TL;DR: In UK Biobank plasma proteomics, five proteins (PLAUR, SERPINA3, CRIM1, DDR1, LTBP2) consistently show the strongest associations with 5–10-year all-cause mortality, with hazard ratios up to 4–6, outperforming traditional risk factors such as age and cholesterol.
All-cause mortality refers to death from any cause, and identifying circulating biomarkers for risk stratification is a cornerstone of preventive medicine. Large-scale plasma proteomics studies, particularly from the UK Biobank, have identified proteins that powerfully predict mortality risk years in advance—even in apparently healthy individuals.
This 2025 review focuses on five core biomarkers—PLAUR, SERPINA3, CRIM1, DDR1, and LTBP2—consistently ranked among the strongest predictors in recent UK Biobank analyses. We summarize their normal functions, pathological roles, hazard ratios, and provide direct links to abinScience's high-quality recombinant proteins and antibodies.
| Biomarker | Gene | UniProt | Biological Function | Association with Mortality (HR*) | Key Disease Links |
|---|---|---|---|---|---|
| PLAUR (uPAR) | PLAUR | Q03405 | uPA receptor; cell migration, fibrinolysis, inflammation | Up to 4.45 (5-year all-cause) | CVD, cancer, infection |
| SERPINA3 (α1-antichymotrypsin) | SERPINA3 | P01011 | Acute-phase protease inhibitor | 2.79 (cancer-specific) | Cancer, chronic inflammation |
| CRIM1 | CRIM1 | Q9NZV1 | BMP antagonist; vascular development | >6.0 (cardiovascular) | Vascular pathology, heart failure |
| DDR1 | DDR1 | Q08345 | Collagen receptor tyrosine kinase | 2.19 (cancer mortality) | Fibrosis, tumor progression |
| LTBP2 | LTBP2 | Q14767 | Latent TGF-β binding protein; ECM assembly | 4.26 (cardiovascular) | Fibrosis, elastic fiber disorders |
*HR = hazard ratio per 1-SD increase in protein level (adjusted models, UK Biobank)
| Biomarker | Mechanism | Experimental Design Suggestions |
|---|---|---|
| PLAUR (uPAR) | Encodes urokinase plasminogen activator receptor (uPAR), mediating signal transduction, plasminogen activation, and extracellular matrix degradation. Overexpression activates the plasminogen system, correlating with poor survival in cancers and adverse cardiovascular events. | Combine with CRP and NT-proBNP in inflammatory CVD cohorts for joint modeling; use recombinant PLAUR in migration assays with primary endothelial cells. |
| SERPINA3 (α1-antichymotrypsin) | Acute-phase protein secreted during acute/chronic inflammation, inhibiting proteases like cathepsin G and chymase to modulate neutrophil-driven responses in tumors and chronic diseases. | Ideal for cancer prognosis panels alongside GDF15; test protease inhibition in co-culture models of tumor-associated macrophages. Cross-reactive with mouse. |
| CRIM1 | Cysteine-rich transmembrane BMP regulator 1, antagonizes BMP signaling in endothelial cells, preventing aberrant angiogenesis and vascular pathology in heart failure. | Pathway enrichment with VEGF/ANGPT markers; knockout in zebrafish or mouse models for vascular phenotyping. |
| DDR1 | Discoidin domain receptor tyrosine kinase 1, drives collagen remodeling in fibrotic niches, amplifying cancer invasion and tumor progression. | Pair with COL1A1 in fibrosis models; kinase assays with recombinant DDR1 to screen inhibitors. Rat/mouse cross-reactivity strong. |
| LTBP2 | Latent transforming growth factor beta binding protein 2, anchors latent TGF-β in ECM, promoting fibrotic cascades and elastic fiber disorders in CVD. | Integrate with ECM panel (FN1, SPARC) for enrichment analysis; functional assays in cardiac fibroblasts using anti-LTBP2 neutralization. |
From Risk Prediction to Mechanism: These biomarkers bridge epidemiology to pathways—PLAUR/DDR1 to immune-matrix interactions, SERPINA3/CRIM1 to protease/inflammatory networks, LTBP2 to TGF-β fibrosis. Start with plasma ELISA panels, validate in organoids, and target pathways for intervention studies.
