The science behind suPAR

suPAR: A highly validated biomarker for health assessment

Since the discovery of suPAR (soluble urokinase plasminogen activator receptor) in the 1990s, it has gained international recognition as a stable and reproducible marker of chronic inflammation. SuPAR has significantly contributed to the understanding of chronic inflammation as a key underlying factor in the development of a wide range of diseases and as a predictor of survival, both in healthy individuals and in patients.
With more than 25 years of research and over 1,000 peer-reviewed publications, suPAR has proven its clinical value and is increasingly being used in hospitals and laboratories around the world.
What We Know Today

Elevated suPAR levels have been consistently associated with accelerated biological aging, increased risk of disease, greater disease severity, and higher mortality risk. These findings have been demonstrated across both healthy populations and various disease groups, with more than one million tests conducted to date.

SuPAR plays an important role in immune activation and systemic inflammation, which has made it a valuable tool for predicting disease progression and guiding treatment strategies. It is also the first biomarker to be approved by both the European Medicines Agency (EMA) and the U.S. Food and Drug Administration (FDA) for guiding treatment decisions in infectious diseases.

In recent years, suPAR has become increasingly relevant in the fields of early disease detection, preventive health, and longevity for the following reasons:
1. Higher suPAR levels are associated with faster biological aging, and the marker can predict the onset of common chronic diseases such as type 2 diabetes, cardiovascular disease, and cancer in the general population.
2. Studies show that lifestyle improvements can lead to lower suPAR levels, which in turn are associated with reduced health risks.
3. SuPAR is now recognized not just as a marker but also as a causal factor in the development of age-related diseases, including atherosclerosis and chronic kidney disease, highlighting the importance of maintaining low suPAR levels as part of a long-term health strategy.

suPAR is the central biomarker used in all of SuPAR Health’s services. The test is performed using suPARnostic®, a patented and CE-IVD approved technology that is validated for use in clinical decision-making.

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AUTHORS: Rasmussen, L. J. H., Petersen, J. E. V., Eugen-Olsen, J.

PUBLISHED: 02 December 2021

AI GENERATED SUMMARY
Discusses the role of suPAR as a biomarker for chronic systemic inflammation, highlighting its potential in diagnosing and predicting inflammation-related diseases.
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AUTHORS: Eugen-Olsen, J., Andersen, O., Linneberg, A.

PUBLISHED: 03 August 2010

AI GENERATED SUMMARY
Demonstrates how circulating suPAR levels can predict the risk of developing cancer, cardiovascular disease, and diabetes, as well as overall mortality in the general population.
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AUTHORS: Haupt, T. H., Rasmussen, L. J. H., Kallemose, T.

PUBLISHED: 22 January 2019

AI GENERATED SUMMARY
Finds that adopting healthy lifestyle habits significantly reduces suPAR levels and associated mortality rates in the general population.
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AUTHORS: Fagerberg, B., Borné, Y., Barregard, L.

PUBLISHED: 26 October 2016

AI GENERATED SUMMARY
Explores the association between cadmium exposure and elevated suPAR levels, linking this to an increased risk of inflammation and cardiovascular disease.
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AUTHORS: Rasmussen, L. J. H., Caspi, A., Ambler, A.

PUBLISHED: 16 July 2020

AI GENERATED SUMMARY
Investigates the relationship between elevated suPAR levels and accelerated aging, suggesting that suPAR can be a marker of biological age and age-related diseases.
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AUTHORS: Törnkvist, P. B. S., Haupt, T. H., Rasmussen, L. J. H.

PUBLISHED: 07 February 2019

AI GENERATED SUMMARY
Finds a linear association between dietary quality and suPAR levels, with poor diet linked to higher suPAR levels and increased mortality risk.
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AUTHORS: Langkilde, A., Hansen, T. W., Ladelund, S.

PUBLISHED: 01 April 2011

AI GENERATED SUMMARY
Demonstrates that elevated plasma suPAR levels serve as a risk marker for developing respiratory cancer in individuals without prior cancer diagnoses.
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AUTHORS: Eugen-Olsen, J., Ladelund, S., Sørensen, L. T.

