Evidence map›Paper›PMID 40360795›Full record

ArticleNature cardiovascular research2025

Metabolome-wide association identifies ferredoxin-1 (FDX1) as a determinant of cholesterol metabolism and cardiovascular risk in Asian populations.

Nilanjana Sadhu, Rinkoo Dalan, Pritesh R Jain, Chang Jie Mick Lee, Leroy Sivappiragasam Pakkiri, Kai Yi Tay, Theresia H Mina, Dorrain Low, Yilin Min, Matthew Ackers-Johnson and 31 more

Abstract read
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In one paragraph

Article in Nature cardiovascular research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

41 authors.

Nilanjana SadhuLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore. nilanjana.sadhu@ntu.edu.sg.ORCID http://orcid.org/0000-0003-1705-9730
Rinkoo DalanLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Pritesh R JainLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Chang Jie Mick LeeCardiovascular Research Institute, National University Health System, Singapore, Singapore.ORCID http://orcid.org/0000-0001-6673-9391
Leroy Sivappiragasam PakkiriDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Kai Yi TayLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Theresia H MinaLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Dorrain LowLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID http://orcid.org/0000-0002-7742-3189
Yilin MinPrecision Medicine Translational Research Programme, and Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Matthew Ackers-JohnsonCardiovascular Research Institute, National University Health System, Singapore, Singapore.ORCID http://orcid.org/0000-0002-1308-6785
Thi Tun ThiPrecision Medicine Translational Research Programme, and Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Vishnu Goutham KotaDepartment of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Yu ShiPrecision Medicine Translational Research Programme, and Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Yan LiuPrecision Medicine Translational Research Programme, and Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Hanry YuDepartment of Physiology, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0002-0339-3685
Vicky LaiCardiovascular Research Institute, National University Health System, Singapore, Singapore.ORCID http://orcid.org/0009-0008-4174-4619
Yang YangPrecision Medicine Translational Research Programme, and Department of Biochemistry, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Darwin TayLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Hong Kiat NgLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Xiaoyan WangLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Kari E WongMetabolon Inc, Durham, NC, USA.
Max LamLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Xue Li GuanLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID http://orcid.org/0000-0002-5189-8178
Nicolas BertinGenome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore.ORCID http://orcid.org/0000-0002-9835-9606
Eleanor WongGenome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore.ORCID http://orcid.org/0000-0001-7094-7679
James BestLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID http://orcid.org/0000-0002-5239-9274
Rangaprasad SarangarajanMetabolon Inc, Durham, NC, USA.
Paul ElliottLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID http://orcid.org/0000-0002-7511-5684
Elio RiboliLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID http://orcid.org/0000-0001-6795-6080
Jimmy LeeLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID http://orcid.org/0000-0002-7724-7445
Eng Sing LeeLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Joanne NgeowLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID http://orcid.org/0000-0003-1558-3627
Patrick TanGenome Institute of Singapore, Agency for Science, Technology and Research, Singapore, Singapore.
Christine CheungLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID http://orcid.org/0000-0001-7127-9107
Chester Lee DrumDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.ORCID http://orcid.org/0000-0001-6327-4584
Roger Sy FooCardiovascular Research Institute, National University Health System, Singapore, Singapore.ORCID http://orcid.org/0000-0002-8079-4618
Gregory A MichelottiMetabolon Inc, Durham, NC, USA.ORCID http://orcid.org/0000-0002-3936-4675
Haojie YuCardiovascular Metabolic Disease Translational Research Programme, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Patricia A SheridanMetabolon Inc, Durham, NC, USA.
Marie LohLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.ORCID http://orcid.org/0000-0003-3626-8466
John C ChambersLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore. john.chambers@ntu.edu.sg.ORCID http://orcid.org/0000-0003-0209-4541

Funding

Agency for Science, Technology and Research (A*STAR) H17/01/a0/007Agency for Science, Technology and Research (A*STAR) H18/01/a0/016Ministry of Education - Singapore (MOE) MOE-000322-00Ministry of Education - Singapore (MOE) MOE-T2EP30122-0018Ministry of Education - Singapore (MOE) MOH-000333-00Ministry of Health -Singapore (MOH) MOH-001226-00MOH | National Medical Research Council (NMRC) CS-IRG - MOH-001480-00MOH | National Medical Research Council (NMRC) MOH-000271MOH | National Medical Research Council (NMRC) MOH-000896-00MOH | National Medical Research Council (NMRC) MOH-001712-01MOH | National Medical Research Council (NMRC) NMRC/PRECISE/2020MOH | National Medical Research Council (NMRC) NMRC/StaR/0028/2017
6 · The paper itself

Abstract

The burden of cardiovascular disease is rising in the Asia-Pacific region, in contrast to falling cardiovascular disease mortality rates in Europe and North America. Here we perform quantification of 883 metabolites by untargeted mass spectroscopy in 8,124 Asian adults and investigate their relationships with carotid intima media thickness, a marker of atherosclerosis. Plasma concentrations of 3beta-hydroxy-5-cholestenoate (3BH5C), a cholesterol metabolite, were inversely associated with carotid intima media thickness, and Mendelian randomization studies supported a causal relationship between 3BH5C and coronary artery disease. The observed effect size was 5- to 6-fold higher in Asians than Europeans. Colocalization analyses indicated the presence of a shared causal variant between 3BH5C plasma levels and messenger RNA and protein expression of ferredoxin-1 (FDX1), a protein that is essential for sterol and bile acid synthesis. We validated FDX1 as a regulator of 3BH5C synthesis in hepatocytes and macrophages and demonstrated its role in cholesterol efflux in macrophages and aortic smooth muscle cells, using knockout and overexpression models.

Indexed as

Cardiovascular DiseasesCholesterolCoronary Artery DiseaseFerredoxinsMetabolomeMetabolomicsAdultAgedAnimalsAsian PeopleCarotid Intima-Media ThicknessFemaleHeart Disease Risk FactorsHepatocytesHumansMacrophagesCholesterolFerredoxins

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.