Beta-2 microglobulin (B2M) is the light chain in the major histocompatibility complex (MHC) Class 1 molecule [ [1] Saper M.A. Bjorkman P.J. Wiley D.C. Refined structure of the human histocompatibility antigen HLA-A2 at 2.6 A resolution. J Mol Biol. 1991; 219: 277-319 Crossref PubMed Scopus (965) Google Scholar ], which is present in all nucleated cells. It has been suggested as an initiator of inflammation [ [2] Xie J. Yi Q. Beta2-microglobulin as a potential initiator of inflammatory responses. Trends Immunol. 2003; 24 ([author reply 229–230]): 228-229 Abstract Full Text Full Text PDF PubMed Scopus (27) Google Scholar ], and is an early marker of diseases related to inflammation such as cardiovascular and renal disease [ 3 Winchester J.F. Novel changes in beta2-microglobulin in dialysis patients. Clin Chem. 2005; 51: 1089-1090 Crossref PubMed Scopus (4) Google Scholar , 4 Liabeuf S. Lenglet A. Desjardins L. et al. Plasma beta-2 microglobulin is associated with cardiovascular disease in uremic patients. Kidney Int. 2012; 82: 1297-1303 Crossref PubMed Scopus (104) Google Scholar ]. B2M is renally excreted and so the serum level increases in renal dysfunction. We and others have reported that serum B2M level predicts mortality in certain patient populations [ 4 Liabeuf S. Lenglet A. Desjardins L. et al. Plasma beta-2 microglobulin is associated with cardiovascular disease in uremic patients. Kidney Int. 2012; 82: 1297-1303 Crossref PubMed Scopus (104) Google Scholar , 5 Astor B.C. Shafi T. Hoogeveen R.C. et al. Novel markers of kidney function as predictors of ESRD, cardiovascular disease, and mortality in the general population. Am J Kidney Dis. 2012; 59: 653-662 Abstract Full Text Full Text PDF PubMed Scopus (118) Google Scholar , 6 Cheung A.K. Greene T. Leypoldt J.K. et al. Association between serum 2-microglobulin level and infectious mortality in hemodialysis patients. Clin J Am Soc Nephrol. 2008; 3: 69-77 Crossref PubMed Scopus (80) Google Scholar , 7 Cheung A.K. Rocco M.V. Yan G. et al. Serum beta-2 microglobulin levels predict mortality in dialysis patients: results of the HEMO study. J Am Soc Nephrol. 2006; 17: 546-555 Crossref PubMed Scopus (354) Google Scholar , 8 Shinkai S. Chaves P.H. Fujiwara Y. et al. Beta2-microglobulin for risk stratification of total mortality in the elderly population: comparison with cystatin C and C-reactive protein. Arch Intern Med. 2008; 168: 200-206 Crossref PubMed Scopus (84) Google Scholar , 9 Cheung C.L. Lam K.S. Cheung B.M. Serum beta-2 microglobulin predicts mortality in people with diabetes. Eur J Endocrinol. 2013; 169: 1-7 Crossref PubMed Scopus (23) Google Scholar ]. We therefore examined whether serum B2M level predicted cardiovascular and all-cause mortality in a large nationally representative cohort.