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September 15, 2026Experimental GerontologyOpen Access

Proteomic signatures of systemic inflammation in aging, multimorbidity, and mortality

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Authors

ZJZhou JiangDLDanyang LingZCZiwei Chen

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Overview

Cohort study reveals proteomic inflammaging scores predict mortality and multimorbidity in UK adults, indicating broad utility for systemic biological aging assessment.

Key Points

  • To develop a proteomic inflammaging score (PIS) that captures the molecular heterogeneity of systemic inflammation and evaluate its capacity to predict mortality and age-related phenotypes.
  • Analyzed 40,471 participants from the UK Biobank using LASSO to identify proteins linked to six systemic inflammatory biomarkers (CRP, SII, SIRI, MLR, NLR, PLR).
  • Modeled biomarker-specific profiles with deep neural networks, integrated them into a composite PIS via elastic-net Cox regression, and validated the score in an external cohort of 5,250 participants.
  • Characterized age-related proteomic trajectories using DE-SWAN and assessed underlying genetic architecture using genome-wide analyses.
  • Both full (HR = 1.88, 95% CI: 1.79–1.98) and simplified 93-protein (HR = 1.88, 95% CI: 1.79–1.97) PIS were significantly associated with all-cause mortality and multiple aging-related phenotypes.
  • Adding simplified PIS to standard clinical indices improved mortality discrimination, achieving a C-index of 0.758 (95% CI: 0.752–0.765), with similar performance confirmed in external validation.
  • Proteomic inflammation demonstrated non-linear crests near ages 50, 62–63, and 67 years, and mapped to 25 lead SNPs linked to inflammatory traits.

Cite This Study

Jiang et al. (2026) studied this question.

synapsesocial.com/papers/6aa9132f9013453be30a0ef2https://doi.org/10.1016/j.exger.2026.113321
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