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ORIGINAL RESEARCH article

Front. Endocrinol.

Sec. Cardiovascular Endocrinology

Association between plasma metabolites and atrial fibrillation in men

Provisionally accepted
Yingjie  KeYingjie Ke1Sihong  ZhuSihong Zhu2Na  LinNa Lin3Xiaotian  LiangXiaotian Liang1Cailing  ZengCailing Zeng1Yuqing  LiYuqing Li1Yuanyuan  LuYuanyuan Lu1Zirou  HuangZirou Huang1Kaihang  LuoKaihang Luo4Huanlei  HuangHuanlei Huang3*Runfen  LinRunfen Lin1*Jiansong  ChenJiansong Chen1*
  • 1Guangdong Provincial People's Hospital Nanhai Hospital, Foshan, China
  • 2Sun Yat-Sen Memorial Hospital, Guangzhou, China
  • 3Guangdong Provincial People's Hospital, Guangzhou, China
  • 4The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, China

The final, formatted version of the article will be published soon.

Background:Atrial fibrillation is the most common cardiac arrhythmia globally, with rising incidence and a substantial public health impact. Identifying factors that contribute to atrial fibrillation risk is crucial for prevention and early detection. Methods:This study utilized data from the United Kingdom Biobank to explore the relationship between plasma metabolites and atrial fibrillation risk in men. A total of 168 plasma metabolites were analyzed using multivariable Cox proportional hazards analysis to identify associations with atrial fibrillation risk. Results:Our analysis identified several key findings:Most very-low-density lipoprotein subtypes were found to have a protective effect against atrial fibrillation.In contrast, most high-density lipoprotein subtypes were associated with an increased risk of atrial fibrillation. Specific amino acids, such as valine and histidine, demonstrated significant protective effects. Additionally, a predictive model combining traditional risk factors with metabolite data slightly enhanced the performance of conventional diagnostic models. Conclusion:The findings suggest that plasma metabolite profiles may serve as useful biomarkers for the early detection and prevention of atrial fibrillation. This highlights the potential for personalized interventions in clinical practice to better manage and mitigate atrial fibrillation risk.

Keywords: Atrial Fibrillation, HDL, Metabolites, UK Biobank, VLDL

Received: 22 Oct 2025; Accepted: 30 Jan 2026.

Copyright: © 2026 Ke, Zhu, Lin, Liang, Zeng, Li, Lu, Huang, Luo, Huang, Lin and Chen. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Huanlei Huang
Runfen Lin
Jiansong Chen

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