1
|
Trevisani LFM, Kulcsar IF, Leite AKN, Kulcsar MAV, Lima GAS, Dedivitis RA, Kowalski LP, Matos LL. Nutritional and immunological parameters as prognostic factors in patients with advanced oral cancer. Braz J Otorhinolaryngol 2022; 88 Suppl 4:S89-S97. [PMID: 35277368 DOI: 10.1016/j.bjorl.2021.11.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/26/2021] [Revised: 10/05/2021] [Accepted: 11/10/2021] [Indexed: 12/14/2022] Open
Abstract
OBJECTIVE The aim of the present study was to analyze the prognostic relationship of weight loss and preoperative hematological indexes in patients surgically treated for pT4a squamous cell carcinoma of the oral cavity. METHODS A retrospective cohort study. RESULTS Percent weight loss greater than 10% was identified in 49 patients (28.2%), and any weight loss in relation to the usual weight occurred in 140 patients (78.7%). Percent weight loss greater than 10% (HR = 1.679), Red cell distribution width (RDW) values greater than 14.3% (HR = 2.210) and extracapsular spread (HR = 1.677) were independent variables associated with risk of death. CONCLUSION Patients with advanced squamous cell carcinoma of the oral cavity present significant weight loss and as significantly immunocompromised. Increased values of RDW and higher percentages of weight loss in relation to the individual's usual weight, together with extracapsular spread of metastatic lymph nodes, were risk factors for lower survival, regardless of other clinical and anatomopathological characteristics. LEVEL OF EVIDENCE: 3
Collapse
Affiliation(s)
- Lorenzo Fernandes Moça Trevisani
- Universidade de São Paulo, Faculdade de Medicina, Programa de Pós-Graduação em Anestesiologia, Ciências Cirúrgicas e Medicina Perioperatória, São Paulo, SP, Brazil
| | | | - Ana Kober Nogueira Leite
- Universidade de São Paulo, Faculdade de Medicina, Instituto do Câncer do Estado de São Paulo (Icesp), Departamento de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil
| | - Marco Aurélio Vamondes Kulcsar
- Universidade de São Paulo, Faculdade de Medicina, Instituto do Câncer do Estado de São Paulo (Icesp), Departamento de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil
| | - Graziele Aparecida Simões Lima
- Universidade de São Paulo, Faculdade de Medicina, Instituto do Câncer do Estado de São Paulo (Icesp), São Paulo, SP, Brazil
| | - Rogerio Aparecido Dedivitis
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil
| | - Luiz Paulo Kowalski
- Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Cirurgia de Cabeça e Pescoço, São Paulo, SP, Brazil
| | - Leandro Luongo Matos
- Universidade de São Paulo, Faculdade de Medicina, Instituto do Câncer do Estado de São Paulo (Icesp), São Paulo, SP, Brazil; Faculdade Israelita de Ciências da Saúde Albert Einstein, São Paulo, SP, Brazil.
| |
Collapse
|
2
|
Rodríguez-Romero BI, Domínguez-Rojas M, Medel-Flores MO, Pérez-Vielma NM, Mendoza-Garrido M, Sánchez-Monroy V. Evaluation of Cytochrome P4502E1 mRNA Expression and Its Effects in Antioxidant Defenses, and Cell Toxicity in Printing Workers. Asian Pac J Cancer Prev 2022; 23:3253-3259. [PMID: 36308346 PMCID: PMC9924330 DOI: 10.31557/apjcp.2022.23.10.3253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Indexed: 02/18/2023] Open
Abstract
BACKGROUND Cytochrome P4502E1 (CYP2E1) metabolizes environmental toxins, however, compound metabolism can produce oxidative stress, causing in-cell toxicity and sometimes transformation. AIM To evaluate CYP2E1 gene expression and its effects in antioxidant defenses, and cell toxicity in printing workers. METHODS The hierarchical method of health and chemical risk was used to evaluate chemical exposure in workplace. Blood samples and buccal epithelial cells were obtained from printing workers, and workers without any history of occupational exposure to chemicals (control group). Gene expression of CYP2E1, and antioxidant enzymes Superoxide dismutase (SOD) and Catalase (CAT) from leukocytes were evaluated. Hematic analysis and cell-free DNA from plasma were analyzed. Frequencies of cells with micronuclei (MN) and nuclear abnormalities from buccal epithelial cells were explored. RESULTS Evaluation of chemical exposure in working place demonstrated that ethyl alcohol, isopropyl alcohol, and isophorone represent 91% of the accumulated potential risk. CYP2E1 expression showed a 2.5-fold overexpression in the printing workers compared to the control group. SOD expression showed a 0.5-fold lower level in the printing workers than the control group, and CAT expression showed no differences between groups. Lower red blood cell and platelet values were detected in the printing workers than in the control group, and cell-free DNA plasma concentration was 3-fold higher in the printing workers than in the control group. The printing workers showed a higher frequency of cells with MN and nuclear anomalies than the control group. CONCLUSION CYP2E1 overexpression triggers antioxidant defenses and toxic cell effects in printing workers.
