A proposed model using glycation metrics and circulating biomarkers for the prevention of cardiovascular disease

IntroductionCardiovascular aging starts early in life due to the glycation of critical proteins, though its progression remains undetected in the formative years. The glycation reaction affects all tissues by the same non enzymatic irreversible reaction. The variables are the pH, temperature, glucos...

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Main Authors: Timothy Valk, Carol McMorrow
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Medicine
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Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2025.1624682/full
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author Timothy Valk
Carol McMorrow
author_facet Timothy Valk
Carol McMorrow
author_sort Timothy Valk
collection DOAJ
description IntroductionCardiovascular aging starts early in life due to the glycation of critical proteins, though its progression remains undetected in the formative years. The glycation reaction affects all tissues by the same non enzymatic irreversible reaction. The variables are the pH, temperature, glucose concentration, and the specific protein. This relationship implies that glycated blood biomarkers could potentially be used as a proxy for assessing in situ myocardial changes.MethodsLaboratory tests for troponin I (cTnI), hemoglobin A1c (A1c), fructosamine, and low-density lipoprotein (LDL), were chosen to calculate the proxy for in situ glycation. An algorithm was developed incorporating these variables as individual measurements and as calculated metrics of glycation. This data was obtained from previous large group studies of variables and outcomes.ResultsModeling of glycation was determined for each variable. Using metrics from multiple studies, theoretical rates of glycation of LDL and troponin I were calculated. The glycated changes in LDL and troponin I were used to determine the increases above optimal physiological rates.ConclusionLaboratory results of LDL, cTnI, A1c and fructosamine could be used sequentially to derive a cost-effective proxy for assessing in situ aging and deterioration of cardiovascular tissue. This model could theoretically predict the rate of cardiovascular aging by integrating four blood biomarkers into a dedicated algorithm guiding proactive diagnostics and treatment.
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spelling doaj-art-445fee6e6eef4fb085a789e91d2d3a8a2025-08-20T04:02:31ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2025-08-011210.3389/fmed.2025.16246821624682A proposed model using glycation metrics and circulating biomarkers for the prevention of cardiovascular diseaseTimothy ValkCarol McMorrowIntroductionCardiovascular aging starts early in life due to the glycation of critical proteins, though its progression remains undetected in the formative years. The glycation reaction affects all tissues by the same non enzymatic irreversible reaction. The variables are the pH, temperature, glucose concentration, and the specific protein. This relationship implies that glycated blood biomarkers could potentially be used as a proxy for assessing in situ myocardial changes.MethodsLaboratory tests for troponin I (cTnI), hemoglobin A1c (A1c), fructosamine, and low-density lipoprotein (LDL), were chosen to calculate the proxy for in situ glycation. An algorithm was developed incorporating these variables as individual measurements and as calculated metrics of glycation. This data was obtained from previous large group studies of variables and outcomes.ResultsModeling of glycation was determined for each variable. Using metrics from multiple studies, theoretical rates of glycation of LDL and troponin I were calculated. The glycated changes in LDL and troponin I were used to determine the increases above optimal physiological rates.ConclusionLaboratory results of LDL, cTnI, A1c and fructosamine could be used sequentially to derive a cost-effective proxy for assessing in situ aging and deterioration of cardiovascular tissue. This model could theoretically predict the rate of cardiovascular aging by integrating four blood biomarkers into a dedicated algorithm guiding proactive diagnostics and treatment.https://www.frontiersin.org/articles/10.3389/fmed.2025.1624682/fullglycationbiomarkersalgorithmcardiovascular diseaseprevention
spellingShingle Timothy Valk
Carol McMorrow
A proposed model using glycation metrics and circulating biomarkers for the prevention of cardiovascular disease
Frontiers in Medicine
glycation
biomarkers
algorithm
cardiovascular disease
prevention
title A proposed model using glycation metrics and circulating biomarkers for the prevention of cardiovascular disease
title_full A proposed model using glycation metrics and circulating biomarkers for the prevention of cardiovascular disease
title_fullStr A proposed model using glycation metrics and circulating biomarkers for the prevention of cardiovascular disease
title_full_unstemmed A proposed model using glycation metrics and circulating biomarkers for the prevention of cardiovascular disease
title_short A proposed model using glycation metrics and circulating biomarkers for the prevention of cardiovascular disease
title_sort proposed model using glycation metrics and circulating biomarkers for the prevention of cardiovascular disease
topic glycation
biomarkers
algorithm
cardiovascular disease
prevention
url https://www.frontiersin.org/articles/10.3389/fmed.2025.1624682/full
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