Original Investigation

Lipoprotein(a), Inflammation, and Risk of Coronary Artery Disease and Aortic Valve Stenosis

JAMA Cardiology 10.1001/jamacardio.2026.1852

June 24, 2026 at 11:00 AM EDT

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Do inflammatory biomarkers modify lipoprotein(a) [Lp(a)]–associated risk for coronary artery disease (CAD) and aortic valve stenosis (AS)?In this primary prevention cohort study, Lp(a)-associated risk for incident CAD was modified by interleukin 6 (IL-6). No inflammatory biomarkers significantly modified Lp(a)-associated risk of AS.These findings support IL-6 as a biomarker of inflammatory risk that may inform targeted prevention strategies, including among those with elevated Lp(a).

Corresponding Authors: Michael C. Honigberg, MD, MPP, Massachusetts General Hospital, 185 Cambridge St, CPZN 3.190, Boston, MA 02114 (mhonigberg@mgh.harvard.edu); Saloua El Messaoudi, MD, PhD, Department of Cardiology, Radboud University Medical Center, Geert Grooteplein Zuid 10, 6525GA Nijmegen, the Netherlands (Saloua.ElMessaoudi@radboudumc.nl).

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