PMID- 37276941 OWN - NLM STAT- MEDLINE DCOM- 20231023 LR - 20231027 IS - 1539-7262 (Electronic) IS - 0022-2275 (Print) IS - 0022-2275 (Linking) VI - 64 IP - 7 DP - 2023 Jul TI - Lipoprotein(a), family history of cardiovascular disease, and incidence of heart failure. PG - 100398 LID - S0022-2275(23)00071-8 [pii] LID - 10.1016/j.jlr.2023.100398 [doi] LID - 100398 AB - Lipoprotein(a) (Lp(a)) is a largely genetically determined biomarker for cardiovascular disease (CVD), while its potential interplay with family history (FHx) of CVD, a measure of both genetic and environmental exposures, remains unclear. We examined the associations of Lp(a) in terms of circulating concentration or polygenetic risk score (PRS), and FHx of CVD with risk of incident heart failure (HF). Included were 299,158 adults from the UK Biobank without known HF and CVD at baseline. Hazards ratios (HRs) and 95% Cls were estimated by Cox regression models adjusted for traditional risk factors defined by the Atherosclerosis Risk in Communities study HF risk score. During the 11.8-year follow-up, 5,502 incidents of HF occurred. Higher levels of circulating Lp(a), Lp(a) PRS, and positive FHx of CVD were associated with higher risks of HF. Compared with individuals who had lower circulating Lp(a) and no FHx, HRs (95% CIs) of HF were 1.36 (1.25, 1.49), 1.31 (1.19, 1.43), and 1.42 (1.22, 1.67) for those with higher Lp(a) and a positive history of CVD for all family members, parents, and siblings, respectively; similar results were observed by using Lp(a) PRS. The risk estimates for HF associated with elevated Lp(a) and positive FHx were attenuated after excluding those with incident myocardial infarction (MI) during follow-up. Lp(a) and FHx of CVD were independent risk factors for incident HF, and the highest risk of HF was observed among individuals with both risk factors. The association may be partly mediated by myocardial infarction. CI - Copyright (c) 2023 The Authors. Published by Elsevier Inc. All rights reserved. FAU - Wang, Hai-Peng AU - Wang HP AD - Department of Cardiology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Zhang, Na AU - Zhang N AD - School of Public Health, Shanghai Jiao Tong University School of Medicine, Shanghai, China. FAU - Liu, Yu-Jie AU - Liu YJ AD - Department of Nutrition and Food Hygiene, School of Public Health, Suzhou Medical College of Soochow University, Suzhou, China. FAU - Xia, Tian-Long AU - Xia TL AD - Division of Public Health Emergency, Shenzhen Center for Disease Control and Prevention, Shenzhen, Guangdong, China. FAU - Chen, Guo-Chong AU - Chen GC AD - Department of Nutrition and Food Hygiene, School of Public Health, Suzhou Medical College of Soochow University, Suzhou, China. FAU - Yang, Jing AU - Yang J AD - Department of Nutrition and Food Hygiene, School of Public Health, Suzhou Medical College of Soochow University, Suzhou, China; Department of Clinical Nutrition, The First Affiliated Hospital of Soochow University, Suzhou, China. Electronic address: cristina83@163.com. FAU - Li, Fu-Rong AU - Li FR AD - Shenzhen Key Laboratory of Cardiovascular Health and Precision Medicine, Southern University of Science and Technology, Shenzhen, China; School of Public Health and Emergency Management, Southern University of Science and Technology, Shenzhen, China; Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou, China. Electronic address: lifr@sustech.edu.cn. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230603 PL - United States TA - J Lipid Res JT - Journal of lipid research JID - 0376606 RN - 0 (Lipoprotein(a)) SB - IM MH - Adult MH - Humans MH - *Cardiovascular Diseases/epidemiology/genetics MH - Incidence MH - Lipoprotein(a)/genetics MH - *Heart Failure/epidemiology/genetics/complications MH - *Myocardial Infarction/epidemiology/genetics MH - Risk Factors PMC - PMC10339055 OTO - NOTNLM OT - Lipoprotein(a) OT - family history of cardiovascular disease OT - heart failure COIS- Conflict of interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/06/06 01:11 MHDA- 2023/10/23 00:44 PMCR- 2023/06/03 CRDT- 2023/06/05 19:21 PHST- 2023/03/28 00:00 [received] PHST- 2023/05/26 00:00 [revised] PHST- 2023/05/27 00:00 [accepted] PHST- 2023/10/23 00:44 [medline] PHST- 2023/06/06 01:11 [pubmed] PHST- 2023/06/05 19:21 [entrez] PHST- 2023/06/03 00:00 [pmc-release] AID - S0022-2275(23)00071-8 [pii] AID - 100398 [pii] AID - 10.1016/j.jlr.2023.100398 [doi] PST - ppublish SO - J Lipid Res. 2023 Jul;64(7):100398. doi: 10.1016/j.jlr.2023.100398. Epub 2023 Jun 3.