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Inagawa Y, Kurata K, Obi S, Onuki Y, Monden Y, Kurane K, Furukawa R, Mitani T, Nakamura H, Suda S, Yagihashi T. Monitoring neutrophil-to-lymphocyte ratio dynamics for personalized treatment in adolescent eating disorders: a retrospective cohort study. J Eat Disord 2025; 13:86. [PMID: 40390065 PMCID: PMC12090662 DOI: 10.1186/s40337-025-01282-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/28/2025] [Accepted: 05/04/2025] [Indexed: 05/21/2025] Open
Abstract
OBJECTIVE This study aimed to evaluate the dynamics of the neutrophil-to-lymphocyte ratio (NLR) during the initial hospitalization of patients with eating disorders (EDs) and to assess its potential as a biomarker for monitoring disease severity and treatment response. METHODS A retrospective chart review was conducted with 55 patients aged ≤ 16 years diagnosed with anorexia nervosa or avoidant/restrictive food intake disorder and admitted to Jichi Medical University Hospital between 2015 and 2021. Sociodemographic and clinical characteristics including sex, age, rate of weight gain, percentage of ideal body weight (%IBW), tube feeding treatment, and NLR were obtained. Statistical analyses used a mixed model for repeated measures to assess NLR changes regarding %IBW and other clinical factors. RESULTS The NLR at admission was lower in the malnourished state but increased with weight recovery. MMRM revealed that tube feeding treatment (β = 0.538) and restoration of %IBW (β = 0.029) significantly predicted an increase in the NLR. The interaction between tube feeding and the quadratic term of %IBW was also significant, indicating distinct patterns of NLR changes: without tube feeding, NLR increased linearly with weight recovery, whereas with tube feeding, NLR exhibited a non-linear, upward-convex parabolic trend. DISCUSSION These findings suggest that NLR may offer an objective recovery marker less influenced by patient self-report. Monitoring NLR before and after tube feeding may help distinguish true physiological recovery from transient stress responses, providing complementary information to conventional assessments. Further research is warranted to establish its clinical relevance.
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Affiliation(s)
- Yuta Inagawa
- Department of Psychiatry, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan.
| | - Kazumi Kurata
- Department of Psychiatry, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan
| | - Seiji Obi
- Department of Psychiatry, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan
| | - Yoshiyuki Onuki
- Department of Neurosurgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan
| | - Yukifumi Monden
- Department of Pediatrics, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan
| | - Koyuru Kurane
- Department of Pediatrics, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan
| | - Rieko Furukawa
- Department of Radiology, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan
| | - Tadahiro Mitani
- Department of Pediatrics, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan
| | - Hirotaka Nakamura
- Department of Psychiatry, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan
| | - Shiro Suda
- Department of Psychiatry, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan
| | - Tatsuhiko Yagihashi
- Department of Psychiatry, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke-shi, Tochigi, 329-0498, Japan
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Su Z, Chen Z, Cao J, Li C, Duan J, Zhou T, Yang Z, Cheng Y, Xiao Z, Xu F. Feasibility of Using Serum, Plasma, and Platelet 5-hydroxytryptamine as Peripheral Biomarker for the Depression Diagnosis and Response Evaluation to Antidepressants: Animal Experimental Study. CLINICAL PSYCHOPHARMACOLOGY AND NEUROSCIENCE : THE OFFICIAL SCIENTIFIC JOURNAL OF THE KOREAN COLLEGE OF NEUROPSYCHOPHARMACOLOGY 2024; 22:594-609. [PMID: 39420607 PMCID: PMC11494436 DOI: 10.9758/cpn.24.1167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/18/2024] [Revised: 03/11/2024] [Accepted: 03/29/2024] [Indexed: 10/19/2024]
Abstract
