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May 24, 2025International Journal of Cardiology Cardiovascular Risk and PreventionOpen Access

IL-18R1 and CSF-1 link to coronary plaque burden while ANGPTL3 associates with lipid-rich plaques.

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Why the study?

In PROSPECT II, NIRS-derived LCBI and IVUS-derived PB identified plaques linked to adverse cardiovascular events, but circulating biomarkers associated with these vulnerable plaque characteristics remained to be identified.

Are specific circulating protein biomarkers associated with vulnerable plaque characteristics (LCBI and PB) in patients with recent myocardial infarction?

Population

898 patients with recent myocardial infarction undergoing PCI

Comparison

Plasma levels of 179 cardiovascular disease-associated proteins evaluated against LCBI and PB

Design

Observational PROSPECT II substudy

Key result

Circulating proteins IL-18R1 and CSF-1 were strongly associated with coronary plaque burden, while ANGPTL3 was associated with lipid-rich plaques (LCBI) but not plaque burden.

Authors

TSTania SharmaAMAkiko MaeharaMMMichael Mæng

Discussion

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Overview

These associations are hypothesis-generating; prospective validation needed before any clinical consideration post-MI.

Study Design

Type

Observational (n=898)

Structured PICO

Are specific circulating protein biomarkers associated with vulnerable plaque characteristics (LCBI and PB) in patients with recent myocardial infarction?

P
Population
898 patients with recent myocardial infarction who underwent percutaneous coronary intervention
I
Intervention
Measurement of plasma levels of 179 proteins associated with cardiovascular disease and combined NIRS-IVUS catheter analysis of the coronary arteries
O
Outcome
Association of biomarkers with NIRS-derived lipid core burden index (LCBI) or IVUS-derived plaque burden (PB)surrogate

Specific circulating protein biomarkers, including ANGPTL3, IL-18R1, and CSF-1, are associated with vulnerable plaque characteristics such as lipid core burden and plaque burden in patients with recent myocardial infarction.

Cite This Study

Sharma et al. (2025) conducted an observational in Recent myocardial infarction (n=898). Circulating protein biomarkers was evaluated on Association with NIRS-derived lipid core burden index (LCBI) or IVUS-derived plaque burden (PB). Circulating proteins IL-18R1 and CSF-1 were strongly associated with coronary plaque burden, while ANGPTL3 was associated with lipid-rich plaques (LCBI) but not plaque burden.

synapsesocial.com/papers/6a0932ef4c1e2db30bd264f3https://doi.org/10.1016/j.ijcrp.2025.200440
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Identification of a specific inflammatory protein biosignature in coronary and peripheral blood associated with increased risk of future cardiovascular events2023
  2. 2The association between circulating lipoprotein subfractions and lipid content in coronary atheromatous plaques assessed by near-infrared spectroscopy2023 · 5 citations
  3. 3Associations of 26 Circulating Inflammatory and Renal Biomarkers with Near-Infrared Spectroscopy and Long-term Cardiovascular Outcome in Patients Undergoing Coronary Angiography (ATHEROREMO-NIRS Substudy)2018 · 13 citations
  4. 4Linking Lipidomics to Vulnerable Coronary Plaques: A PROSPECT II Substudy2026
  5. 5Lipid-Rich Plaques Predict Non-Target-Lesion Ischemic Events in Patients Undergoing Percutaneous Coronary Intervention2010 · 48 citations