PUBLISHED: 01 January 2016

AI GENERATED SUMMARY
This study shows that smoking cessation significantly reduces plasma suPAR levels, suggesting its utility as a marker of inflammation and smoking-related health risks.
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AUTHORS: Tuomi, H., Kultti, J., Danielsson, J.

PUBLISHED: 01 January 2014

AI GENERATED SUMMARY
Investigates the relationship between suPAR levels and liver disease severity in alcoholics, with higher levels correlating with more severe liver fibrosis and alcohol use.
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AUTHORS: Haastrup, E., Grau, K., Eugen-Olsen, J.

PUBLISHED: 01 January 2014

AI GENERATED SUMMARY
Examines the potential of suPAR as a biomarker for antidepressant use, suggesting that it could reflect underlying inflammation associated with depression and treatment response.
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AUTHORS: Bourassa, K. J., Rasmussen, L. J. H., Danese, A.

PUBLISHED: 01 June 2021

AI GENERATED SUMMARY
This study explores the link between stressful life events and chronic inflammation, demonstrating that elevated suPAR levels are associated with higher levels of stress and long-term inflammation.
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AUTHORS: Montecillo, J., Pirker, T., Pemberton, C.

PUBLISHED: 29 June 2024

AI GENERATED SUMMARY
Reviews the role of suPAR in cardiovascular disease, emphasizing its potential as a prognostic biomarker for cardiovascular risk and disease progression.
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AUTHORS: Adami, M. E., Kotsaki, A., Antonakos, N.

PUBLISHED: 06 February 2024

AI GENERATED SUMMARY
Investigates the combined use of the qSOFA score and suPAR levels in the emergency department for early detection of sepsis and guidance on antibiotic treatment, demonstrating improved patient outcomes.
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AUTHORS: Rehan, S. T., Hussain, H. U., Ali, E.

PUBLISHED: 29 September 2023

AI GENERATED SUMMARY
A systematic review and meta-analysis exploring the role of suPAR in predicting various clinical outcomes in emergency patients, such as mortality, readmission rates, length of hospital stay, and discharge.
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AUTHORS: Ismail, A., & Hayek, S. S.

PUBLISHED: 01 December 2023

AI GENERATED SUMMARY
Examines the role of suPAR in cardiovascular disease, highlighting its involvement in inflammation and its potential as a biomarker for cardiovascular risk and disease progression.
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AUTHORS: Füller, D., Liu, C., Ko, Y. A.

PUBLISHED: 01 October 2023

AI GENERATED SUMMARY
Investigates how lower education levels mediate the effect of suPAR on adverse cardiovascular outcomes in patients with coronary artery disease, suggesting suPAR as a mediator of social determinants of health.
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AUTHORS: Wohlwend, N. F., Grossmann, K., Aeschbacher, S.

PUBLISHED: 13 September 2023

AI GENERATED SUMMARY
Examines the relationship between suPAR levels and cardiovascular risk factors in young and healthy adults, suggesting suPAR as an early marker for future cardiovascular risks.
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AUTHORS: Haupt, T. H., Elfving, B., Eugen-Olsen, J.

PUBLISHED: 07 September 2023

AI GENERATED SUMMARY
Investigates the association between suPAR levels and the response to antidepressants in major depression, exploring its impact on 26-week treatment response and long-term outcomes.
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AUTHORS: Manfredi, M., Van Hoovels, L., Benucci, M.

PUBLISHED: 19 April 2023

AI GENERATED SUMMARY
Examines the role of suPAR in both autoimmune rheumatic diseases and non-rheumatic conditions, focusing on its potential as a biomarker.
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AUTHORS: Nusshag, C., Wei, C., Hahm, E., Hayek, S. S., Li, J., Samelko, B., ... & Reiser, J.

PUBLISHED: 10 April 2023

AI GENERATED SUMMARY
Investigates how suPAR contributes to sepsis-induced acute kidney injury by linking immune dysregulation and tissue inflammation.
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AUTHORS: Goodchild, T. T., Li, Z., & Lefer, D. J.

PUBLISHED: 01 December 2022

AI GENERATED SUMMARY
Discusses suPAR's evolution from being a biomarker for cardiovascular diseases to actively participating in the development of atherosclerosis and related conditions.
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AUTHORS: Huang, Y., Huang, S., Zhuo, X., & Lin, M.

