2019
DOI: 10.18632/aging.102281
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Circulating glucuronic acid predicts healthspan and longevity in humans and mice

Abstract: Glucuronic acid is a metabolite of glucose that is involved in the detoxification of xenobiotic compounds and the structure/remodeling of the extracellular matrix. We report for the first time that circulating glucuronic acid is a robust biomarker of mortality that is conserved across species. We find that glucuronic acid levels are significant predictors of all-cause mortality in three population-based cohorts from different countries with 4-20 years of follow-up (HR=1.44, p=2.9×10-6 in the discovery cohort; … Show more

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Cited by 20 publications
(18 citation statements)
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“…Multiple mechanisms may underlie the increased levels of glucuronic acid. One of the most reasonable possibilities involves the cleavage of glucuronic acid from glucuronidated xenobiotics by gut β-glucuronidase-bacteria [ 65 ]. Escherichia are among the opportunistic pathogens in the human gut that harbor a β-glucuronidase enzyme [ 66 , 67 ] and cause the release of glucuronic acid and, consequently, of xenobiotics, such as environmental toxins and drug metabolites with pro-inflammatory effects, that interfere with their inactivation and elimination via the GI tract [ 65 , 68 ].…”
Section: Discussionmentioning
confidence: 99%
“…Multiple mechanisms may underlie the increased levels of glucuronic acid. One of the most reasonable possibilities involves the cleavage of glucuronic acid from glucuronidated xenobiotics by gut β-glucuronidase-bacteria [ 65 ]. Escherichia are among the opportunistic pathogens in the human gut that harbor a β-glucuronidase enzyme [ 66 , 67 ] and cause the release of glucuronic acid and, consequently, of xenobiotics, such as environmental toxins and drug metabolites with pro-inflammatory effects, that interfere with their inactivation and elimination via the GI tract [ 65 , 68 ].…”
Section: Discussionmentioning
confidence: 99%
“…Repeated measures of blood-based biomarkers in rodents may be limited due to the amount of blood required/available. Previous longitudinal studies in rodents have mainly focused on markers of longevity (Acuna-Castillo et al, 2006;Ho et al, 2019). Thus, a blood-based biomarker concerning cognitive function represents an important area for exploration in future longitudinal studies.…”
Section: Blood Biomarkersmentioning
confidence: 99%
“…DSEL (dermatan sulfate epimerase-like) is implicated in D-glucuronic acid metabolism and tumor rejection. A recent study has shown that glucuronic acid levels increase with age and predict future healthspan-related outcomes 40 . Furthermore, DSEL is highly expressed in the brain and has been found associated with AD in an imaging-wide association study 41 .…”
Section: Resultsmentioning
confidence: 99%