RT Journal Article SR 00 ID 10.1002/ehf2.13476 A1 Raafs, Anne A1 Verdonschot, Job A1 Ferreira, Joao Pedro A1 Wang, Ping A1 Collier, Timothy A1 Henkens, Michiel A1 Björkman, Jens A1 Boccanelli, Alessandro A1 Clark, Andrew L. A1 Delles, Christian A1 Diez, Javier A1 González, Arantxa A1 Girerd, Nicolas A1 Jukema, J. Wouter A1 Pinet, Florence A1 Rossignol, Patrick A1 Thum, Thomas A1 Vodovar, Nicolas A1 de Boer, Rudolf A. A1 van Empel, Vanessa A1 Staessen, Jan A. A1 Hazebroek, Mark A1 Cleland, John A1 Zannad, Faiez A1 Heymans, Stephane T1 Identification of sex‐specific biomarkers predicting new‐onset heart failure JF ESC Heart Failure YR 2021 FD 2021-10 VO 8 IS 5 SP 3512 OP 3520 AB Aims: Heart failure (HF) is common in both men and women, yet disease pathophysiology, presentation, and progression differ between sexes. Studies addressing whether biomarkers predict new onset HF sex-specifically are scarce. This study therefore aims to test the sex-specificity of 252 protein biomarkers for new-onset HF. Methods and results: A matched case–control design in patients selected from cohorts within the HOMAGE consortium was used. Cases (new-onset HF, n = 562) and controls (n = 780) were matched for cohort (PREDICTOR, HEALTH-ABC, & PROSPER), follow-up time (defined as time from entry to incident HF), and age. Incident HF was defined as first hospitalization for HF. Targeted plasma proteins (n = 252) were measured using Proximity Extension Assay technology from O-link. To look for sex differences for new onset HF, we adjusted for cohort, age, and baseline clinical parameters. At baseline, women had a biomarker profile reflecting activated metabolism and immune responses. However, none of the biomarkers had a significant interaction with sex in predicting new onset HF, but four biomarkers had a trend towards sex-specificity (P < 0.013). E-selectin and interleukin 1 receptor antagonist were more female-specific, whereas IL17A and CHIT1 tended to be male sex-specific for incident HF. Conclusions: The majority of biomarkers associated with incident HF did not significantly differ between women and men, despite clear differences in biomarkers at baseline. NO The research leading to these results has received funding from the European Union Commission's Seventh Framework Programme under grant agreement 305507 [HOMAGE (Heart Omics in Ageing consortium)]. We acknowledge the support from the Netherlands Cardiovascular Research Initiative, an initiative with the support of the Dutch Heart Foundation CVON2016-Early HFPEF, and CVON 2017-21, SHE-PREDICTS-HF. JPF, NG, PR, and FZ are supported by the Contrat de Plan Etat-Lorraine and FEDER Lorraine, and a public grant overseen by the French National Research Agency (ANR) as part of the second “Investissements d'Avenir” programme FIGHT-HF (reference: ANR-15-RHU-0004) and by the French PIA project “Lorraine Université d'Excellence”, reference ANR-15-IDEX-04-LUE. They thank the CRB lorrain for biobaking activities. JAS is supported by the Non-Profit Research Institute Alliance for the Promotion of Preventive Medicine (URL: http://www.appremed.org), Mechelen, Belgium received a non-binding research grant from OMRON Healthcare Co., Ltd., Kyoto, Japan. PB Wiley SN 2055-5822 LK https://eprints.gla.ac.uk/244600/