PUBLISHED: 01 December 2022

AI GENERATED SUMMARY
A systematic review and meta-analysis assessing the predictive value of suPAR in acute kidney injury (AKI).
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AUTHORS: Tavenier, J., Rasmussen, L. J. H., Tolstrup, J.

PUBLISHED: 01 December 2022

AI GENERATED SUMMARY
Explores the relationship between self-rated health, chronic inflammation, and its independent association with hospitalization and long-term mortality in the general population.
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AUTHORS: Hayek, S. S., Tahhan, A. S., Ko, Y. A.

PUBLISHED: 01 October 2022

AI GENERATED SUMMARY
Investigates how suPAR levels influence outcomes in patients with heart failure, contributing to understanding its role in cardiovascular disease prognosis.
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AUTHORS: Sudhini, Y. R., Wei, C., & Reiser, J.

PUBLISHED: 08 June 2022

AI GENERATED SUMMARY
Reviews the role of suPAR as a mediator of inflammation in kidney diseases, highlighting its potential as a biomarker for kidney injury and disease progression.
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AUTHORS: Joyce, J., Cabanas, N., Pisharody, R.

PUBLISHED: 01 September 2022

AI GENERATED SUMMARY
Investigates elevated levels of suPAR in caregivers of patients with Parkinsonism, potentially indicating an inflammatory response related to caregiving stress.
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AUTHORS: Stefanova, V., Ngai, M., Weckman, A. M.

PUBLISHED: 15 July 2023

AI GENERATED SUMMARY
Examines suPAR as a prognostic biomarker for identifying Ugandan children at risk of severe and fatal malaria, focusing on its role in predicting outcomes.
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AUTHORS: Chalkias, A., Skoulakis, A., Papagiannakis, N.

PUBLISHED: 01 December 2022

AI GENERATED SUMMARY
Investigates how circulating suPAR levels correlate with the severity and in-hospital progression of COVID-19, highlighting its potential as a prognostic marker in COVID-19 management.
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AUTHORS: Enocsson, H., Idoff, C., Gustafsson, A.

PUBLISHED: 01 December 2021

AI GENERATED SUMMARY
Explores the predictive ability of suPAR for the severity of COVID-19 and the length of hospital stays, highlighting its potential as a biomarker for disease progression.
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AUTHORS: Rasmussen, L. J. H., Petersen, J. E. V., & Eugen-Olsen, J.

PUBLISHED: 02 December 2021

AI GENERATED SUMMARY
Investigates suPAR as a biomarker of chronic systemic inflammation, its role in disease progression, and its potential applications in personalized medicine.
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AUTHORS: Santeri, S., Peter, A. A., Kristiina, N.

PUBLISHED: 03 November 2021

AI GENERATED SUMMARY
Discusses how different levels of suPAR can be used to stratify the risk of acute medical patients in the emergency department, aiding in decision-making and patient management.
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AUTHORS: Wei, C., Spear, R., Hahm, E.

PUBLISHED: 06 October 2021

AI GENERATED SUMMARY
Explores suPAR as a key factor in kidney disease, examining its role as a circulating marker for kidney injury and potential therapeutic target.
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AUTHORS: Jousi, M., Mäkinen, M., Kaartinen, J.

PUBLISHED: 03 November 2021

AI GENERATED SUMMARY
Examines the use of pre-hospital suPAR, lactate, and CRP levels in decision-making for patients with non-specific complaints, highlighting suPAR's potential in triage.
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AUTHORS: Enocsson, H., Lukic, T., Ziegelasch, M.

PUBLISHED: 01 November 2021

AI GENERATED SUMMARY
Investigates the correlation between suPAR levels and disease activity in early rheumatoid arthritis, demonstrating that suPAR reflects joint damage progression over time.
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AUTHORS: Höbaus, C., Ursli, M., Yussef, S. M.

PUBLISHED: 01 February 2021

AI GENERATED SUMMARY
Examines the role of suPAR in predicting the severity of peripheral artery disease (PAD) and its potential in forecasting clinical outcomes in PAD patients.

