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787

Parameter
Biomarker TMAO Full name Trimethylamine N-oxide Molecular Type metabolites
Molecular Formula / Molecular Weight 75.11 Da Core Functional Dimensions Susceptibility, prognosis
Disease Coronary heart disease (CHD) Disease Subtypes /
Organ Liver (metabolism of gut microbiota-derived TMA) Test Sample / Technology Platform Serum/plasma (LC-MS and GC-MS)
Pathobiological Mechanisms Metabolites of gut microbiota (derived from choline and L-carnitine); Promote macrophage foaming, inhibit endothelial function, and accelerate atherosclerosis
Clinical Availability Status Research validation (risk) : large-scale cohort (n = 1273) confirmed that TMAO > 5 μmol/L 62% increased risk of coronary heart disease, in patients with AMI were significantly higher than stable coronary heart disease (p < 0.01); It is not included in clinical guidelines, but only used as an indicator for scientific research and screening of high-risk populations
Notes and Dynamics It is greatly affected by diet (the intake of red meat and egg yolk can increase), so standardized diet is needed before testing; It is related to the composition of intestinal flora, which can guide the "diet-microbiota" intervention treatment

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This study was supported by the Scientific Research Innovation Capability Support Project for Young Faculty (SRICSPYF-ZY2025112), the Fundamental and Interdisciplinary Disciplines Breakthrough Plan of the Ministry of Education of China (JYB2025XDXM612)

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