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Circulating immune cell phenotypes are associated with inflammatory biomarkers in dementia-free participants from the Framingham Heart Study Offspring cohort
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  • Published: 27 February 2026

Circulating immune cell phenotypes are associated with inflammatory biomarkers in dementia-free participants from the Framingham Heart Study Offspring cohort

  • Jiachen Chen1,
  • Margaret F. Doyle2,
  • Yumeng Cao1,
  • Sandhya Iyer3,
  • Ahmed A. Y. Ragab1,
  • Joanne M. Murabito4,5 &
  • …
  • Kathryn L. Lunetta1 

Scientific Reports , Article number:  (2026) Cite this article

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We are providing an unedited version of this manuscript to give early access to its findings. Before final publication, the manuscript will undergo further editing. Please note there may be errors present which affect the content, and all legal disclaimers apply.

Subjects

  • Biomarkers
  • Immunology

Abstract

Inflammatory responses are characterized by the activation of immune cells, while inflammatory biomarkers intricately interact with the immune system. While experimental studies have provided important mechanistic insights, large community-based investigations jointly profiling immune cell phenotypes and inflammatory biomarkers remain limited. This study aims to investigate the association between circulating immune cell phenotypes and inflammatory protein biomarkers in the Framingham Heart Study Offspring cohort. A sample of 873 dementia-free participants (52% female, mean age 61) had extensive profiling of peripheral blood mononuclear cells and inflammatory plasma protein biomarkers (OLINK Proteomics) collected at Offspring Exam 7 (the seventh examination cycle of the cohort, 1998 to 2001). Among cross-sectional pairwise associations between 77 immune cell phenotypes and 68 inflammatory biomarkers, CD8 naïve T cells showed negative associations with multiple inflammatory proteins, including CD40, CD5, CXCL9, CXCL10, IL8, OPG, TGF-alpha, TNF, TNFRSF9, and 4E-BP1. Higher levels of CD8 Cytotoxic T cells, CD8 + CD27-, CD8 effector T cells, and interferon gamma-producing CD8 T cells (Tc1) were all associated with higher levels of soluble CD8 alpha chain (CD8A). In contrast, CD4/CD8 T cell ratio, Immunoglobulin D (IgD)-expressing B cells and naïve Immunoglobulin D and Immunoglobulin M double-positive B cells (IgD + IgM + B cells) were associated with lower CD8A. Stratified analyses revealed significant associations primarily in males and participants over 60. These findings provide a comprehensive population-level characterization of the relationships between circulating immune cell phenotypes and inflammatory biomarkers in a well-defined community-based cohort, offering insight into immune cell-inflammatory profiles associated with aging.

Data availability

Framingham Heart Study Offspring data are available for request via NHLBI Biological Specimen and Data Repositories Information Coordinating Center (BioLINCC) (https:/biolincc.nhlbi.nih.gov/studies/framoffspring) .

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Acknowledgements

The authors thank the Framingham Heart Study participants, as well as the study team for their contributions.

Funding

This work was supported by the National Institutes of Health R01AG067457, and by NIH Research Grant 1F99AG095040-01 funded by the Office of Data Science Strategy (ODSS). Support for collection of FHS data was provided by the National Heart, Lung, and Blood Institute (contract number 75N92019D00031, 75N9202500012).

Author information

Authors and Affiliations

  1. School of Public Health, Department of Biostatistics, Boston University, 801 Massachusetts Avenue, Crosstown, 3rd floor, MA, 02118, Boston, USA

    Jiachen Chen, Yumeng Cao, Ahmed A. Y. Ragab & Kathryn L. Lunetta

  2. Department of Pathology and Laboratory Medicine, University of Vermont, Larner College of Medicine, Burlington, VT, USA

    Margaret F. Doyle

  3. Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA

    Sandhya Iyer

  4. Framingham Heart Study, National Heart, Lung, and Blood Institute and Boston University Chobanian & Avedisian School of Medicine, Framingham, MA, USA

    Joanne M. Murabito

  5. Department of Medicine, Section of General Internal Medicine, Boston University Chobanian & Avedisian School of Medicine and Boston Medical Center, Boston, MA, USA

    Joanne M. Murabito

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Contributions

JC performed data curation, formal analysis, investigation, and visualization, wrote the original draft and wrote for revisions and editing. MFD, KLL, and JMM performed conceptualization, funding acquisition, data curation, investigation, and visualization, wrote the original draft, and wrote revisions and editing. YC, SI, and AAYR performed the investigation and wrote for review and editing.

Corresponding author

Correspondence to Kathryn L. Lunetta.

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Chen, J., Doyle, M.F., Cao, Y. et al. Circulating immune cell phenotypes are associated with inflammatory biomarkers in dementia-free participants from the Framingham Heart Study Offspring cohort. Sci Rep (2026). https://doi.org/10.1038/s41598-026-41423-4

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  • Received: 17 September 2025

  • Accepted: 19 February 2026

  • Published: 27 February 2026

  • DOI: https://doi.org/10.1038/s41598-026-41423-4

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Keywords

  • Immune cell
  • Peripheral inflammation
  • Protein biomarkers
  • Cognitive aging
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