AUTHORS: Azam, T. U., Shadid, H. R., Blakely, P.

PUBLISHED: 01 December 2020

AI GENERATED SUMMARY
Investigates the relationship between suPAR levels and acute kidney injury (AKI) in COVID-19 patients, showing its potential as a biomarker for early detection of kidney complications.
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AUTHORS: Rasmussen, L. J. H., Caspi, A., Ambler, A.

PUBLISHED: 01 January 2021

AI GENERATED SUMMARY
Explores the association between elevated suPAR levels and accelerated aging, demonstrating its potential role as a marker for age-related diseases and inflammatory processes.
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AUTHORS: Hodges, G., Lyngbæk, S., Selmer, C.

PUBLISHED: 01 July 2020

AI GENERATED SUMMARY
Investigates the association between suPAR levels and mortality in patients with suspected coronary artery disease, linking it to worse cardiovascular outcomes and higher mortality.
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AUTHORS: Weidemann, D. K., Abraham, A. G., Roem, J. L.

PUBLISHED: 01 May 2020

AI GENERATED SUMMARY
Investigates the role of suPAR in the progression of chronic kidney disease (CKD) in children, highlighting its potential as a predictive biomarker for CKD progression.
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AUTHORS: Chew-Harris, J., Appleby, S., Richards, A. M.

PUBLISHED: 01 August 2019

AI GENERATED SUMMARY
Reviews the analytical and biochemical properties of suPAR in healthy individuals, with a focus on its clearance mechanisms and implications for its use as a biomarker.
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AUTHORS: Haupt, T. H., Rasmussen, L. J. H., Kallemose, T.

PUBLISHED: 07 February 2019

AI GENERATED SUMMARY
Demonstrates that healthy lifestyles, such as physical activity and proper nutrition, significantly reduce suPAR levels and associated mortality in the general population.
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AUTHORS: Törnkvist, P. B. S., Haupt, T. H., Rasmussen, L. J. H.

PUBLISHED: 01 January 2019

AI GENERATED SUMMARY
Investigates the association between dietary quality and suPAR levels, showing that poor dietary quality is linked to higher suPAR levels and an increased risk of mortality.
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AUTHORS: Rasmussen, L. J. H., Moffitt, T. E., Eugen-Olsen, J.

PUBLISHED: 09 May 2018

AI GENERATED SUMMARY
Explores how cumulative childhood risk factors are linked to elevated suPAR levels in adulthood, which serve as a marker of chronic inflammation.
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AUTHORS: Meyer, J., Alstrup, M., Rasmussen, L. J. H.

PUBLISHED: 18 January 2018

AI GENERATED SUMMARY
Examines the association between elevated suPAR levels and the risk of requiring acute surgery or experiencing post-operative mortality in acutely admitted medical patients.
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AUTHORS: Hodges, G. W., Bang, C. N., Eugen-Olsen, J.

PUBLISHED: 31 January 2018

AI GENERATED SUMMARY
Investigates how elevated suPAR levels predict postoperative complications and mortality in patients with asymptomatic aortic stenosis, underlining its potential role in risk assessment for cardiovascular surgery.
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AUTHORS: Schulz, C. A., Persson, M., Christensson, A.

PUBLISHED: 01 January 2017

AI GENERATED SUMMARY
Explores the association between suPAR levels and impaired kidney function in a population-based cohort, suggesting that suPAR may serve as a marker for early kidney disease.
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AUTHORS: Guthoff, M., Wagner, R., Randrianarisoa, E.

PUBLISHED: 16 January 2017

AI GENERATED SUMMARY
Investigates the predictive role of suPAR in identifying microalbuminuria in patients at risk for type 2 diabetes, suggesting its potential as a biomarker for early diabetic kidney disease.
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AUTHORS: Rasmussen, L. J., Ladelund, S., Haupt, T. H.

PUBLISHED: 02 September 2016

AI GENERATED SUMMARY
Highlights the role of suPAR as a strong marker for disease presence, severity, readmission, and mortality in acute care settings, emphasizing its utility in emergency medicine.
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AUTHORS: Eugen-Olsen, J., & Giamarellos-Bourboulis, E. J.

