Prevention & lipidsCohort study

Plasma soluble TREM-1 and risk of cardiovascular disease in the population. Results from the Paris Prospective Study III and the CoLaus|PsyCoLaus

Eur J Prev CardiolPublished

  • Prospective cohort study
  • observational

Authors' conclusion

In this prospective study, higher circulating sTREM-1 levels were independently associated with incident CVD. Addition of sTREM-1 to established risk scores was associated with improvements in discrimination and reclassification metrics

Study context

Population
Cardiovascular disease (CVD)-free adults (39% females, mean age 59.6±6.3 years)CVD-free
Participants
9,097 adults
Exposure
sTREM-1 concentration categories

Main finding

As reported in the abstract

Incident CVD · median 10.1 years
multivariable Cox model
Hazard ratio (95% CI)
200-290 vs <200pg/ml
4.25(3.20–5.63)
>290 vs <200pg/ml
10.40(7.72–14.02)
Participants with CVD events
444
CVD events
479

Observational data: associations, not effects.

Further findings

Outcomebootstrapped C index difference (95% CI)
Discrimination: sTREM-1 added to SCORE2-SCORE2 OP (Harell C-index) · C-index 0.79 vs. 0.710.084 (0.083–0.085)
Outcomecategorical NRI (95% CI)
Reclassification: sTREM-1 added to SCORE2-SCORE2 OP0.34 (0.28–0.40)

Discrimination: sTREM-1 added to SCORE2-SCORE2 OP (Harell C-index)

Improvement also among individuals at low to moderate 10-year risk of CHD or stroke

Reclassification: sTREM-1 added to SCORE2-SCORE2 OP

Findings similar with other recommended risk scores

CVD subtypes

Results consistent across CVD subtypes

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Plasma soluble TREM-1 and risk of cardiovascular disease in the population. Results from the Paris Prospective Study III and the CoLaus|PsyCoLaus. Eur J Prev Cardiol. Published 12 May 2026. doi:10.1093/eurjpc/zwag258

Summarised from the published abstract; every number is checked against it