Objective Whether peripheral blood 5-hydroxytrptamine (5-HT) levels serve as biomarker for depression diagnosis/response evaluation has not been well determined. This work was explored to address this inconclusive issue. Methods Animals were randomized into normal control group (NC, n = 10) and chronic unpredictable mild stress model group (CUMS-model, n = 20), respectively. Animals in CUMS-model group were subjected to chronic stress, then they were randomly subdivided into CUMS subgroup and CUMS + fluoxetine subgroup (CUMS + FLX). After FLX treatment, blood and tissues were collected. 5-HT and relevant protein expression were measured. Results In mice model, there was a significant increase in serum and a significant reduction in plasma 5-HT levels in CUMS-model group versus NC group, while platelet 5-HT levels change little. After FLX treatment, serum and platelet 5-HT levels were significantly decreased in CUMS + FLX subgroup, while plasma 5-HT levels had not much change versus CUMS subgroup. Chronic stress enhanced colon and platelet serotonin transporter (SERT) expression and FLX treatment mitigated SERT expression. In rats' model, there was a significant increase in serum 5-HT levels while plasma and platelet 5-HT levels showed little change in CUMS group versus NC group. After FLX treatment, serum, plasma and platelet 5-HT levels were significantly decreased in CUMS + FLX subgroup versus CUMS subgroup. The profile of relevant proteins expression changed by FLX were like those in mice. Conclusion Serum 5-HT levels might serve as a potential biomarker for depression diagnosis, meanwhile serum and platelet 5-HT levels might respond to antidepressant treatment.
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Affiliation(s)
- Zuanjun Su
- Department of Clinical Pharmacy, Fengxian Hospital and School of Pharmaceutical Science, Southern Medical University, Shanghai, China
- Department of Pharmacology, Sixth People’s Hospital South Campus, Shanghai Jiaotong University, Shanghai, China
| | - Zhicong Chen
- Department of Clinical Pharmacy, Fengxian Hospital and School of Pharmaceutical Science, Southern Medical University, Shanghai, China
- Department of Pharmacology, Sixth People’s Hospital South Campus, Shanghai Jiaotong University, Shanghai, China
| | - Jinming Cao
- Department of Clinical Pharmacy, Fengxian Hospital and School of Pharmaceutical Science, Southern Medical University, Shanghai, China
- Department of Pharmacology, Sixth People’s Hospital South Campus, Shanghai Jiaotong University, Shanghai, China
| | - Canye Li
- Department of Clinical Pharmacy, Fengxian Hospital and School of Pharmaceutical Science, Southern Medical University, Shanghai, China
- Department of Pharmacology, Sixth People’s Hospital South Campus, Shanghai Jiaotong University, Shanghai, China
| | - Jingjing Duan
- Department of Pharmacology, Sixth People’s Hospital South Campus, Shanghai Jiaotong University, Shanghai, China
| | - Ting Zhou
- Department of Clinical Pharmacy, Fengxian Hospital and School of Pharmaceutical Science, Southern Medical University, Shanghai, China
| | - Zhen Yang
- Department of Pharmacology, Sixth People’s Hospital South Campus, Shanghai Jiaotong University, Shanghai, China
| | - Yuanchi Cheng
- Department of Pharmacology, Sixth People’s Hospital South Campus, Shanghai Jiaotong University, Shanghai, China
| | - Zhijun Xiao
- Department of Clinical Pharmacy, Fengxian Hospital and School of Pharmaceutical Science, Southern Medical University, Shanghai, China
| | - Feng Xu
- Department of Clinical Pharmacy, Fengxian Hospital and School of Pharmaceutical Science, Southern Medical University, Shanghai, China
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Attia MM, Qasim MA, Alhamwi HS, Ali M, Alsharief EA, Ali JS, Elmasry M, Elgebaly A, Bahbah EI. Using the Neutrophil-to-Lymphocyte Ratio and Platelet-to-Lymphocyte Ratio as Prognostic Markers for Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis of Observational Studies. Cureus 2024; 16:e72539. [PMID: 39606531 PMCID: PMC11600666 DOI: 10.7759/cureus.72539] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/28/2024] [Indexed: 11/29/2024] Open
Abstract
Obstructive sleep apnea (OSA) is a chronic condition characterized by the partial or complete collapse of the airways during sleep, leading to hypoxemia (reduced oxygen flow to organs) and disrupted sleep. This study aims to establish robust evidence for the relationship between the neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) and the severity and prognosis of OSA. A systematic review and meta-analysis were conducted using PubMed, Cochrane Central Register of Controlled Trials, Scopus, Medline, and Web of Science to gather all relevant articles. Twenty-six eligible articles were included in the study. The pooled outcomes indicated that the NLR and PLR were significantly higher in patients with OSA compared to controls. Subgroup analyses based on the severity of OSA showed that differences in the NLR were more pronounced in patients with severe OSA. Moreover, meta-regression analysis revealed that variations in mean age, BMI, and male proportion did not significantly affect the differences in the NLR and PLR. OSA has a significant impact on NLR and PLR levels, making them useful markers for detecting the inflammatory status in OSA patients.
