BiomarkersHumans33,446 participantsCohort study

Blood protein links to heart attacks vary with kidney function

Links to heart attacks were stronger at lower kidney function for 154 blood proteins and at higher function for 22.

A kidney cross-section with sparse and dense filtration tissue sits beside plasma proteins and two hearts with larger and smaller damaged areas.

Kidney Research and Clinical Practice

An observational study of 33,446 UK Biobank participants examined links between blood proteins and later heart attacks over a median of 13.9 years. Researchers analysed 2,923 proteins in plasma, the liquid part of blood. The full cohort had 1,848 heart attacks during follow-up. The fully adjusted analysis used 29,417 participants with complete data, among whom 1,584 heart attacks occurred.

After accounting for other measured factors, the researchers linked 975 proteins to heart attack risk. For 176 of these, the associations varied with estimated kidney filtration, a measure of kidney function. Most links strengthened at lower filtration, while a smaller group strengthened at higher filtration. Adding blood proteins to clinical predictors modestly improved prediction of heart attacks over 10 years.

Why it matters

Heart attacks threaten health in later life. The study supports accounting for kidney function when interpreting blood-protein signals of heart attack risk.

Caveats

The observational design cannot establish cause and effect. The fully adjusted analysis excluded participants with incomplete data.

The paper

Kidney function-dependent plasma proteomic architecture of incident myocardial infarction: a proteome-wide association study of UK Biobank participants

Yongwoo Lee, Young Rok Ham, Ki Ryang Na, Dae Eun Choi

Chungnam National University School of Medicine

Kidney Research and Clinical Practice · 6 Oct 2026

doi.org/10.23876/j.krcp.26.191PubMed 42834475