Collapse
Affiliation(s)
| | - Maritere Domínguez-Rojas
- Faculty of Higher Studies Cuautitlán, National Autonomous University of Mexico, Izcalli, State of Mexico, Mexico.
| | | | - Nadia Mabel Pérez-Vielma
- Interdisciplinary Center for Health Sciences Santo Tomas Unit, National Polytechnic Institute, Mexico City, Mexico.
| | - Mario Mendoza-Garrido
- National School of Medicine and Homeopathy, National Polytechnic Institute, Mexico City, Mexico.
| | - Virginia Sánchez-Monroy
- Superior School of Medicine, National Polytechnic Institute, Mexico City, Mexico..,For Correspondence:
| |
Collapse
|
3
|
Wang ZX, Su R, Li H, Dang P, Zeng TA, Chen DM, Wu JG, Zhang DL, Ma HL. Changes in Hippocampus and Amygdala Volume with Hypoxic Stress Related to Cardiorespiratory Fitness under a High-Altitude Environment. Brain Sci 2022; 12:brainsci12030359. [PMID: 35326315 PMCID: PMC8946638 DOI: 10.3390/brainsci12030359] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 02/25/2022] [Accepted: 02/26/2022] [Indexed: 02/05/2023] Open
Abstract
The morphology of the hippocampus and amygdala can be significantly affected by a long-term hypoxia-induced inflammatory response. Cardiorespiratory fitness (CRF) has a significant effect on the neuroplasticity of the hippocampus and amygdala by countering inflammation. However, the role of CRF is still largely unclear at high altitudes. Here, we investigated brain limbic volumes in participants who had experienced long-term hypoxia exposure in Tibet (3680 m), utilizing high-resolution structural images to allow the segmentation of the hippocampus and amygdala into their constituent substructures. We recruited a total of 48 participants (48 males; aged = 20.92 ± 1.03 years) to undergo a structural 3T MRI, and the levels of maximal oxygen uptake (VO2max) were measured using a cardiorespiratory function test. Inflammatory biomarkers were also collected. The participants were divided into two groups according to the levels of median VO2max, and the analysis showed that the morphological indexes of subfields of the hippocampus and amygdala of the lower CRF group were decreased when compared with the higher CRF group. Furthermore, the multiple linear regression analysis showed that there was a higher association with inflammatory factors in the lower CRF group than that in the higher CRF group. This study suggested a significant association of CRF with hippocampus and amygdala volume, which may be related to hypoxic stress in high-altitude environments. A better CRF reduced physiological stress and a decrease in the inflammatory response was observed, which may be related to the increased oxygen transport capacity of the body.
Collapse
Affiliation(s)
- Zhi-Xin Wang
- Plateau Brain Science Research Center, Tibet University/South China Normal University, Lhasa 850012, China; (Z.-X.W.); (R.S.); (H.L.); (P.D.); (T.-A.Z.); (D.-M.C.)
| | - Rui Su
- Plateau Brain Science Research Center, Tibet University/South China Normal University, Lhasa 850012, China; (Z.-X.W.); (R.S.); (H.L.); (P.D.); (T.-A.Z.); (D.-M.C.)
