Association of Circulating Proteins with Death or Lung Transplant in Patients with Idiopathic Pulmonary Fibrosis in the IPF-PRO Registry Cohort
Idiopathic pulmonary fibrosis (IPF) is a progressive and ultimately fatal disease with a variable clinical course. Biomarkers that predict patient outcomes are needed. We leveraged data from 300 patients in the multicenter IPF-PRO Registry to determine associations between circulating proteins and t...
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description | Idiopathic pulmonary fibrosis (IPF) is a progressive and ultimately fatal disease with a variable clinical course. Biomarkers that predict patient outcomes are needed. We leveraged data from 300 patients in the multicenter IPF-PRO Registry to determine associations between circulating proteins and the composite outcome of respiratory death or lung transplant. Plasma collected at enrollment was analyzed using aptamer-based proteomics (1305 proteins). Over a median follow-up of 30.4 months, there were 76 respiratory deaths and 26 lung transplants. In unadjusted univariable analyses, 61 proteins were significantly associated with the outcome (hazard ratio > 2 or |
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p
≤ 0.05). In multivariable analyses, a set of 4 clinical measures and 47 unique proteins predicted the probability of respiratory death or lung transplant with an optimism-corrected C-index of 0.76. Our results suggest that select circulating proteins strongly associate with the risk of mortality in patients with IPF and confer information independent of clinical measures.</description><identifier>ISSN: 0341-2040</identifier><identifier>EISSN: 1432-1750</identifier><identifier>DOI: 10.1007/s00408-021-00505-y</identifier><identifier>PMID: 35066606</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Analysis ; Aptamers ; Biomarkers ; Care and treatment ; Cohort Studies ; Death ; Fibrosis ; Humans ; Idiopathic Pulmonary Fibrosis ; Lung diseases ; Lung Transplantation ; Lung transplants ; Lungs ; Medical colleges ; Medical research ; Medicine ; Medicine & Public Health ; Medicine, Experimental ; Mortality ; Observational studies ; Patients ; Pharmaceutical industry ; Pneumology/Respiratory System ; Prognosis ; Proteins ; Proteomics ; Pulmonary fibrosis ; Registries ; Transplantation of organs, tissues, etc ; Transplants</subject><ispartof>Lung, 2022-02, Vol.200 (1), p.11-18</ispartof><rights>The Author(s) 2022. corrected publication 2022</rights><rights>2022. The Author(s).</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s) 2022. corrected publication 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2022, corrected publication 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c610t-af5ab46bd40474f0326273dccf1210f52d0a87ca742acb040c489c4be6ebbc4f3</citedby><cites>FETCH-LOGICAL-c610t-af5ab46bd40474f0326273dccf1210f52d0a87ca742acb040c489c4be6ebbc4f3</cites><orcidid>0000-0003-4247-3693</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00408-021-00505-y$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00408-021-00505-y$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35066606$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Todd, Jamie L.</creatorcontrib><creatorcontrib>Neely, Megan L.</creatorcontrib><creatorcontrib>Overton, Robert</creatorcontrib><creatorcontrib>Mulder, Hillary</creatorcontrib><creatorcontrib>Roman, Jesse</creatorcontrib><creatorcontrib>Lasky, Joseph A.</creatorcontrib><creatorcontrib>de Andrade, Joao A.</creatorcontrib><creatorcontrib>Gulati, Mridu</creatorcontrib><creatorcontrib>Huang, Howard</creatorcontrib><creatorcontrib>Leonard, Thomas B.</creatorcontrib><creatorcontrib>Hesslinger, Christian</creatorcontrib><creatorcontrib>Noth, Imre</creatorcontrib><creatorcontrib>Belperio, John A.</creatorcontrib><creatorcontrib>Flaherty, Kevin R.</creatorcontrib><creatorcontrib>Palmer, Scott M.</creatorcontrib><creatorcontrib>IPF-PRO Registry investigators</creatorcontrib><creatorcontrib>the IPF-PRO Registry investigators</creatorcontrib><title>Association of Circulating Proteins with Death or Lung Transplant in Patients with Idiopathic Pulmonary Fibrosis in the IPF-PRO Registry Cohort</title><title>Lung</title><addtitle>Lung</addtitle><addtitle>Lung</addtitle><description>Idiopathic pulmonary fibrosis (IPF) is a progressive and ultimately fatal disease with a variable clinical course. Biomarkers that predict patient outcomes are needed. We leveraged data from 300 patients in the multicenter IPF-PRO Registry to determine associations between circulating proteins and the composite outcome of respiratory death or lung transplant. Plasma collected at enrollment was analyzed using aptamer-based proteomics (1305 proteins). Over a median follow-up of 30.4 months, there were 76 respiratory deaths and 26 lung transplants. In unadjusted univariable analyses, 61 proteins were significantly associated with the outcome (hazard ratio > 2 or < 0.5, corrected
