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. Author manuscript; available in PMC: 2022 Dec 15.
Published in final edited form as: Am J Cardiol. 2021 Dec 15;161:42–50. doi: 10.1016/j.amjcard.2021.08.064

Table 2.

Protein Biomarkers Associated with Incident Atrial Fibrillation in Late-life, ARIC, 2011-2018

Model 1 Model 2
Protein Name Gene Name HR
(95%
CI)
p value HR (95%
CI)
p
value
N-terminal pro-BNP NPPB 1.82 (1.68-1.98) 2.91E-45 1.75 (1.60-1.91) 4.59E-35
Sushi, von Willebrand factor type A, EGF and pentraxin domain-containing protein 1 SVEP1 2.01 (1.71-2.36) 2.39E-17 1.89 (1.61-2.23) 2.47E-14
Sushi, von Willebrand factor type A, EGF and pentraxin domain-containing protein 1 SVEP1 1.92 (1.65-2.24) 2.90E-17 1.84 (1.57-2.16) 3.31E-14
Natriuretic peptides B NPPB 1.52 (1.36-1.70) 3.10E-13 1.46 (1.30-1.65) 4.58E-10
Transgelin TAGLN 1.88 (1.54-2.29) 3.21E-10 2.01 (1.56-2.59) 6.41E-08
Angiopoietin-2 ANGPT2 1.86 (1.53-2.25) 2.88E-10 1.74 (1.42-2.14) 1.62E-07
Protein delta homolog 1 DLK1 0.72 (0.63-0.84) 1.73E-05 0.68 (0.58-0.79) 7.22E-07
Slit homolog 2 protein SLIT2 1.44 (1.25-1.65) 2.90E-07 1.41 (1.23-1.62) 7.66E-07
CMRF35-like molecule 2 CD300E 1.51 (1.27-1.80) 2.28E-06 1.52 (1.28-1.80) 1.68E-06
Protein delta homolog 1 DLK1 0.73 (0.63-0.85) 3.33E-05 0.68 (0.55-0.80) 1.81E-06
Antileukoproteinase SLPI 1.97 (1.54-2.51) 6.66E-08 1.92 (1.46-2.52) 2.43E-06
Bone sialoprotein 2 IBSP 1.37 (1.22-1.54) 1.05E-07 1.33 (1.18-1.50) 2.59E-06
Microfibril-associated glycoprotein 4 MFAP4 1.54 (1.31-1.80) 1.22E-07 1.47 (1.25-1.72) 3.13E-06
Shadow of prion protein SPRN 1.53 (1.26-1.84) 1.14E-05 1.57 (1.30-1.90) 3.50E-06
R-spondin-4 RSPO4 1.65 (1.35-2.02) 1.45E-06 1.63 (1.33-2.01) 3.67E-06
Chordin-like protein 1 CHRDL1 1.86 (1.47-2.37) 3.17E-07 1.79 (1.39-2.31) 7.64E-06
Spondin-1 SPON1 1.93 (1.49-2.49) 6.24E-07 1.81 (1.39-2.34) 7.70E-06
Endothelial cell-specific molecule 1 ESM1 1.76 (1.40-2.20) 7.77E-07 1.66 (1.32-2.07) 1.08E-05
R-spondin-1 RSPO1 1.65 (1.36-1.99) 2.64E-07 1.57 (1.28-1.92) 1.26E-05
Macrophage-capping protein CAPG 1.53 (1.31-1.77) 3.28E-08 1.44 (1.22-1.70) 1.59E-05
Scavenger receptor class F member 1 SCARF1 1.81 (1.42-2.32) 2.51E-06 1.78 (1.37-2.31) 1.77E-05
Atrial natriuretic factor NPPA 1.72 (1.42-2.09) 3.03E-08 1.54 (1.26-1.88) 2.30E-05
Insulin-like growth factor-binding protein 2 IGFBP2 1.40 (1.21-1.62) 7.27E-06 1.35 (1.16-1.57) 9.30E-05
Growth/differentiation factor 11/8 GDF11
MSTN
0.55 (0.42-0.72) 9.54E-06 0.59 (0.45-0.77) 9.78E-05
Triggering receptor expressed on myeloid cells 1 TREM1 1.56 (1.30-1.87) 1.14E-06 1.50 (1.22-1.84) 1.00E-04
A disintegrin and metalloproteinase with thrombospondin motifs 13 ADAMTS13 0.55 (0.43-0.71) 2.56E-06 0.60 (0.46-0.71) 1.15E-04
Metalloproteinase inhibitor 4 TIMP4 1.52 (1.26-1.82) 7.03E-06 1.43 (1.19-1.73) 1.58E-04
Ribonuclease pancreatic RNASE1 1.29 (1.17-1.44) 1.49E-06 1.38 (1.17-1.64) 1.60 E-04
EGF-containing fibulin-like extracellular matrix protein 1 EFEMP1 2.13 (1.57-2.90) 1.24E-06 1.94 (1.37-2.75) 1.70E-04
Regenerating islet-derived protein 3-alpha REG3A 1.30 (1.16-1.46) 4.81E-06 1.26 (1.12-1.43) 2.01E-04
Lysosomal Pro-X carboxypeptidase PRCP 0.56 (0.43-0.72) 9.07E-06 0.60 (0.46-0.79) 2.13E-04
Cartilage intermediate layer protein 2 CILP2 0.64 (0.53-0.78) 6.27E-06 0.69 (0.57-0.84) 2.15E-04
Sodium/potassium-transporting ATPase subunit beta-1 ATP1B1 0.62 (0.50-0.76) 9.74E-06 0.66 (0.53-0.82) 2.50E-04
Hepatitis A virus cellular receptor 2 HAVCR2 1.60 (1.31-1.95) 3.57E-06 1.51 (1.21-1.88) 3.05E-04
Endostatin COL18A1 1.93 (1.47-2.55) 3.14E-06 1.90 (1.33-2.72) 4.07E-04
Protein SET SET 0.36 (0.23-0.55) 4.36E-06 0.45 (0.28-0.71) 5.88E-04
Gamma-aminobutyric acid receptor-associated protein-like 1 GABARAPL1 1.80 (1.41-2.31) 2.60E-06 1.65 (1.23-2.21) 8.44E-04
Gamma-aminobutyric acid receptor-associated protein GABARAP 1.95 (1.46-2.60) 6.88E-06 1.73 (1.22-2.47) 2.30E-03
Coagulation Factor X F10 0.51 (0.40-0.64) 3.09E-08 0.69 (0.47-0.99) 4.50E-02
Coagulation factor Xa F10 0.52 (0.41-0.66) 8.99E-08 0.71 (0.50-1.01) 5.95E-02

Model 1: adjusted for age, sex, race/center, current cigarette smoking, height, weight, systolic and diastolic blood pressure, the use of hypertension medications, diabetes, prevalent myocardial infarction and prevalent heart failure. Model 2: adjusted for Model 1 + estimated glomerular filtration rate, antiarrhythmic medication use, beta blocker medication use, and anticoagulation use

Hazard ratio (HR) expressed as the risk of incident AF per doubling of the protein value

Significance level of P<0.05/4877 = 1.025 x 10−5. These 40 proteins are ordered by smallest to largest p-value for Model 2.

All proteins listed are novel associations with incident AF except for NT-proBNP and ADAMTS13 which have been previously published.