| | - Hao Li
- Plateau Brain Science Research Center, Tibet University/South China Normal University, Lhasa 850012, China; (Z.-X.W.); (R.S.); (H.L.); (P.D.); (T.-A.Z.); (D.-M.C.)
| | - Peng Dang
- Plateau Brain Science Research Center, Tibet University/South China Normal University, Lhasa 850012, China; (Z.-X.W.); (R.S.); (H.L.); (P.D.); (T.-A.Z.); (D.-M.C.)
| | - Tong-Ao Zeng
- Plateau Brain Science Research Center, Tibet University/South China Normal University, Lhasa 850012, China; (Z.-X.W.); (R.S.); (H.L.); (P.D.); (T.-A.Z.); (D.-M.C.)
| | - Dong-Mei Chen
- Plateau Brain Science Research Center, Tibet University/South China Normal University, Lhasa 850012, China; (Z.-X.W.); (R.S.); (H.L.); (P.D.); (T.-A.Z.); (D.-M.C.)
| | - Jian-Guo Wu
- Management Department, Tibet Police College, Lhasa 850012, China;
| | - De-Long Zhang
- Plateau Brain Science Research Center, Tibet University/South China Normal University, Lhasa 850012, China; (Z.-X.W.); (R.S.); (H.L.); (P.D.); (T.-A.Z.); (D.-M.C.)
- Key Laboratory of Brain, Cognition and Education Sciences, Center for Studies of Psychological Application, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education, School of Psychology, South China Normal University, Guangzhou 510631, China
- Correspondence: (D.-L.Z.); (H.-L.M.)
| | - Hai-Lin Ma
- Plateau Brain Science Research Center, Tibet University/South China Normal University, Lhasa 850012, China; (Z.-X.W.); (R.S.); (H.L.); (P.D.); (T.-A.Z.); (D.-M.C.)
- Correspondence: (D.-L.Z.); (H.-L.M.)
| |
Collapse
|
4
|
Cheng J, Wang S, Jia J, Chen Q, Song Y, Li J. Association Between Pre-Treatment and Post-Treatment 3-Month Red Cell Distribution Width with Three-Year Prognosis of Prostate Cancer. J Inflamm Res 2021; 14:6115-6127. [PMID: 34853523 PMCID: PMC8627891 DOI: 10.2147/jir.s342272] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2021] [Accepted: 11/12/2021] [Indexed: 01/25/2023] Open
Abstract
Purpose Red cell distribution width (RDW), an inflammation biomarker, has been linked to poor outcomes in patients with different types of cancers. The present study aimed to investigate the relationship between pre-/post-treatment 3-month RDW levels and changes in RDW with 3-year prognosis of prostate cancer. Patients and Methods A total of 348 patients with prostate cancer were recruited between June 1, 2012 and June 1, 2017 and were followed up for at least 3 years. RDW was measured with the Mindray BC-6800Plus automatic blood counting system at pre- and post-treatment 3-month. Demographic and clinical information of the participants were also collected. The overall survival (OS) and cancer-specific survival (CSS) were analyzed using the Kaplan–Meier method. Cox regression and competing risk regression analyses were performed. Results During the follow-up period, 51 (14.66%) deaths occurred. The levels of pre- and post-treatment RDW levels were significantly higher in the death group than in the survival group (p<0.001). In the death group, the level of RDW continued to rise in most subjects, and the mean level of RDW was significantly higher at post-treatment than pre-treatment, contrary to the results observed in the survival group. Multivariate Cox regression analysis revealed that high pre-treatment RDW, high post-treatment RDW, and persistently higher RDW were independently associated with OS and CSS (p<0.001). Similar results were observed in the competing risk regression analysis. Kaplan–Meier analysis revealed that patients with higher pre-treatment RDW levels, higher post-treatment RDW levels, and persistently higher RDW levels had poorer 3-year OS and CSS rates (p<0.05). Conclusion The levels of and changes in RDW before and after treatment were associated with the 3-year prognosis of prostate cancer, suggesting that RDW might be an efficient prognostic predictor in patients with prostate cancer.
