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. Author manuscript; available in PMC: 2026 Feb 20.
Published in final edited form as: Med. 2025 May 23;6(9):100703. doi: 10.1016/j.medj.2025.100703

Table 2. CSF metabolites associated with mortality in both cohorts.

Metabolites Within-cohort validationa (Indonesia) External validation (Vietnam) Whole Indonesian cohorta
HRb 95% CIc p-value FDRc HRb 95% CIb p-value FDR HRb 95% CIb p-value Test for heterogeneityd
FA 6:0; OH 1.47 1.15, 1.87 0.002 0.016 1.48 1.16, 1.88 0.002 0.028 1.60 1.35, 1.90 <0.001 0.594
(hydroxyisocaproate)
FA 8:0; 3OH 1.36 1.06, 1.74 0.014 0.054 1.51 1.26, 1.81 <0.001 0.001 1.41 1.20, 1.66 <0.001 0.617
(3-hydroxyoctanoate)
FA 4:0; OH 1.35 1.04, 1.76 0.023 0.068 1.46 1.15, 1.86 0.002 0.033 1.53 1.25, 1.87 <0.001 0.754
(hydroxyisobutyrate)
CAR 4:0; OH 1.21 0.91, 1.63 0.2 0.255 1.51 1.15, 1.99 0.003 0.046 1.46 1.17, 1.83 <0.001 0.902
(C4-OH carnitine)
Tryptophan 1.32 1.04, 1.67 0.021 0.064 1.42 1.17, 1.72 <0.001 0.009 1.37 1.16, 1.61 <0.001 0.838
p-hydroxyphenylacetate 1.46 1.12, 1.91 0.006 0.038 1.33 1.09, 1.61 0.004 0.049 1.67 1.42, 1.97 <0.001 0.042
Phenyllactate 1.62 1.23, 2.15 <0.001 0.01 1.55 1.24, 1.94 <0.001 0.007 1.77 1.45, 2.16 <0.001 0.302
N-carbamoyl-beta-alanine 1.56 1.25, 1.95 <0.001 0.003 1.45 1.19, 1.76 <0.001 0.007 1.49 1.29, 1.71 <0.001 0.665
N6-N6-N6-trimethyllysine 1.83 1.40, 2.39 <0.001 0.001 1.36 1.08, 1.72 0.009 0.091 1.84 1.56, 2.17 <0.001 0.022

CI, confidence interval; HR, hazard ratio; FDR, false discovery rate.

a

The Indonesian cohort was split into a screening and a within-cohort validation set of equal sizes (n = 194), and the table represents the results from the within-cohort validation (first column) and whole Indonesian cohort (third column).

b

HR per 1 SD increase in metabolite abundance (metabolites were log2 transformed and normalized to an SD of 1).

c

FDR for the validation of 107 metabolites from the Indonesian discovery cohort.

d

Test for study population (Indonesia and Vietnam) as effect modifier.