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Affiliation(s)
- Mahmoud Mohamed Attia
- Faculty of Medicine, Al-Azhar University, Damietta, EGY
- Department of Internal Medicine, MedDots Academy, Cairo, EGY
| | - Mohammad Alameen Qasim
- Department of Clinical Pharmacy, Al-Emamin Al-Kadhimeen City Teaching Hospital, Baghdad, IRQ
- Department of Internal Medicine, MedDots Academy, Cairo, EGY
| | - Hamzeh Samer Alhamwi
- Faculty of Pharmacy, Philadelphia University, Amman, JOR
- Department of Internal Medicine, MedDots Academy, Cairo, EGY
| | - Mahmoud Ali
- Faculty of Medicine, Al-Azhar University, Damietta, EGY
- Department of Internal Medicine, MedDots Academy, Cairo, EGY
| | - Ebtihal Abdelhay Alsharief
- Faculty of Pharmacy, Cairo University, Cairo, EGY
- Department of Internal Medicine, MedDots Academy, Cairo, EGY
| | - Judy Sobhy Ali
- Faculty of Medicine, Cairo University, Cairo, EGY
- Department of Internal Medicine, MedDots Academy, Cairo, EGY
| | - Mohamed Elmasry
- Faculty of Medicine, Alexandria University, Alexandria, EGY
- Department of Internal Medicine, MedDots Academy, Cairo, EGY
| | - Ahmed Elgebaly
- Smart Health Centre, University of East London, London, GBR
- Department of Internal Medicine, MedDots Academy, Cairo, EGY
| | - Eshak I Bahbah
- Faculty of Medicine, Al-Azhar University, Damietta, EGY
- Department of Internal Medicine, MedDots Academy, Cairo, EGY
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Popov M, Popov Y, Kosterin D, Lepik O. Inflammatory Hematological Ratios in Adolescents with Mental Disorders: A Scoping Review. CONSORTIUM PSYCHIATRICUM 2024; 5:45-61. [PMID: 39071999 PMCID: PMC11272303 DOI: 10.17816/cp15514] [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: 02/12/2024] [Accepted: 06/11/2024] [Indexed: 07/30/2024] Open
Abstract
BACKGOUND Inflammatory hematological ratios (IHRs), such as neutrophil to lymphocyte, monocyte to lymphocyte, and platelet to lymphocyte ratios, are associated with mental disorders, symptoms severity, and the disease phase. Evidence from the studies in adult patients has been summarized in systematic reviews and meta-analyses. The results of the studies in adolescents remain poorly systematized. AIM To summarize the findings from the studies that investigated the relationship of IHRs with mental disorders in adolescent patients. METHODS This scoping review included studies of IHRs in patients aged 10-19 years with mental disorders (other than anorexia nervosa), published in English by December 31, 2023. The search for relevant papers was performed in MEDLINE. The studies were categorized into two groups: studies with external controls (healthy adolescents) and studies with internal controls (patients in different phases of mental disorder, with or without self-harm/suicidal behaviors). RESULTS A total of 11 studies were included in the review (all cross-sectional ones). The results of these studies demonstrate that 1) adolescents with mental disorders (major depressive disorder, psychotic disorders, obsessive-compulsive disorder, attention deficit hyperactivity disorder, substance use disorders) have higher IHR values than individuals of the same age without corresponding disorders (5 