Collapse
Affiliation(s)
- Jie Cheng
- Department of Urinary Surgery, Shanghai Xuhui Central Hospital, Shanghai, People's Republic of China
| | - Siyang Wang
- Department of Geratology, Shanghai Xuhui Central Hospital, Shanghai, People's Republic of China
| | - Jingying Jia
- Department of Central Laboratory, Shanghai Xuhui Central Hospital, Shanghai, People's Republic of China
| | - Qian Chen
- Department of Central Laboratory, Shanghai Xuhui Central Hospital, Shanghai, People's Republic of China
| | - Yunxiao Song
- Department of Clinical Laboratory, Shanghai Xuhui Central Hospital, Shanghai, People's Republic of China
| | - Junsheng Li
- Department of Urinary Surgery, Shanghai Xuhui Central Hospital, Shanghai, People's Republic of China
| |
Collapse
|
5
|
Wei-Hsiang H, Zhu Y, Zhang J, Zhang Y. Pretreatment red blood cell distribution width as an efficient predictor of survival in older patients undergoing hip fracture surgery. Int J Clin Pract 2021; 75:e14791. [PMID: 34482576 DOI: 10.1111/ijcp.14791] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/12/2021] [Revised: 08/31/2021] [Accepted: 09/02/2021] [Indexed: 11/30/2022] Open
Abstract
PURPOSE We aimed to determine whether pretreatment red blood cell distribution width (RDW) is an efficient predictor of 30-day mortality in older patients undergoing hip fracture surgery. METHODS In this prospective cohort study, 203 patients with hip fractures were eligible and followed up for at least 30 days. All the patients underwent medical examinations. RDW was measured using an automated hematology analyzer. To evaluate the prognostic significance of RDW, Cox proportional hazard model and Kaplan-Meier analyses were performed. RESULTS Of the 203 patients (114 men, 89 women), 28 (13.79%) died within 30 days. The mean RDW was significantly higher in the deceased group than in the survival group (14.54% ± 1.09% vs 13.26% ± 0.57%; P < .001). Multivariate Cox regression analysis showed that elevated RDW (hazard ratio = 2.73, 95% confidence interval = 2.06-3.62, P < .001) was the key predictor of 30-day mortality in older patients undergoing hip fracture surgery. Survival analysis showed that patients with a high RDW had a significantly higher 30-day mortality rate (log-rank test, P < .05). Similar results were observed in the male and female subgroups. CONCLUSION RDW might be an effective predictor of 30-day mortality in older patients undergoing hip fracture surgery.
Collapse
Affiliation(s)
- Hung Wei-Hsiang
- Department of Orthopedic Surgery, Zhongshan Hospital Xiamen Branch, Fudan University, Fujian, China
| | - Yuqing Zhu
- Shanghai Center for Clinical Laboratory, Shanghai, China
| | - Jingyuan Zhang
- Department of Respiratory Medicine, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China
| | - Yinwang Zhang
- Department of Orthopedics, Shanghai Xuhui Central Hospital, Shanghai, China
| |
Collapse
|
6
|
Everson F, De Boever P, Nawrot TS, Goswami N, Mthethwa M, Webster I, Martens DS, Mashele N, Charania S, Kamau F, Strijdom H. Personal NO 2 and Volatile Organic Compounds Exposure Levels are Associated with Markers of Cardiovascular Risk in Women in the Cape Town Region of South Africa. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2019; 16:E2284. [PMID: 31261612 PMCID: PMC6651077 DOI: 10.3390/ijerph16132284] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/18/2019] [Revised: 06/09/2019] [Accepted: 06/15/2019] [Indexed: 12/24/2022]
Abstract
Exposure to ambient NO2 and benzene, toluene ethyl-benzene and m+p- and o-xylenes (BTEX) is associated with adverse cardiovascular effects, but limited information is available on the effects of personal exposure to these compounds in South African populations. This 6-month follow-up study aims to determine 7-day personal ambient NO2 and BTEX exposure levels via compact passive diffusion samplers in female participants from Cape Town, and investigate whether exposure levels are associated with cardiovascular risk markers. Overall, the measured air pollutant exposure levels were lower compared to international standards. NO2 was positively associated with systolic and diastolic blood pressure (SBP and DBP), and inversely associated with the central retinal venular equivalent (CRVE) and mean baseline brachial artery diameter. o-xylene was associated with DBP and benzene was strongly associated with carotid intima media thickness (cIMT). Our findings showed that personal air pollution exposure, even at relatively low levels, was associated with several markers of cardiovascular risk in women residing in the Cape Town region.
