PMID- 37743657 OWN - NLM STAT- MEDLINE DCOM- 20230926 LR - 20231005 IS - 2001-1326 (Electronic) IS - 2001-1326 (Linking) VI - 13 IP - 9 DP - 2023 Sep TI - Inflammatory proteins are associated with mortality in a middle-aged diverse cohort. PG - e1412 LID - 10.1002/ctm2.1412 [doi] LID - e1412 AB - BACKGROUND: Recent data indicate a decline in overall longevity in the United States. Even prior to the COVID-19 pandemic, an increase in midlife mortality rates had been reported. Life expectancy disparities have persisted in the United States for racial and ethnic groups and for individuals living at low socioeconomic status. These continued trends in mortality indicate the importance of examining biomarkers of mortality at midlife in at-risk populations. Circulating levels of cytokines and inflammatory markers reflect systemic chronic inflammation, which is a well-known driver of many age-related diseases. METHODS: In this study, we examined the relationship of nine different inflammatory proteins with mortality in a middle-aged socioeconomically diverse cohort of African-American and White men and women (n = 1122; mean age = 47.8 years). RESULTS: We found significant differences in inflammatory-related protein serum levels between African-American and White middle-aged adults. E-selectin and fibrinogen were significantly higher in African-American adults. IFN-gamma, TNF-alpha trimer, monocyte chemoattractant protein-1 (MCP-1), soluble receptor for advanced glycation end-products (sRAGE) and P-selectin were significantly higher in White participants compared to African-American participants. Higher levels of E-selectin, MCP-1 and P-selectin were associated with a higher mortality risk. Furthermore, there was a significant interaction between sex and IL-6 with mortality. IL-6 levels were associated with an increased risk of mortality, an association that was significantly greater in women than men. In addition, White participants with high levels of sRAGE had significantly higher survival probability than White participants with low levels of sRAGE, while African-American participants had similar survival probabilities across sRAGE levels. CONCLUSIONS: These results suggest that circulating inflammatory markers can be utilized as indicators of midlife mortality risk in a socioeconomically diverse cohort of African-American and White individuals. CI - Published 2023. This article is a U.S. Government work and is in the public domain in the USA. Clinical and Translational Medicine published by John Wiley & Sons Australia, Ltd on behalf of Shanghai Institute of Clinical Bioinformatics. FAU - Noren Hooten, Nicole AU - Noren Hooten N AUID- ORCID: 0000-0002-1683-3838 AD - Laboratory of Epidemiology and Population Science National Institute on Aging, National Institutes of Health, Baltimore, Maryland, USA. FAU - Mode, Nicolle A AU - Mode NA AD - Laboratory of Epidemiology and Population Science National Institute on Aging, National Institutes of Health, Baltimore, Maryland, USA. FAU - Allotey, Samuel AU - Allotey S AD - Laboratory of Epidemiology and Population Science National Institute on Aging, National Institutes of Health, Baltimore, Maryland, USA. AD - Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA. FAU - Ezike, Ngozi AU - Ezike N AD - Laboratory of Epidemiology and Population Science National Institute on Aging, National Institutes of Health, Baltimore, Maryland, USA. FAU - Zonderman, Alan B AU - Zonderman AB AD - Laboratory of Epidemiology and Population Science National Institute on Aging, National Institutes of Health, Baltimore, Maryland, USA. FAU - Evans, Michele K AU - Evans MK AUID- ORCID: 0000-0002-8546-2831 AD - Laboratory of Epidemiology and Population Science National Institute on Aging, National Institutes of Health, Baltimore, Maryland, USA. LA - eng GR - AG 000513/NH/NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Intramural PL - United States TA - Clin Transl Med JT - Clinical and translational medicine JID - 101597971 RN - 0 (E-Selectin) RN - 0 (P-Selectin) RN - 0 (Interleukin-6) RN - 0 (Receptor for Advanced Glycation End Products) SB - IM MH - Adult MH - Male MH - Middle Aged MH - Humans MH - Female MH - *E-Selectin MH - P-Selectin MH - Interleukin-6 MH - Pandemics MH - Receptor for Advanced Glycation End Products MH - *COVID-19 PMC - PMC10518496 OTO - NOTNLM OT - inflammation OT - midlife OT - mortality OT - race COIS- The authors declare that they have no competing interests. EDAT- 2023/09/25 06:43 MHDA- 2023/09/26 13:42 PMCR- 2023/09/24 CRDT- 2023/09/25 01:54 PHST- 2023/08/29 00:00 [revised] PHST- 2023/05/30 00:00 [received] PHST- 2023/09/04 00:00 [accepted] PHST- 2023/09/26 13:42 [medline] PHST- 2023/09/25 06:43 [pubmed] PHST- 2023/09/25 01:54 [entrez] PHST- 2023/09/24 00:00 [pmc-release] AID - CTM21412 [pii] AID - 10.1002/ctm2.1412 [doi] PST - ppublish SO - Clin Transl Med. 2023 Sep;13(9):e1412. doi: 10.1002/ctm2.1412.