Aortic & peripheral vascular disease

ACADM-mediated fatty acid β-oxidation pathway in atherosclerosis and abdominal aortic aneurysm

Eur Heart JPublished Mechanistic study

Authors' conclusion

These findings define previously unrecognized distinct lipid metabolic characteristics in the pathogenesis of AS vs AAA, providing a basis for differential diagnosis and targeted treatments.

Study context

Population
Mouse models of atherosclerosis (AS) and abdominal aortic aneurysm (AAA) and different human cohorts, incl. UK Biobank
Comparison
AS vs AAA
Outcome
Lipid metabolic differences between AS and AAA
Methodological detailslipidomic analysis, multi-omics, mouse models and human cohorts, machine learning
  • Lipidomic analysis
  • Multi-omics
  • Mouse models and human cohorts
  • Machine learning

Main finding

As reported in the abstract

  • Predominant enrichment of neutral lipids (e.g. TG and cholesterol esters) in AS vs phosphoglycerides in AAA
  • UK Biobank: strong positive associations of TG, cholesterol and fatty acid with future risk of coronary atherosclerotic disease; phosphoglycerides negatively associated with risk of AAA
  • Acadm-mediated fatty acid β-oxidation (FAO) pathway the most significantly altered lipid metabolic pathway between AS and AAA
  • Targeted restoration of Acadm-mediated FAO inhibited AS (reduced lipotoxic metabolites, preserved mitochondrial homeostasis); little impact on AAA
  • LD·ATTEC significantly alleviated AS progression and improved FAO; no significant change in AAA
  • Machine learning models on lipidomic features accurately differentiated AS from AAA

Original publication

ACADM-mediated fatty acid β-oxidation pathway in atherosclerosis and abdominal aortic aneurysm. Eur Heart J. Published 5 June 2026. doi:10.1093/eurheartj/ehag372

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.