PUBLISHED: 01 January 2016

AI GENERATED SUMMARY
Discusses the role of suPAR as a nonspecific biomarker for disease presence, severity, and prognosis, and its potential applications in clinical practice.
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AUTHORS: Engström, G., Zöller, B., Svensson, P. J.

PUBLISHED: 01 January 2016

AI GENERATED SUMMARY
Investigates the association between suPAR levels and the incidence of venous thromboembolism, suggesting its potential as a marker for thrombotic events.
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AUTHORS: Wrotek, A., & Jackowska, T.

PUBLISHED: 01 January 2015

AI GENERATED SUMMARY
Examines suPAR's role as a biomarker in children with pneumonia, assessing its potential to predict disease severity and complications.
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AUTHORS: Botha, S., Fourie, C. M., Schutte, R.

PUBLISHED: 01 January 2014

AI GENERATED SUMMARY
Investigates the relationship between suPAR levels and various lifestyle factors and cardiometabolic risk factors, including diet and physical activity.
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AUTHORS: Lyngbæk, S., Marott, J. L., Sehestedt, T.

PUBLISHED: 01 January 2013

AI GENERATED SUMMARY
Explores the combined use of suPAR, CRP, and the Framingham Risk Score for better cardiovascular risk prediction in the general population.
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AUTHORS: Haupt, T. H., Petersen, J., Ellekilde, G.

PUBLISHED: 01 January 2012

AI GENERATED SUMMARY
Investigates how elevated suPAR levels in acutely admitted medical patients correlate with mortality, length of hospital stay, and comorbidity severity as assessed by the Charlson Comorbidity Index.
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AUTHORS: Donadello, K., Scolletta, S., Covajes, C.

PUBLISHED: 01 January 2012

AI GENERATED SUMMARY
Discusses the potential of suPAR as a prognostic biomarker for sepsis, particularly its ability to predict patient outcomes and guide therapeutic interventions.
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AUTHORS: Koch, A., & Tacke, F.

PUBLISHED: 01 January 2011

AI GENERATED SUMMARY
Examines the limitations and challenges of using high suPAR levels as a diagnostic and prognostic marker in intensive care units (ICU), highlighting potential pathogenic roles.
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AUTHORS: Schutte, A. E., Myburgh, A., Olsen, M. H.

PUBLISHED: 01 January 2012

AI GENERATED SUMMARY
Explores the relationship between suPAR levels and arterial stiffness in a bi-ethnic population, offering insights into the role of suPAR in cardiovascular health.
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AUTHORS: Toldi, G., Bíró, E., Szalay, B., Stenczer, B.

PUBLISHED: 01 January 2011

AI GENERATED SUMMARY
Investigates the levels of suPAR in healthy pregnancies and in cases of preeclampsia, suggesting its potential role as a marker for pregnancy-related complications.
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AUTHORS: Thunø, M., Macho, B., & Eugen-Olsen, J.

PUBLISHED: 01 January 2009

AI GENERATED SUMMARY
This paper discusses suPAR as a potential "molecular crystal ball," suggesting that suPAR can be used to predict disease presence, severity, and progression. It emphasizes its role in inflammatory processes and its potential as a diagnostic and prognostic biomarker in various diseases.
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AUTHORS: Eugen-Olsen, J., Ladelund, S., & Sørensen, L. T.

PUBLISHED: 01 April 2016

AI GENERATED SUMMARY
This randomized controlled study examines the effect of smoking cessation on plasma suPAR levels. The results indicate that smoking cessation leads to a significant reduction in suPAR levels, highlighting the potential of suPAR as a marker for inflammation and its responsiveness to lifestyle changes such as quitting smoking.
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AUTHORS: Mehta, A., Desai, S. R., Ko, Y. A.

PUBLISHED: 22 February 2020

AI GENERATED SUMMARY
This study explores the sex differences in suPAR levels in patients with coronary artery disease (CAD). It finds that suPAR levels differ between men and women and that these differences are associated with adverse outcomes in CAD, including mortality and major cardiovascular events. The findings highlight suPAR's potential as a gender-specific biomarker for assessing CAD risk.