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A protein risk score for all-cause and respiratory-specific mortality in non-Hispanic white and African American individuals who smoke.


ABSTRACT: Protein biomarkers are associated with mortality in cardiovascular disease, but their effect on predicting respiratory and all-cause mortality is not clear. We tested whether a protein risk score (protRS) can improve prediction of all-cause mortality over clinical risk factors in smokers. We utilized smoking-enriched (COPDGene, LSC, SPIROMICS) and general population-based (MESA) cohorts with SomaScan proteomic and mortality data. We split COPDGene into training and testing sets (50:50) and developed a protRS based on respiratory mortality effect size and parsimony. We tested multivariable associations of the protRS with all-cause, respiratory, and cardiovascular mortality, and performed meta-analysis, area-under-the-curve (AUC), and network analyses. We included 2232 participants. In COPDG

SUBMITTER: Moll M 

PROVIDER: S-EPMC11374806 | biostudies-literature | 2024 Sep

REPOSITORIES: biostudies-literature