studies); 2) IHR values are positively correlated with the severity of psychopathological symptoms (1 study); 3) higher IHR values are associated with the phase of the mental disorder - manic episode in bipolar disorder (1 study) and exacerbation of psychosis in psychotic disorders (1 study); and 4) higher IHR values are associated with self-harm/suicidal behaviors - suicide attempts (1 study) and non-suicidal self-injury (1 study). CONCLUSION IHRs are associated with mental disorders in adolescents, and higher IHR values are associated with a more severe/acute clinical presentation (severity of symptoms, mania, acute psychosis, self-harm/suicidal behaviors). Further studies of higher methodological quality are needed to evaluate the diagnostic and prognostic value of IHRs as biomarkers of mental disorders in adolescence.
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Ng M, Lu M, Chen VC, Ting H, Huang C, Gossop M. Lymphocyte-related ratios in methamphetamine-induced psychotic disorder in Taiwan, comparing with patients with schizophrenia. Addict Biol 2024; 29:e13363. [PMID: 38380726 PMCID: PMC10898829 DOI: 10.1111/adb.13363] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2023] [Revised: 08/14/2023] [Accepted: 11/17/2023] [Indexed: 02/22/2024]
Abstract
The lymphocyte-related ratios, neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR) and platelet-to-lymphocyte ratio (PLR) are new measures of inflammation within the body. Few studies have investigated the inflammatory response of patients with methamphetamine-induced psychotic disorder. Clinically, the psychotic symptoms and behavioural manifestation of methamphetamine-induced psychotic disorder are often indistinguishable from paranoid schizophrenia. We aimed to determine the differences in these inflammatory markers between patients with methamphetamine-induced psychotic disorder, patients with schizophrenia and healthy individuals. A total of 905 individuals were recruited. The NLR and MLR were found to be higher in both patients with methamphetamine-induced psychotic disorders and patients with schizophrenia compared with healthy controls. There was no significant difference between the three groups in PLR. When compared with the control group, the methamphetamine-induced psychotic disorder group was significantly higher in NLR 27% (95%CI = 11 to 46%, p = 0.001), MLR 16% (95%CI = 3% to 31%, p = 0.013) and PLR 16% (95%CI = 5% to 28%, p = 0.005). NLR of the group with methamphetamine-induced psychotic disorder was 17% (95%CI = 73% to 94%, p = 0.004) less than the group with schizophrenia, while MLR and PLR did not differ significantly between the two groups. This is the first study that investigated the lymphocyte-related ratios in methamphetamine-induced psychotic disorder when compared with patients with schizophrenia and healthy individuals. The results showed that both patients with methamphetamine-induced psychotic disorder and patients with schizophrenia had stronger inflammatory responses than the healthy control. Our finding also indicated that the inflammatory response of methamphetamine-induced psychotic disorder was between those of patients with schizophrenia and healthy individuals.
