: Nature Communications. 2023 ; Vol. 14.

Bibtex

@article{0cb3ef1b53f34280b1f25552025d2b73,
title = "Evidence of a causal and modifiable relationship between kidney function and circulating trimethylamine N-oxide",
abstract = "The host-microbiota co-metabolite trimethylamine N-oxide (TMAO) is linked to increased cardiovascular risk but how its circulating levels are regulated remains unclear. We applied “explainable” machine learning, univariate, multivariate and mediation analyses of fasting plasma TMAO concentration and a multitude of phenotypes in 1,741 adult Europeans of the MetaCardis study. Here we show that next to age, kidney function is the primary variable predicting circulating TMAO, with microbiota composition and diet playing minor, albeit significant, roles. Mediation analysis suggests a causal relationship between TMAO and kidney function that we corroborate in preclinical models where TMAO exposure increases kidney scarring. Consistent with our findings, patients receiving glucose-lowering drugs with reno-protective properties have significantly lower circulating TMAO when compared to propensity-score matched control individuals. Our analyses uncover a bidirectional relationship between kidney function and TMAO that can potentially be modified by reno-protective anti-diabetic drugs and suggest a clinically actionable intervention for decreasing TMAO-associated excess cardiovascular risk.",
author = "Petros Andrikopoulos and Judith Aron-Wisnewsky and Rima Chakaroun and Antonis Myridakis and Forslund, {Sofia K.} and Trine Nielsen and Solia Adriouch and Bridget Holmes and Julien Chilloux and Sara Vieira-Silva and Gwen Falony and Salem, {Joe Elie} and Fabrizio Andreelli and Eugeni Belda and Julius Kieswich and Kanta Chechi and Francesc Puig-Castellvi and Mickael Chevalier and {Le Chatelier}, Emmanuelle and Olanipekun, {Michael T.} and Lesley Hoyles and Renato Alves and Gerard Helft and Richard Isnard and Lars K{\o}ber and Coelho, {Luis Pedro} and Christine Rouault and Dominique Gauguier and G{\o}tze, {Jens Peter} and Edi Prifti and Philippe Froguel and Rohia Alili and Galijatovic, {Ehm Astrid Andersson} and Olivier Barthelemy and Bastard, {Jean Philippe} and Batisse, {Jean Paul} and Pierre Bel-Lassen and Magalie Berland and Randa Bittar and Herv{\'e} Blotti{\`e}re and Frederic Bosquet and Rachid Boubrit and Olivier Bourron and Mickael Camus and Cecile Ciangura and Collet, {Jean Philippe} and Arne Dietrich and Morad Djebbar and Ang{\'e}lique Dor{\'e} and Line Engelbrechtsen and Leopold Fezeu and Sebastien Fromentin and Nicolas Pons and Marianne Graine and Caroline Gr{\"u}nemann and Agnes Hartemann and Bolette Hartmann and Malene Hornbak and Sophie Jaqueminet and J{\o}rgensen, {Niklas Rye} and Hanna Julienne and Johanne Justesen and Judith Kammer and Nikolaj Karup and Ruby Kozlowski and Michael Kuhn and V{\'e}ronique Lejard and Ivica Letunic and Florence Levenez and Lajos Marko and Laura Martinez-Gili and Robin Massey and Nicolas Maziers and Lucas Moitinho-Silva and Gilles Montalescot and Neves, {Ana Luisa} and {Le Pavin}, {Laetitia Pasero} and Francoise Pousset and Andrea Rodriguez-Martinez and Sebastien Schmidt and Tatjana Sch{\"u}tz and Lucas Silva and Johanne Silvain and Mathilde Svendstrup and Swartz, {Timothy D.} and Thierry Vanduyvenboden and Verger, {Eric O.} and Stefanie Walther and Zucker, {Jean Daniel} and Fredrik B{\"a}ckhed and Henrik Vestergaard and Torben Hansen and Oppert, {Jean Michel} and Matthias Bl{\"u}her and Jens Nielsen and Jeroen Raes and Peer Bork and Yaqoob, {Muhammad M.} and Michael Stumvoll and Oluf Pedersen and Ehrlich, {S. Dusko} and Karine Cl{\'e}ment and Dumas, {Marc Emmanuel}",
note = "Publisher Copyright: {\textcopyright} 2023, Springer Nature Limited.",
year = "2023",
doi = "10.1038/s41467-023-39824-4",
language = "English",
volume = "14",
journal = "Nature Communications",
issn = "2041-1723",
publisher = "nature publishing group",

}

RIS

TY - JOUR

T1 - Evidence of a causal and modifiable relationship between kidney function and circulating trimethylamine N-oxide

AU - Andrikopoulos, Petros

AU - Aron-Wisnewsky, Judith

AU - Chakaroun, Rima

AU - Myridakis, Antonis

AU - Forslund, Sofia K.

AU - Nielsen, Trine

AU - Adriouch, Solia

AU - Holmes, Bridget

AU - Chilloux, Julien

AU - Vieira-Silva, Sara

AU - Falony, Gwen

AU - Salem, Joe Elie

AU - Andreelli, Fabrizio

AU - Belda, Eugeni

AU - Kieswich, Julius

AU - Chechi, Kanta

AU - Puig-Castellvi, Francesc

AU - Chevalier, Mickael

AU - Le Chatelier, Emmanuelle

AU - Olanipekun, Michael T.