p
≤ 0.05). In multivariable analyses, a set of 4 clinical measures and 47 unique proteins predicted the probability of respiratory death or lung transplant with an optimism-corrected C-index of 0.76. Our results suggest that select circulating proteins strongly associate with the risk of mortality in patients with IPF and confer information independent of clinical measures.</description><subject>Analysis</subject><subject>Aptamers</subject><subject>Biomarkers</subject><subject>Care and treatment</subject><subject>Cohort Studies</subject><subject>Death</subject><subject>Fibrosis</subject><subject>Humans</subject><subject>Idiopathic Pulmonary Fibrosis</subject><subject>Lung diseases</subject><subject>Lung Transplantation</subject><subject>Lung transplants</subject><subject>Lungs</subject><subject>Medical colleges</subject><subject>Medical research</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Medicine, Experimental</subject><subject>Mortality</subject><subject>Observational studies</subject><subject>Patients</subject><subject>Pharmaceutical industry</subject><subject>Pneumology/Respiratory System</subject><subject>Prognosis</subject><subject>Proteins</subject><subject>Proteomics</subject><subject>Pulmonary fibrosis</subject><subject>Registries</subject><subject>Transplantation of organs, tissues, etc</subject><subject>Transplants</subject><issn>0341-2040</issn><issn>1432-1750</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><recordid>eNp9klFr2zAUhc3YWLNuf2APQzAYe3F3Jcuy-zII2bIFAg2lexayLNsqjpRJ9kZ-Rf9yb5asbUYYBhv7fvf4-PgkyVsKFxSg-BQBOJQpMJoC5JCn22fJhPKMpbTI4XkygYzTlCF0lryK8RaAFoLmL5OzLAchBIhJcjeN0WurBusd8Q2Z2aDHHm9dS1bBD8a6SH7boSNfjMKzD2Q54uwmKBc3vXIDsY6scMG44UAuaus3CFtNVmO_9k6FLZnbKvho4w4fOkMWq3m6ur4i16a1cUBg5jsfhtfJi0b10bw5XM-TH_OvN7Pv6fLq22I2XaZaUBhS1eSq4qKqOfCCN5AxwYqs1rqhjEKTsxpUWWhVcKZ0hQloXl5qXhlhqkrzJjtPPu91N2O1NrVG90H1chPsGt1Kr6w8njjbydb_kmVZUsYBBT4eBIL_OZo4yLWN2vQYifFjlGiIoTUuKKLv_0Fv_Rgcfh5SGVqnRQGPVKt6I61rPL5X70TlVFzmwHLGS6TSE1RrnEGT3pnG4uMj_uIEj0dt1lafXPjwZKEzqh-66PtxV5B4DLI9qPG_xmCah_AoyF0_5b6fEvsp__RTbnHp3dPYH1b-FhKBbA9EHLnWhMes_iN7DwVX8OA</recordid><startdate>20220201</startdate><enddate>20220201</enddate><creator>Todd, Jamie L.</creator><creator>Neely, Megan L.</creator><creator>Overton, Robert</creator><creator>Mulder, Hillary</creator><creator>Roman, Jesse</creator><creator>Lasky, Joseph A.</creator><creator>de Andrade, Joao A.</creator><creator>Gulati, Mridu</creator><creator>Huang, Howard</creator><creator>Leonard, Thomas B.</creator><creator>Hesslinger, Christian</creator><creator>Noth, Imre</creator><creator>Belperio, John A.</creator><creator>Flaherty, Kevin R.</creator><creator>Palmer, Scott M.</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QL</scope><scope>7T7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0003-4247-3693</orcidid></search><sort><creationdate>20220201</creationdate><title>Association of Circulating Proteins with Death or Lung Transplant in Patients with Idiopathic Pulmonary Fibrosis in the IPF-PRO Registry Cohort</title><author>Todd, Jamie L. ; 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Biomarkers that predict patient outcomes are needed. We leveraged data from 300 patients in the multicenter IPF-PRO Registry to determine associations between circulating proteins and the composite outcome of respiratory death or lung transplant. Plasma collected at enrollment was analyzed using aptamer-based proteomics (1305 proteins). Over a median follow-up of 30.4 months, there were 76 respiratory deaths and 26 lung transplants. In unadjusted univariable analyses, 61 proteins were significantly associated with the outcome (hazard ratio > 2 or < 0.5, corrected
p
≤ 0.05). In multivariable analyses, a set of 4 clinical measures and 47 unique proteins predicted the probability of respiratory death or lung transplant with an optimism-corrected C-index of 0.76. Our results suggest that select circulating proteins strongly associate with the risk of mortality in patients with IPF and confer information independent of clinical measures.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>35066606</pmid><doi>10.1007/s00408-021-00505-y</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-4247-3693</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Analysis Aptamers Biomarkers Care and treatment Cohort Studies Death Fibrosis Humans Idiopathic Pulmonary Fibrosis Lung diseases Lung Transplantation Lung transplants Lungs Medical colleges Medical research Medicine Medicine & Public Health Medicine, Experimental Mortality Observational studies Patients Pharmaceutical industry Pneumology/Respiratory System Prognosis Proteins Proteomics Pulmonary fibrosis Registries Transplantation of organs, tissues, etc Transplants |
title | Association of Circulating Proteins with Death or Lung Transplant in Patients with Idiopathic Pulmonary Fibrosis in the IPF-PRO Registry Cohort |
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