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February 17, 2023Civil War Book ReviewOpen Access

DNA Methylation Near CPT1A and Changes in Triglyceride-rich Lipoproteins in Response to Weight-loss Diet Interventions

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Key result

A low-fat weight-loss diet in participants with higher baseline DNA methylation at CPT1A was associated with a greater reduction in total plasma triglycerides at 2 years (P interaction = 0.018).

Why the study?

CPT1A may be important in triglyceride metabolism, and high fat intake is linked to CPT1A methylation, but its role in triglyceride reductions during weight-loss diets was unknown.

Does baseline DNA methylation at CPT1A modify the effect of a low-fat versus high-fat weight-loss diet on 2-year changes in triglycerides in White participants?

Population

538 White participants

Comparison

1 of 4 diets varying in macronutrient components

Design

Randomized trial

Follow-up

2 years

Authors

XLXiang LiXSXiaojian ShaoQXQiaochu Xue

Discussion

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Overview

CPT1A methylation may guide low-fat diet selection to optimize triglyceride reductions; extends precision nutrition evidence from RCTs.

Study Design

Type

RCT (n=538)

Randomization

randomly assigned

Structured PICO

Does baseline DNA methylation at CPT1A modify the effect of a low-fat versus high-fat weight-loss diet on 2-year changes in triglycerides in White participants?

P
Population
538 White participants randomly assigned to 1 of 4 weight-loss diets varying in macronutrient components, followed for 2 years.
I
Intervention
Low-fat weight-loss diet
C
Comparator
High-fat weight-loss diet
O
Outcome
2-year changes in total plasma triglyceridessurrogate

Main Result

p-value: p=0.018

Higher baseline DNA methylation at CPT1A predicts greater long-term reductions in triglycerides and triglyceride-rich lipoproteins in response to a low-fat weight-loss diet.

Cite This Study

Li et al. (2023) conducted an RCT in Weight loss (n=538). Low-fat weight-loss diet vs. High-fat weight-loss diet was evaluated on 2-year changes in total plasma triglycerides (p=0.018). A low-fat weight-loss diet in participants with higher baseline DNA methylation at CPT1A was associated with a greater reduction in total plasma triglycerides at 2 years (P interaction = 0.018).

synapsesocial.com/papers/6a63663593e7e2232d286b34https://doi.org/10.1210/clinem/dgad086
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The crucial roles of apolipoproteins E and C-III in apoB lipoprotein metabolism in normolipidemia and hypertriglyceridemia2014 · 170 citations
  2. 2Epigenome-wide association study of triglyceride postprandial responses to a high-fat dietary challenge2016 · 58 citations
  3. 3Blood as a surrogate marker for tissue‐specific DNA methylation and changes due to folate depletion in post‐partum female mice2011 · 63 citations
  4. 4The Roles of ApoC-III on the Metabolism of Triglyceride-Rich Lipoproteins in Humans2020 · 184 citations
  5. 5Methylation at CPT1A locus is associated with lipoprotein subfraction profiles2014 · 85 citations