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Review of All-Cause Mortality Plasma Biomarkers: PLAUR, SERPINA3, CRIM1, DDR1 and LTBP2

Release date: 2025-11-27  View count: 210

2025 All-Cause Mortality Plasma Biomarkers & Antibody Toolkit

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.

Overview of All-Cause Mortality Biomarkers in Plasma Proteomics – UK Biobank Focus

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.

Five Core Plasma Biomarkers of All-Cause Mortality

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)

Per-Marker Notes: Mechanisms & Experimental Design Suggestions

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.

Effect sizes of plasma protein biomarkers for 5-year and 10-year all-cause mortality prediction in UK Biobank

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

2024–2025 Latest Research Progress

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

abinScience Mortality Biomarker Research Reagents 

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

Frequently Asked Questions

What are the top plasma protein biomarkers for all-cause mortality?

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.

How do PLAUR and SERPINA3 predict 5-year mortality risk?

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).

How can researchers measure these mortality biomarkers in plasma?

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.

References

  1. Koziar N, Whetton AD, Geifman N. A plasma-based protein signature association with all-cause mortality. PLoS One. 2025;20(11):e0336845. doi:10.1371/journal.pone.0336845.
  2. Perry AS, et al. Proteomic analysis of cardiorespiratory fitness for prediction of mortality. Nat Med. 2024;30(6):1711–1721.
  3. Gong Q, et al. Multi-omic profiling reveals age-related immune dynamics in healthy adults. Nature. 2025 Oct 29.

For research use only. Not for use in diagnostic or therapeutic procedures.

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