AU - Hoyles, Lesley

AU - Alves, Renato

AU - Helft, Gerard

AU - Isnard, Richard

AU - Køber, Lars

AU - Coelho, Luis Pedro

AU - Rouault, Christine

AU - Gauguier, Dominique

AU - Gøtze, Jens Peter

AU - Prifti, Edi

AU - Froguel, Philippe

AU - Alili, Rohia

AU - Galijatovic, Ehm Astrid Andersson

AU - Barthelemy, Olivier

AU - Bastard, Jean Philippe

AU - Batisse, Jean Paul

AU - Bel-Lassen, Pierre

AU - Berland, Magalie

AU - Bittar, Randa

AU - Blottière, Hervé

AU - Bosquet, Frederic

AU - Boubrit, Rachid

AU - Bourron, Olivier

AU - Camus, Mickael

AU - Ciangura, Cecile

AU - Collet, Jean Philippe

AU - Dietrich, Arne

AU - Djebbar, Morad

AU - Doré, Angélique

AU - Engelbrechtsen, Line

AU - Fezeu, Leopold

AU - Fromentin, Sebastien

AU - Pons, Nicolas

AU - Graine, Marianne

AU - Grünemann, Caroline

AU - Hartemann, Agnes

AU - Hartmann, Bolette

AU - Hornbak, Malene

AU - Jaqueminet, Sophie

AU - Jørgensen, Niklas Rye

AU - Julienne, Hanna

AU - Justesen, Johanne

AU - Kammer, Judith

AU - Karup, Nikolaj

AU - Kozlowski, Ruby

AU - Kuhn, Michael

AU - Lejard, Véronique

AU - Letunic, Ivica

AU - Levenez, Florence

AU - Marko, Lajos

AU - Martinez-Gili, Laura

AU - Massey, Robin

AU - Maziers, Nicolas

AU - Moitinho-Silva, Lucas

AU - Montalescot, Gilles

AU - Neves, Ana Luisa

AU - Le Pavin, Laetitia Pasero

AU - Pousset, Francoise

AU - Rodriguez-Martinez, Andrea

AU - Schmidt, Sebastien

AU - Schütz, Tatjana

AU - Silva, Lucas

AU - Silvain, Johanne

AU - Svendstrup, Mathilde

AU - Swartz, Timothy D.

AU - Vanduyvenboden, Thierry

AU - Verger, Eric O.

AU - Walther, Stefanie

AU - Zucker, Jean Daniel

AU - Bäckhed, Fredrik

AU - Vestergaard, Henrik

AU - Hansen, Torben

AU - Oppert, Jean Michel

AU - Blüher, Matthias

AU - Nielsen, Jens

AU - Raes, Jeroen

AU - Bork, Peer

AU - Yaqoob, Muhammad M.

AU - Stumvoll, Michael

AU - Pedersen, Oluf

AU - Ehrlich, S. Dusko

AU - Clément, Karine

AU - Dumas, Marc Emmanuel

N1 - Publisher Copyright: © 2023, Springer Nature Limited.

PY - 2023

Y1 - 2023

N2 - The host-microbiota co-metabolite trimethylamine N-oxide (TMAO) is linked to increased cardiovascular risk but how its circulating levels are regulated remains unclear. We applied “explainable” machine learning, univariate, multivariate and mediation analyses of fasting plasma TMAO concentration and a multitude of phenotypes in 1,741 adult Europeans of the MetaCardis study. Here we show that next to age, kidney function is the primary variable predicting circulating TMAO, with microbiota composition and diet playing minor, albeit significant, roles. Mediation analysis suggests a causal relationship between TMAO and kidney function that we corroborate in preclinical models where TMAO exposure increases kidney scarring. Consistent with our findings, patients receiving glucose-lowering drugs with reno-protective properties have significantly lower circulating TMAO when compared to propensity-score matched control individuals. Our analyses uncover a bidirectional relationship between kidney function and TMAO that can potentially be modified by reno-protective anti-diabetic drugs and suggest a clinically actionable intervention for decreasing TMAO-associated excess cardiovascular risk.

AB - The host-microbiota co-metabolite trimethylamine N-oxide (TMAO) is linked to increased cardiovascular risk but how its circulating levels are regulated remains unclear. We applied “explainable” machine learning, univariate, multivariate and mediation analyses of fasting plasma TMAO concentration and a multitude of phenotypes in 1,741 adult Europeans of the MetaCardis study. Here we show that next to age, kidney function is the primary variable predicting circulating TMAO, with microbiota composition and diet playing minor, albeit significant, roles. Mediation analysis suggests a causal relationship between TMAO and kidney function that we corroborate in preclinical models where TMAO exposure increases kidney scarring. Consistent with our findings, patients receiving glucose-lowering drugs with reno-protective properties have significantly lower circulating TMAO when compared to propensity-score matched control individuals. Our analyses uncover a bidirectional relationship between kidney function and TMAO that can potentially be modified by reno-protective anti-diabetic drugs and suggest a clinically actionable intervention for decreasing TMAO-associated excess cardiovascular risk.

U2 - 10.1038/s41467-023-39824-4

DO - 10.1038/s41467-023-39824-4

M3 - Journal article

C2 - 37730687

AN - SCOPUS:85171810387

VL - 14

JO - Nature Communications

JF - Nature Communications

SN - 2041-1723

M1 - 5843

ER -

ID: 369084005