Fig 1. Effect sizes of plasma proteins on all-cause mortality (5- and 10-year horizons). The five biomarkers reviewed here rank among the strongest predictors. Source: PLoS One 2025
| Study / Theme | Key Finding | Publication | Impact |
|---|---|---|---|
| UK Biobank 53k Proteomics | 392 proteins significantly associated with 5-year all-cause mortality; 14-protein panel outperforms clinical risk scores | PLOS One 2025 | Foundation for population-level risk screening |
| Cardiorespiratory Fitness Proteome | Per 1-SD higher CRF protein score → 50% lower mortality hazard | Nature Medicine 2024 | Links lifestyle with proteomic mortality risk |
| Multi-omic Aging Clock | Plasma proteome + metabolome predicts biological age and mortality better than chronological age | Nature 2025 | Accelerates anti-aging intervention trials |
| Type | Catalog No. | Product Name |
|---|---|---|
| Protein | HC497012 | Recombinant Human LTBP2 Protein, N-His |
| HC282012 | Recombinant Human CD167a/DDR1 Protein, N-His | |
| HC282011 | Recombinant Human CD167a/DDR1 Protein, C-His | |
| HF598012 | Recombinant Human SERPINA3 Protein, N-GST | |
| MP881012 | Recombinant Mouse a1ACT/Serpina3n Protein, N-His | |
| HF598022 | Recombinant Human SERPINA3 Protein, C-His | |
| HX035012 | Recombinant Human CD87/PLAUR/uPAR Protein, N-His | |
| MX035012 | Recombinant Mouse PLAUR Protein, N-His | |
| MX035011 | Recombinant Mouse CD87/PLAUR/uPAR Protein, C-His | |
| HX035011 | Recombinant Human CD87/PLAUR/uPAR Protein, C-Fc | |
| HX035021 | Recombinant Human CD87/PLAUR/uPAR Protein, C-His | |
| Antibody | HC497014 | Anti-Human LTBP2 Polyclonal Antibody |
| HC282337 | Anti-Human CD167a/DDR1 Antibody (SAA0826), APC | |
| HC282147 | Anti-Human CD167a/DDR1 Antibody (2004#), PerCP | |
| HC282247 | Anti-Human CD167a/DDR1 Antibody (SAA0805), PerCP | |
| HC282347 | Anti-Human CD167a/DDR1 Antibody (SAA0826), PerCP | |
| HC282127 | Anti-Human CD167a/DDR1 Antibody (2004#), PE | |
| HC282227 | Anti-Human CD167a/DDR1 Antibody (SAA0805), PE | |
| HC282327 | Anti-Human CD167a/DDR1 Antibody (SAA0826), PE | |
| HC282014 | Anti-CD167a/DDR1 Polyclonal Antibody | |
| HF598014 | Anti-SERPINA3 Polyclonal Antibody | |
| MP881014 | Anti-Serpina3n Polyclonal Antibody | |
| HX035014 | Anti-CD87/PLAUR/uPAR Polyclonal Antibody | |
| HX035013 | Mouse Anti-Human CD87/PLAUR/suPAR Antibody (ATN615) | |
| HX035023 | Anti-Human CD87/PLAUR/suPAR Antibody (ATN615) | |
| HX035033 | Anti-Human CD87/PLAUR/uPAR Antibody (8B12) | |
| MX035014 | Anti-Mouse PLAUR Polyclonal Antibody |
Large UK Biobank plasma proteomics studies have identified a small set of proteins that strongly predict 5–10-year all-cause mortality. In fully adjusted models, SERPINA1, PLAUR and SERPINA3 show the largest hazard ratios for 5-year risk, while PLAUR, SERPINA3, CRIM1, DDR1 and LTBP2 form part of the most predictive panels and also display high effect sizes across cause-specific (cardiovascular and cancer) mortality models.
PLAUR encodes the urokinase-type plasminogen activator receptor (uPAR), linking fibrinolysis, extracellular matrix degradation and inflammation; in the UK Biobank analysis it shows a 5-year all-cause mortality hazard ratio of about 4.45. SERPINA3 is an acute-phase serine protease inhibitor that modulates inflammatory and tumour-related protease activity and has a 5-year all-cause mortality hazard ratio of about 4.33. Panels that include these proteins improve risk prediction beyond traditional biomarkers such as C-reactive protein (CRP).
These biomarkers can be measured using high-throughput proteomics platforms (such as Olink) or via targeted ELISA and multiplex immunoassays built from recombinant protein standards and validated antibodies, for example those available from abinScience.
For research use only. Not for use in diagnostic or therapeutic procedures.
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