Unbiased, “nontargeted” metabolite profiling techniques hold considerable promise for biomarker and pathway discovery, in spite of the lack of successful applications to human disease. By integrating nontargeted metabolomics, genetics, and detailed human phenotyping, we identified dimethylguanidino valeric acid (DMGV) as an independent biomarker of CT-defined nonalcoholic fatty liver disease (NAFLD) in the offspring cohort of the Framingham Heart Study (FHS) participants. We verified the relationship between DMGV and early hepatic pathology. Specifically, plasma DMGV levels were correlated with biopsy-proven nonalcoholic steatohepatitis (NASH) in a hospital cohort of individuals undergoing gastric bypass surgery, and DMGV levels fell in parallel with improvements in post-procedure cardiometabolic parameters. Further, baseline DMGV levels independently predicted future diabetes up to 12 years before disease onset in 3 distinct human cohorts. Finally, we provide all metabolite peak data consisting of known and unidentified peaks, genetics, and key metabolic parameters as a publicly available resource for investigations in cardiometabolic diseases.
John F. O’Sullivan, Jordan E. Morningstar, Qiong Yang, Baohui Zheng, Yan Gao, Sarah Jeanfavre, Justin Scott, Celine Fernandez, Hui Zheng, Sean O’Connor, Paul Cohen, Ramachandran S. Vasan, Michelle T. Long, James G. Wilson, Olle Melander, Thomas J. Wang, Caroline Fox, Randall T. Peterson, Clary B. Clish, Kathleen E. Corey, Robert E. Gerszten
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Hepatic Steatosis and Fibrosis, Cardiorespiratory Fitness, and Metabolic Mediators in the Community
Florea VV, Gajjar P, Huang S, Tang J, Zhao S, Davenport M, Mi MY, Haff M, Zhang X, Miller PE, Vasan RS, Liu CT, Lewis GD, Shah RV, Long MT, Nayor M |
Liver international : official journal of the International Association for the Study of the Liver | 2025 |
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Akbary Moghaddam V, Acharya S, Schwaiger-Haber M, Liao S, Jung WJ, Thyagarajan B, Shriver LP, Daw EW, Saccone NL, An P, Brent MR, Patti GJ, Province MA |
bioRxiv | 2025 |
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Scientific Reports | 2025 |
Prevention of high-fat/high-sugar diet-induced type 2 diabetes mellitus-associated non-alcoholic fatty liver disease in rats with fermented and raw Rosa roxburghii Tratt (Cili) juice
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Frontiers in Nutrition | 2025 |
Plasma metabolite profile of legume consumption and future risk of type 2 diabetes and cardiovascular disease.
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Linking microbial genes to plasma and stool metabolites uncovers host-microbial interactions underlying disease course of ulcerative colitis
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The American journal of clinical nutrition | 2024 |
Metabolites Associated With Uremic Symptoms in Patients With CKD: Findings From the Chronic Renal Insufficiency Cohort (CRIC) Study
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American journal of kidney diseases : the official journal of the National Kidney Foundation | 2024 |
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Plasma metabolite profile for primary open-angle glaucoma in three US cohorts and the UK Biobank
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Acute aerobic exercise reveals FAHFAs distinguish the metabolomes of overweight and normal weight runners
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DMGV is a rheostat of T cell survival and a potential therapeutic for lymphoproliferative diseases and cancers
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Plasma Metabolomics and Breast Cancer Risk over 20 Years of Follow-up among Postmenopausal Women in the Nurses' Health Study
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The HERITAGE Family Study: A Review of the Effects of Exercise Training on Cardiometabolic Health, with Insights into Molecular Transducers
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The potential mechanism of Liu-Wei-Di-Huang Pills in treatment of type 2 diabetic mellitus: from gut microbiota to short-chain fatty acids metabolism.