Collapse
Affiliation(s)
- Frans Everson
- Division of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch University, P.O. Box 241, Cape Town 8000, South Africa
| | - Patrick De Boever
- Health Unit, Flemish Institute for Technological Research (VITO), 2400 Mol, Belgium.
- Centre for Environmental Sciences, Hasselt University, 3590 Diepenbeek, Belgium.
| | - Tim S Nawrot
- Centre for Environmental Sciences, Hasselt University, 3590 Diepenbeek, Belgium
| | - Nandu Goswami
- Division of Physiology, Otto Loewi Research Center of Vascular Biology, Immunity and Inflammation, Medical University of Graz, 8036 Graz, Austria
| | - Mashudu Mthethwa
- Division of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch University, P.O. Box 241, Cape Town 8000, South Africa
| | - Ingrid Webster
- Division of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch University, P.O. Box 241, Cape Town 8000, South Africa
| | - Dries S Martens
- Centre for Environmental Sciences, Hasselt University, 3590 Diepenbeek, Belgium
| | - Nyiko Mashele
- Division of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch University, P.O. Box 241, Cape Town 8000, South Africa
| | - Sana Charania
- Division of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch University, P.O. Box 241, Cape Town 8000, South Africa
| | - Festus Kamau
- Division of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch University, P.O. Box 241, Cape Town 8000, South Africa
| | - Hans Strijdom
- Division of Medical Physiology, Faculty of Medicine and Health Sciences, Stellenbosch University, P.O. Box 241, Cape Town 8000, South Africa
| |
Collapse
|
7
|
Hsueh CY, Lau HC, Li S, Tao L, Zhang M, Gong H, Zhou L. Pretreatment Level of Red Cell Distribution Width as a Prognostic Indicator for Survival in a Large Cohort Study of Male Laryngeal Squamous Carcinoma. Front Oncol 2019; 9:271. [PMID: 31041191 PMCID: PMC6477051 DOI: 10.3389/fonc.2019.00271] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/12/2018] [Accepted: 03/25/2019] [Indexed: 12/11/2022] Open
Abstract
Objective: High levels of red cell distribution width (RDW) may be associated with adverse outcomes in patients with cancer. The purpose of the present study was to investigate the prognostic impact of pretreatment RDW levels on overall survival (OS), cancer-specific survival (CSS), and disease-free survival (DFS) in a large cohort of male laryngeal squamous cell cancer (LSCC) patients. Methods: A total of 809 LSCC patients who were treated between 2007 and 2011 at the Eye & ENT Hospital of Fudan University were enrolled and evaluated retrospectively. OS, CSS, and DFS were analyzed using the Kaplan–Meier method. To evaluate the prognostic significance of RDW levels, univariate, and multivariate Cox analyses were applied. Results: Higher pretreatment RDW levels were significantly associated with high death events, red blood cell count, hemoglobin, radiotherapy, operation therapy, and advanced tumor stage (p < 0.05). From the univariate analysis, we observed that the higher (13.2–13.5%) and the highest (>13.5%) quartiles of RDW level were consistent factors for poor OS, CSS, and DFS in LSCC patients. In the multivariate analysis, after adjusting for confounding factors, the higher and highest quartiles of RDW levels were identified as independent prognostic factors in male LSCC patients. Conclusion: Higher pretreatment RDW levels were demonstrated to be associated with poor clinical outcome in male LSCC patients and might be novel markers for patient stratification in LSCC management.
