Prevention & lipids

N-Palmitoyl Glutamine Is a Candidate Mediator of Cardiorespiratory Fitness

CirculationPublished Metabolomic cohort study with experimental mechanistic studies

Authors' conclusion

We identified a novel, lipidated amino acid, N-pal-gln, that is positively associated with VO2max, increases after regular aerobic exercise, and is inversely associated with incident mortality. N-pal-gln stimulates mitochondrial biogenesis and efficiency, demonstrating its potential role as an exercise-stimulated transducer of cardiorespiratory fitness.

Study context

Population
HERITAGE Family Study participants with VO2max measured by cardiopulmonary exercise testing who underwent 20 weeks of supervised endurance training; replication in FHS; mortality in JHS and MESAHERITAGE
Participants
654 participants
Outcome
Metabolite-VO2max relationships
Methodological detailsnontargeted plasma metabolomics, replication cohort, C2C12 myotube experiments
  • Nontargeted plasma metabolomics
  • Replication cohort
  • C2C12 myotube experiments

Main finding

As reported in the abstract

N-pal-gln and VO2max
Unknown peak (m/z 385.3056) identified as N-palmitoyl glutamine (N-pal-gln): strongest positive relationship with VO2max (adjusted for age, sex, race, lean body mass), β
1.29
False discovery rate q
5.3×10-6
Replication in FHS (n=408), β
1.2
Replication in FHS, P
P=3.8×10-5

Observational data: associations, not effects.

Further findings

OutcomeHRP value
All-cause mortality by N-pal-gln levelsN-pal-gln · JHS · inverse association0.91P = 0.029
All-cause mortality by N-pal-gln levelsN-pal-gln · MESA · inverse association0.65P = 0.028

N-pal-gln change after exercise training · 20 weeks

Log fold change
0.22
Q
5.3×10-12

Mitochondrial:nuclear DNA ratio vs control (C2C12 myotubes)

Increase at 6.5 nM N-pal-gln (P=0.04)
15%
Increase at 26 nM N-pal-gln (P=0.02)
20%
  • Dose-dependent

Phosphate:oxygen ratio, N-pal-gln 26 nM, ADP 0–100 μM

Increased; ANOVA
P = 0.0027

Original publication

N-Palmitoyl Glutamine Is a Candidate Mediator of Cardiorespiratory Fitness. Circulation. Published 12 November 2025. doi:10.1161/circulationaha.125.074187

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