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Clostridium butyricum Potentially Improves Immunity and Nutrition through Alteration of the Microbiota and Metabolism of Elderly People with Malnutrition in Long-Term Care
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Nontargeted and Targeted Metabolomic Profiling Reveals Novel Metabolite Biomarkers of Incident Diabetes in African Americans
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Plasma metabolite profiles associated with the amount and source of meat and fish consumption and the risk of type 2 diabetes
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Proteomic Profiling Reveals Novel Biomarkers and Pathways in Type 2 Diabetes Risk
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Gut-Derived Metabolite Indole-3-Propionic Acid Modulates Mitochondrial Function in Cardiomyocytes and Alters Cardiac Function
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Frontiers in Medicine | 2021 |
Metabolic Signatures in Coronary Artery Disease: Results from the BioHEART-CT Study
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Machine Learning-Driven Metabolomic Evaluation of Cerebrospinal Fluid: Insights Into Poor Outcomes After Aneurysmal Subarachnoid Hemorrhage
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Metabolomic Markers of Southern Dietary Patterns in the Jackson Heart Study
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Metabolomic Profiles and Heart Failure Risk in Black Adults: Insights From the Jackson Heart Study
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The American journal of clinical nutrition | 2021 |
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A hierarchical approach to removal of unwanted variation for large-scale metabolomics data
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Nature Communications | 2021 |
Hepatic Fat in Participants With and Without Incident Diabetes in the Diabetes Prevention Program Outcome Study
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The Journal of clinical endocrinology and metabolism | 2021 |
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2021 | |
Bariatric Surgery Improves the Atherogenic Profile of Circulating Methylarginines in Obese Patients: Results from a Pilot Study
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Metabolites | 2021 |
Metabolic Architecture of Acute Exercise Response in Middle-Aged Adults in the Community
M Nayor, RV Shah, PE Miller, JB Blodgett, M Tanguay, AR Pico, VL Murthy, R Malhotra, NE Houstis, A Deik, KA Pierce, K Bullock, L Dailey, RS Velagaleti, SA Moore, JE Ho, AL Baggish, CB Clish, MG Larson, RS Vasan, GD Lewis |
Circulation | 2020 |
Metabolomics reveals the impact of Type 2 diabetes on local muscle and vascular responses to ischemic stress
JA Beckman, JR Hu, S Huang, E Farber-Eger, QS Wells, TJ Wang, RE Gerszten, JF Ferguson |
Clinical Science | 2020 |
The Plasma Metabolomic Profile is Differently Associated with Liver Fat, Visceral Adipose Tissue, and Pancreatic Fat
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The Journal of clinical endocrinology and metabolism | 2020 |
Nutritional and metabolic regulation of the metabolite dimethylguanidino valeric acid: an early marker of cardiometabolic disease
JA Wali, YC Koay, J Chami, C Wood, L Corcilius, RJ Payne, RN Rodionov, AL Birkenfeld, D Samocha-Bonet, SJ Simpson, JF OSullivan |
American journal of physiology. Endocrinology and metabolism | 2020 |
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The American journal of clinical nutrition | 2020 |
Metabolomic and Lipidomic Biomarkers for Premalignant Liver Disease Diagnosis and Therapy
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Metabolites | 2020 |
Plasma Metabolomics Profiles are Associated with the Amount and Source of Protein Intake: A Metabolomics Approach within the PREDIMED Study
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Molecular Nutrition & Food Research | 2020 |
Plasma Metabolites Associate with All-Cause Mortality in Individuals with Type 2 Diabetes
F Ottosson, E Smith, C Fernandez, O Melander |
Metabolites | 2020 |
Comprehensive Metabolic Phenotyping Refines Cardiovascular Risk in Young Adults
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Circulation | 2020 |
The Associations of SCFA with Anthropometric Parameters and Carbohydrate Metabolism in Pregnant Women
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International journal of molecular sciences | 2020 |
Plasma Metabolomic Profiles of Glycemic Index, Glycemic Load, and Carbohydrate Quality Index in the PREDIMED Study
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The Journal of nutrition | 2020 |
Walnut Consumption, Plasma Metabolomics, and Risk of Type 2 Diabetes and Cardiovascular Disease
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The Journal of nutrition | 2020 |
Metabolomics and Proteomics in Type 2 Diabetes.
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Circulation research | 2020 |
Pharmacometabolomics of Bronchodilator Response in Asthma and the Role of Age-Metabolite Interactions
RS Kelly, JE Sordillo, SM Lutz, L Avila, M Soto-Quiros, JC Celedón, MJ McGeachie, A Dahlin, K Tantisira, M Huang, CB Clish, ST Weiss, J Lasky-Su, AC Wu |
Metabolites | 2019 |