Collapse
Affiliation(s)
- Chi-Yao Hsueh
- Department of Otolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.,Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China
| | - Hui-Ching Lau
- Department of Otolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.,Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China
| | - Shengjie Li
- Department of Clinical Laboratory, Eye & ENT Hospital, Shanghai Medical College, Fudan University, Shanghai, China
| | - Lei Tao
- Department of Otolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.,Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China
| | - Ming Zhang
- Department of Otolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.,Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China
| | - Hongli Gong
- Department of Otolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.,Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China
| | - Liang Zhou
- Department of Otolaryngology, Eye Ear Nose and Throat Hospital, Fudan University, Shanghai, China.,Shanghai Key Clinical Disciplines of Otorhinolaryngology, Shanghai, China
| |
Collapse
|
8
|
Abstract
Major advances in coronary interventional techniques and pharmacotherapy as well as the use of drug-eluting stents (DESs) have considerably reduced the risk of in-stent restenosis (ISR). However, ISR remains a major clinical challenge. Inflammation and platelet activation are important processes that underlie the pathophysiology of ISR. Parameters related to blood cells, entailing both cell count and morphology, are useful markers of the inflammatory response and platelet activation in clinical practice. Recent studies have highlighted several new combined or derived parameters related to blood cells that independently predict ISR after DES implantation. The neutrophil/lymphocyte ratio, an inflammatory marker, is regarded as a predictor of the risk of ISR and the stability of atherosclerotic plaques. The mean platelet volume, a widely used platelet activation parameter, has been shown to be a predictor of the risk of ISR and the efficacy of antiplatelet therapy. Other markers considered include the platelet/lymphocyte ratio, red blood cell distribution width, and platelet distribution width. This review provides an overview of these parameters that may help stratify the risk of coronary angiographic and clinical outcomes related to ISR.
Collapse
Affiliation(s)
- Zhichao Wang
- 1 Department of Cardiology, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China
| | - Chi Liu
- 2 Department of Rehabilitation, Jing An District Central Hospital, Shanghai, China
| | - Hong Fang
- 1 Department of Cardiology, Tongji Hospital, School of Medicine, Tongji University, Shanghai, China
| |
Collapse
|
9
|
Quantification of Urinary Metabolites of Toluene and Xylene Isomers as Biological Indices of Occupational Exposure in Printing Industry Workers. HEALTH SCOPE 2019. [DOI: 10.5812/jhealthscope.82962] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
10
|
Jiang M, Zha X, Wu Z, Zhu X, Li W, Wu H, Ma J, Wang S, Wen Y. Inverted U-shaped curve relationship between red blood cell distribution width and hypertension in a large health checkup population in China. ACTA ACUST UNITED AC 2018; 12:327-334. [PMID: 29606529 DOI: 10.1016/j.jash.2018.03.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2017] [Revised: 02/27/2018] [Accepted: 03/02/2018] [Indexed: 02/04/2023]
Abstract
This study was aimed at investigating the relationship between red blood cell distribution width (RDW) and hypertension in a large health check up population in China. A population of 302,527 subjects from Wuhu was enrolled in this cross-sectional health check up study between 2011 and 2016. They consisted of 126,369 women (41.78%) and 176,158 men (58.23%) with mean age of 46.9 ± 13.4 and 48.1 ± 13.7 years, respectively. The investigations included information on demographic characteristics, physical examination, and laboratory testing. Inverted U-shape relationships were observed between RDW and hypertension with peak RDW values of 14.2 (women) and 15.2 (men). After stratification by sex and adjusted with body mass index, age, white blood cells, and high-density lipoprotein cholesterol, inverted U-shape relationships were also established between RDW and hypertension, systolic blood pressure, and diastolic blood pressure, with peak RDW of 14.2, 14.5, 14.5 in women and 14.2, 16.0, 14.5 in men. Inverted U-shape relationship exists between RDW and hypertension, systolic blood pressure, and diastolic blood pressure among the Chinese health check up population studied.
Collapse
Affiliation(s)
- Mingfei Jiang
- School of Laboratory Medicine, Wannan Medical College, Wuhu City, Anhui Province, China
| | - Xiaojuan Zha
- First Affiliated Hospital, Wannan Medical College, Wuhu City, Anhui Province, China
| | - Zewei Wu
- School of Laboratory Medicine, Wannan Medical College, Wuhu City, Anhui Province, China
| | - Xinying Zhu
- School of Laboratory Medicine, Wannan Medical College, Wuhu City, Anhui Province, China
| | - Wenbo Li
- School of Clinical Medicine, Wannan Medical College, Wuhu City, Anhui Province, China
| | - Huan Wu
- School of Laboratory Medicine, Wannan Medical College, Wuhu City, Anhui Province, China
| | - Jun Ma
- School of Laboratory Medicine, Wannan Medical College, Wuhu City, Anhui Province, China
| | - Shuyi Wang
- School of Laboratory Medicine, Wannan Medical College, Wuhu City, Anhui Province, China
| | - Yufeng Wen
- School of Laboratory Medicine, Wannan Medical College, Wuhu City, Anhui Province, China.
