Coronary disease & ACSResearch article

Tumor Necrosis Factor Receptor (TNFR) Pathway-Related Proteins and Recurrent Coronary Artery Disease Events

JACC AdvPublished

  • Cox proportional hazards regression
  • UK Biobank
  • baseline Olink plasma proteomic measures

Authors' conclusion

Although TNFR1 and TNFR2 were initially thought to have opposing roles in cardiac remodeling postmyocardial infarction, this study highlights the complex interaction between these pathways and the need to identify specific inflammation-related targets to therapeutic strategies.

Study context

Population
Participants in the UK Biobank with baseline Olink plasma proteomic measures and CADparticipants with baseline Olink plasma proteomic measures and CAD
Participants
1,009 participants
Comparison
Association between proteins measured and recurrent CAD events in follow-up

Main finding

As reported in the abstract

Recurrent CAD events · 11.40 (IQR: 8.00-14.69) years of follow-up

Participants with recurrent CAD events

656 (65.01%)

Further findings

Proteins associated with recurrent CAD events

Proteins tested
1,463
Proteins independently associated with recurrent CAD events
102

Molecular function enrichment for TNFR activity

Enrichment for tumor necrosis factor receptor (TNFR) activity
100-fold (P = 6.37 × 10-10)

TNF-related proteins and recurrent CAD events

Tumor necrosis factor-alpha risk estimate
1.36 (95% CI: 1.17-1.57; P = 6.38 × 10-5)
TNFR1 (TNFRSF1A) risk estimate
1.73 (95% CI: 1.43-2.09; P = 1.23 × 10-8)
TNFR2 (TNFRSF1B) risk estimate
1.27 (95% CI: 1.13-1.44; P = 9.15 × 10-5)
  • Of the 16 proteins related to TNF annotated by the Gene Ontology database

Baseline characteristics · enrollment

Mean age
62.51 years (SD 5.94)
Females
183 (18.14%)

Original publication

TNFR Pathway-Related Proteins and Recurrent Coronary Artery Disease Events. JACC Adv. Published 19 March 2026. doi:10.1016/j.jacadv.2026.102687

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