Impact of the Food Additive Titanium Dioxide (E171) on Gut Microbiota-Host Interaction
G Pinget, J Tan, B Janac, NO Kaakoush, AS Angelatos, J O'Sullivan, YC Koay, F Sierro, J Davis, SK Divakarla, D Khanal, RJ Moore, D Stanley, W Chrzanowski, L Macia |
Frontiers in Nutrition | 2019 |
Plasma Metabolites Associated with Coffee Consumption: A Metabolomic Approach within the PREDIMED Study
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Nutrients | 2019 |
Branched-chain amino acids impact health and lifespan indirectly via amino acid balance and appetite control
SM Solon-Biet, VC Cogger, T Pulpitel, D Wahl, X Clark, EE Bagley, GC Gregoriou, AM Senior, QP Wang, AE Brandon, R Perks, J OSullivan, YC Koay, K Bell-Anderson, M Kebede, B Yau, C Atkinson, G Svineng, T Dodgson, JA Wali, MD Piper, P Juricic, L Partridge, AJ Rose, D Raubenheimer, GJ Cooney, DG Couteur, SJ Simpson |
2019 | |
Association of Dimethylguanidino Valeric Acid With Partial Resistance to Metabolic Health Benefits of Regular Exercise
JM Robbins, M Herzig, J Morningstar, MA Sarzynski, DE Cruz, TJ Wang, Y Gao, JG Wilson, C Bouchard, T Rankinen, RE Gerszten |
JAMA Cardiology | 2019 |
Plasma Metabolites Associated with Frequent Red Wine Consumption: A Metabolomics Approach within the PREDIMED Study
P HernándezAlonso, C Papandreou, M Bulló, M RuizCanela, C Dennis, A Deik, DD Wang, M GuaschFerré, E Yu, E Toledo, C Razquin, D Corella, R Estruch, E Ros, M Fitó, F Arós, M Fiol, L SerraMajem, L Liang, CB Clish, MA MartínezGonzález, FB Hu, J SalasSalvadó |
Molecular Nutrition & Food Research | 2019 |
Purine Metabolites and Carnitine Biosynthesis Intermediates Are Biomarkers for Incident Type 2 Diabetes
F Ottosson, E Smith, W Gallo, C Fernandez, O Melander |
The Journal of clinical endocrinology and metabolism | 2019 |
The Second Life of Methylarginines as Cardiovascular Targets
N Jarzebska, AA Mangoni, J Martens-Lobenhoffer, SM Bode-Böger, RN Rodionov |
International journal of molecular sciences | 2019 |
Dimethylguanidino Valerate: A Lifestyle‐Related Metabolite Associated With Future Coronary Artery Disease and Cardiovascular Mortality
F Ottosson, U Ericson, P Almgren, E Smith, L Brunkwall, S Hellstrand, PM Nilsson, M OrhoMelander, C Fernandez, O Melander |
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease | 2019 |
Generating the Blood Exposome Database Using a Comprehensive Text Mining and Database Fusion Approach
DK Barupal, O Fiehn |
Environmental Health Perspectives | 2019 |
Association of Cord Plasma Biomarkers of In Utero Acetaminophen Exposure With Risk of Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder in Childhood
Y Ji, RE Azuine, Y Zhang, W Hou, X Hong, G Wang, A Riley, C Pearson, B Zuckerman, X Wang |
JAMA PSYCHIAT | 2019 |
Circulating Lysophosphatidylcholines, Phosphatidylcholines, Ceramides, and Sphingomyelins and Ovarian Cancer Risk: A 23-Year Prospective Study
OA Zeleznik, CB Clish, P Kraft, J Avila-Pacheco, AH Eliassen, SS Tworoger |
JNCI Journal of the National Cancer Institute | 2019 |
The circulating metabolome of human starvation
Matthew Steinhauser, Benjamin Olenchock, John O'Keefe, Mingyue Lun, Kerry Pierce, Hang Lee, Lorena Pantano, Anne Klibanski, Gerald I. Shulman, Clary Clish, Pouneh Fazeli |
JCI Insight | 2018 |
Plasma branched chain/aromatic amino acids, enriched Mediterranean diet and risk of type 2 diabetes: case-cohort study within the PREDIMED Trial
M Ruiz-Canela, M Guasch-Ferré, E Toledo, CB Clish, C Razquin, L Liang, DD Wang, D Corella, R Estruch, Á Hernáez, E Yu, E Gómez-Gracia, Y Zheng, F Arós, D Romaguera, C Dennis, E Ros, J Lapetra, L Serra-Majem, C Papandreou, O Portoles, M Fitó, J Salas-Salvadó, FB Hu, MA Martínez-González |
Diabetologia | 2018 |
Association of Tryptophan Metabolites with Incident Type 2 Diabetes in the PREDIMED Trial: A Case-Cohort Study
E Yu, C Papandreou, M Ruiz-Canela, M Guasch-Ferre, CB Clish, C Dennis, L Liang, D Corella, M Fitó, C Razquin, J Lapetra, R Estruch, E Ros, M Cofán, F Arós, E Toledo, L Serra-Majem, JV Sorlí, FB Hu, MA Martinez-Gonzalez, J Salas-Salvado |
Clinical chemistry | 2018 |
Study of the Serum Metabolomic Profile in Nonalcoholic Fatty Liver Disease: Research and Clinical Perspectives
S Gitto, F Schepis, P Andreone, E Villa |
Metabolites | 2018 |
Changes in arginine are inversely associated with type 2 diabetes: A case-cohort study in the PREDIMED trial
E Yu, M Ruiz-Canela, C Razquin, M Guasch-Ferré, E Toledo, DD Wang, C Papandreou, C Dennis, C Clish, L Liang, M Bullo, D Corella, M Fitó, M Gutiérrez-Bedmar, J Lapetra, R Estruch, E Ros, M Cofán, F Arós, D Romaguera, L Serra-Majem, JV Sorlí, J Salas-Salvadó, FB Hu, MA Martínez-González |
Diabetes, obesity & metabolism | 2018 |
Metabolites Associated With the Risk of Incident Venous Thromboembolism: A Metabolomic Analysis
X Jiang, OA Zeleznik, S Lindström, J LaskySu, K Hagan, CB Clish, AH Eliassen, P Kraft, C Kabrhel |
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease | 2018 |
Plasma Acylcarnitines and Risk of Type 2 Diabetes in a Mediterranean Population at High Cardiovascular Risk
M Guasch-Ferré, M Ruiz-Canela, J Li, Y Zheng, M Bulló, DD Wang, E Toledo, C Clish, D Corella, R Estruch, E Ros, M Fitó, F Arós, M Fiol, J Lapetra, L Serra-Majem, L Liang, C Papandreou, C Dennis, MA Martínez-González, FB Hu, J Salas-Salvadó |
The Journal of clinical endocrinology and metabolism | 2018 |