| |
Collapse
|
11
|
Zhang HB, Chen J, Lan QF, Ma XJ, Zhang SY. Diagnostic values of red cell distribution width, platelet distribution width and neutrophil-lymphocyte count ratio for sepsis. Exp Ther Med 2016; 12:2215-2219. [PMID: 27698714 DOI: 10.3892/etm.2016.3583] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2015] [Accepted: 07/05/2016] [Indexed: 12/27/2022] Open
Abstract
The aim of this study was to evaluate the diagnostic efficiency of red blood cell distribution width (RDW), platelet distribution width (PDW), the neutrophil-lymphocyte count ratio (NLCR), procalcitonin (PCT) and C-reactive protein (CRP) for the prediction of sepsis. A total of 120 consecutive patients who underwent blood culture testing were included. The PCT and CRP levels, and RDW, PDW and NLCR percentages were determined and compared between patients with positive blood cultures and those without. The PCT, CRP, RDW, PDW and NLCR values were significantly higher in patients with positive blood culture compared with those without. PCT and NLCR each had a high diagnostic performance for the prediction of sepsis, with an area under the curve (AUC) for sepsis of 0.829 and 0.718, respectively. A combination of RDW, PDW and NLCR also exhibited a good diagnostic performance for sepsis (AUC, 0.704). NLCR is easily obtained by automated hematological analysis. Moreover, NLCR was found to have a high diagnostic efficiency for the prediction of sepsis, with greater sensitivity and accuracy than CRP. In conclusion, PCT exhibited the optimal diagnostic performance among the tested markers. The combination of the three parameters of RDW, PDW and NLCR, demonstrated a high diagnostic performance similar to that of PCT.
Collapse
Affiliation(s)
- Hui-Bing Zhang
- Clinical Laboratory, Affiliated Fuding Hospital, Fujian University of Traditional Chinese Medicine, Fuding, Fujian 355200, P.R. China
| | - Juan Chen
- Clinical Laboratory, Affiliated Fuding Hospital, Fujian University of Traditional Chinese Medicine, Fuding, Fujian 355200, P.R. China
| | - Qiao-Fen Lan
- Clinical Laboratory, Affiliated Fuding Hospital, Fujian University of Traditional Chinese Medicine, Fuding, Fujian 355200, P.R. China
| | - Xiong-Jian Ma
- Clinical Laboratory, Affiliated Fuding Hospital, Fujian University of Traditional Chinese Medicine, Fuding, Fujian 355200, P.R. China
| | - Shi-Yan Zhang
- Clinical Laboratory, Affiliated Fuding Hospital, Fujian University of Traditional Chinese Medicine, Fuding, Fujian 355200, P.R. China
| |
Collapse
|
12
|
Role of red blood cell distribution in predicting drug-eluting stent restenosis in patients with stable angina pectoris after coronary stenting. Coron Artery Dis 2016; 26:220-4. [PMID: 25647458 DOI: 10.1097/mca.0000000000000221] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/19/2022]
Abstract
BACKGROUND It has been reported that increased red blood cell distribution width (RDW) predicts adverse events in cardiovascular disease and in patients undergoing percutaneous coronary intervention. However, the role of serum RDW levels in drug-eluting stent (DES) restenosis remains unclear. We aimed to investigate the relationship between serum RDW levels and in-stent restenosis (ISR) after coronary stenting with DES in stable angina pectoris (SAP) patients. MATERIALS AND METHODS A total of 293 consecutive chronic SAP patients with coronary DES implantation were enrolled in this study. The ISR was analyzed by coronary angiography analysis at a mean follow-up of 8 months. According to whether ISR was detected, patients were divided into two groups: the ISR group (n=45) and the non-ISR group (n=247). Serum RDW was assessed both at admission and at the 8-month follow-up in all patients. Standard medication was continued throughout the investigation period. RESULTS Baseline characteristics of the two groups were similar. Patients in the ISR group had significantly higher RDW levels compared with patients in the non-ISR group both at admission and at follow-up (P<0.01, respectively). Furthermore, the ISR group had significantly longer stent length and lower stent diameter compared with the non-ISR group (P<0.01, respectively). In a multivariate analysis, diabetes mellitus, current smoking, RDW levels, C-reactive protein levels, stent length, and stent diameter were associated independently with ISR. CONCLUSION Serum RDW level may independently predict ISR at both admission and follow-up in SAP patients with coronary DES implantation, which indicates that a chronic inflammatory response might be involved in the pathogenesis of ISR.
