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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Veröffentlicht in:Lung 2022-02, Vol.200 (1), p.11-18
Hauptverfasser: Todd, Jamie L., Neely, Megan L., Overton, Robert, Mulder, Hillary, Roman, Jesse, Lasky, Joseph A., de Andrade, Joao A., Gulati, Mridu, Huang, Howard, Leonard, Thomas B., Hesslinger, Christian, Noth, Imre, Belperio, John A., Flaherty, Kevin R., Palmer, Scott M.
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container_issue 1
container_start_page 11
container_title Lung
container_volume 200
creator Todd, Jamie L.
Neely, Megan L.
Overton, Robert
Mulder, Hillary
Roman, Jesse
Lasky, Joseph A.
de Andrade, Joao A.
Gulati, Mridu
Huang, Howard
Leonard, Thomas B.
Hesslinger, Christian
Noth, Imre
Belperio, John A.
Flaherty, Kevin R.
Palmer, Scott M.
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 
doi_str_mv 10.1007/s00408-021-00505-y
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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 &gt; 2 or &lt; 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><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 &amp; 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. 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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 &gt; 2 or &lt; 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. 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source MEDLINE; SpringerLink Journals - AutoHoldings
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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