The cardiovascular risk marker itaconate is sex-dependently associated with legume intake and immune-inflammatory competence in subjects with high BMI - Report - MDSpire

The cardiovascular risk marker itaconate is sex-dependently associated with legume intake and immune-inflammatory competence in subjects with high BMI

  • By

  • Amanda Cuevas-Sierra

  • Andrea Higuera-Gómez

  • Begoña de Cuevillas

  • Gabriela Paula-Buestan

  • María Martínez-Urbistondo

  • Raquel Castejón

  • J. Antonio Vargas

  • José Moisés Laparra

  • J. Alfredo Martínez

  • June 2, 2026

  • 0 min

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Sex-Specific Associations of Itaconate with Legume Consumption and Inflammation

Overview

This study investigates the relationship between circulating itaconate levels, legume consumption, and immune-inflammatory markers in individuals with elevated BMI.

Background

Cardiovascular disease is a leading cause of morbidity and mortality, influenced by chronic inflammation and immune responses. Itaconate, produced by activated macrophages, is emerging as a key immunometabolic mediator linked to cardiovascular risk.

Data Highlights

No significant differences in circulating itaconate concentrations were observed across categories of legume intake or adherence to the Mediterranean diet.

Key Findings

  • Circulating itaconate levels did not differ based on legume consumption.
  • Higher legume intake correlated with a healthier lifestyle profile and lower adiposity.
  • Monocyte counts were independently associated with circulating itaconate levels.
  • IL-6 showed a borderline inverse association with itaconate levels (p = 0.053).
  • A significant interaction between itaconate and sex was found for monocyte counts (p = 0.025).

Clinical Implications

Circulating itaconate may serve as a marker of innate immune activation rather than dietary exposure.

Conclusion

Circulating itaconate reflects innate immune activation and demonstrates notable sex-specific differences.

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  2. Clinical Research in Cardiology, 2023 -- A Bio-Psycho-Social Approach Utilizing Machine Learning to Forecast Non-Obstructive and Obstructive Coronary Artery Disease
  3. The Journal of Clinical Endocrinology & Metabolism, 2023 -- Elevated Chronic Inflammation and Higher Levels of Branched-Chain Amino Acids in Adrenal Disorders: Findings from a Cross-Sectional Analysis
  4. Frontiers in Endocrinology, 2026 -- Comparison of the association and discriminatory ability of CVAI, LAP, CI, and AVI for type 2 diabetes in Chinese adults aged ≥ 50 years: a sex-specific analysis
  5. 2026 Guideline on the Management of Dyslipidemia - Professional Heart Daily | American Heart Association
  6. 2026 Dietary Guidance to Improve Cardiovascular Health - Professional Heart Daily | American Heart Association
  7. Nature Metabolism, 2025 -- Itaconate modulates immune responses via inhibition of peroxiredoxin 5
  8. 2026 Guideline on the Management of Dyslipidemia - Professional Heart Daily | American Heart Association
  9. 2026 Dietary Guidance to Improve Cardiovascular Health - Professional Heart Daily | American Heart Association
  10. Itaconate modulates immune responses via inhibition of peroxiredoxin 5 | Nature Metabolism

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