Collapse
|
13
|
|
14
|
de Brito JM, Macchione M, Yoshizaki K, Toledo-Arruda AC, Saraiva-Romanholo BM, Andrade MDF, Mauad T, Rivero DHRF, Saldiva PHN. Acute cardiopulmonary effects induced by the inhalation of concentrated ambient particles during seasonal variation in the city of São Paulo. J Appl Physiol (1985) 2014; 117:492-9. [DOI: 10.1152/japplphysiol.00156.2014] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
Ambient particles may undergo modifications to their chemical composition as a consequence of climatic variability. The determination of whether these changes modify the toxicity of the particles is important for the understanding of the health effects associated with particle exposure. The objectives were to determine whether low levels of particles promote cardiopulmonary effects, and to assess if the observed alterations are influenced by season. Mice were exposed to 200 μg/m3 concentrated ambient particles (CAPs) and filtered air (FA) in cold/dry and warm/humid periods. Lung hyperresponsiveness, heart rate, heart rate variability, and blood pressure were evaluated 30 min after each exposure. After 24 h, blood and tissue samples were collected. During both periods (warm/humid and cold/dry), CAPs induced alterations in red blood cells and lung inflammation. During the cold/dry period, CAPs reduced the mean corpuscular volume levels and increased erythrocytes, hemoglobin, mean corpuscular hemoglobin concentration, and red cell distribution width coefficient variation levels compared with the FA group. Similarly, CAPs during the warm/humid period decreased mean corpuscular volume levels and increased erythrocytes, hemoglobin, hematocrit, and red cell distribution width coefficient variation levels compared with the FA group. CAPs during the cold/dry period increased the influx of neutrophils in the alveolar parenchyma. Short-term exposure to low concentrations of CAPs elicited modest but significant pulmonary inflammation and, to a lesser extent, changes in blood parameters. In addition, our data support the concept that changes in climate conditions slightly modify particle toxicity because equivalent doses of CAPs in the cold/dry period produced a more exacerbated response.
Collapse
Affiliation(s)
- Jôse Mára de Brito
- Department of Pathology, Laboratory of Experimental Air Pollution, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Mariângela Macchione
- Department of Pathology, Laboratory of Experimental Air Pollution, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Kelly Yoshizaki
- Department of Pathology, Laboratory of Experimental Air Pollution, School of Medicine, University of São Paulo, São Paulo, Brazil
| | - Alessandra Choqueta Toledo-Arruda
- Department of Medicine, Laboratory of Experimental Therapeutics, School of Medicine, University of São Paulo, São Paulo, Brazil and City of São Paulo University, São Paulo, Brazil; and
| | - Beatriz Mangueira Saraiva-Romanholo
- Department of Medicine, Laboratory of Experimental Therapeutics, School of Medicine, University of São Paulo, São Paulo, Brazil and City of São Paulo University, São Paulo, Brazil; and
| | - Maria de Fátima Andrade
- Institute of Astronomy, Geophysics, and Atmospheric Sciences, University of São Paulo, São Paulo, Brazil
| | - Thaís Mauad
- Department of Pathology, Laboratory of Experimental Air Pollution, School of Medicine, University of São Paulo, São Paulo, Brazil
| | | | - Paulo Hilário Nascimento Saldiva
- Department of Pathology, Laboratory of Experimental Air Pollution, School of Medicine, University of São Paulo, São Paulo, Brazil
| |
Collapse
|