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Affiliation(s)
- Mei‐Hing Ng
- Institute of MedicineChung Shan Medical UniversityTaichungTaiwan
- Tsaotun Psychiatric CenterMinistry of Health and WelfareNantou CountyTaiwan
| | - Mong‐Liang Lu
- Department of PsychiatryWan‐Fang Hospital & School of MedicineCollege of MedicineTaipei Medical UniversityTaipeiTaiwan
| | - Vincent Chin‐Hung Chen
- Department of PsychiatryChang Gung Medical FoundationChiayi Chang Gung Memorial HospitalChiayi CountyTaiwan
- Department of PsychiatrySchool of MedicineChang Gung UniversityTaiwan
| | - Hua Ting
- Institute of MedicineChung Shan Medical UniversityTaichungTaiwan
- Department of Physical Medicine and RehabilitationChung‐Shan Medical, University HospitalChung‐Shan Medical UniversityTaichungTaiwan
| | - Chieh‐Liang Huang
- Tsaotun Psychiatric CenterMinistry of Health and WelfareNantou CountyTaiwan
| | - Michael Gossop
- National Addiction CentreInstitute of PsychiatryKing's College LondonLondonUK
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Kok Kendirlioglu B, Arat Celik HE, Buyuksandalyaci Tunc AE, Ozmen M, Corekli Kaymakcı E, Demir S, Kuçukgoncu S. Lymphocyte-related ratios, systemic immune-inflammatory and systemic inflammatory response index in alcohol use disorder. J Immunoassay Immunochem 2024; 45:38-49. [PMID: 37953614 DOI: 10.1080/15321819.2023.2277806] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2023]
Abstract
Addictive disorders are associated with systemic and central nervous system inflammation, which may be important for the onset and development of these diseases. Although lymphocyte-related parameters have recently been studied in alcohol use disorder (AUD), systemic immune-inflammation index (SII) and systemic inflammatory response index (SIRI) haven't. Lymphocyte-related ratios, SII and SIRI levels were evaluated between AUD and healthy controls (HC) in this study. It was a retrospective and cross-sectional study. This study included 72 patients with AUD and 184 individuals in the HC group. Lymphocyte related ratios such as neutrophil to lymphocyte ratio (NLR), monocyte to lymphocyte ratio (MLR) and platelet to lymphocyte ratio (PLR), SII and SIRI values were compared. Compared to HC group, NLR (p < 0.001), MLR (p < 0.001), and SIRI (p < 0.001) levels were significantly higher in AUD group. There was also a significant relationship between NLR and AST/ALT ratio in the AUD group (p = 0.022). The results of this study support that AUD is a chronic inflammatory psychiatric disorder. In addition, it may be useful to evaluate these markers in relation to liver enzymes in patients with AUD, as alcohol consumption causes liver damage. These markers may also be used in future studies to assess treatment response and disease severity.
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Affiliation(s)
| | | | | | - Melike Ozmen
- Medicine Faculty Department of Psychiarty, Maltepe University, Istanbul, Turkey
| | | | - Sevin Demir
- Medicine Faculty Department of Family Medicine, Maltepe University, Istanbul, Turkey
| | - Suat Kuçukgoncu
- Medicine Faculty Department of Psychiarty, Maltepe University, Istanbul, Turkey
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Turan Ç, Şenormancı G, Neşelioğlu S, Budak Y, Erel Ö, Şenormancı Ö. Oxidative Stress and Inflammatory Biomarkers in People with Methamphetamine Use Disorder. CLINICAL PSYCHOPHARMACOLOGY AND NEUROSCIENCE : THE OFFICIAL SCIENTIFIC JOURNAL OF THE KOREAN COLLEGE OF NEUROPSYCHOPHARMACOLOGY 2023; 21:572-582. [PMID: 37424424 PMCID: PMC10335902 DOI: 10.9758/cpn.22.1047] [Citation(s) in RCA: 5] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Revised: 02/03/2023] [Accepted: 03/06/2023] [Indexed: 07/11/2023]
Abstract
Objective This study aimed to investigate the blood serum levels of biomarkers specifying oxidative stress status and systemic inflammation between people using methamphetamine (METH) and the control group (CG). Serum thiol/disulfide balance and ischemia-modified albumin levels were studied to determine oxidative stress, and serum interleukin-6 (IL-6) levels and complete blood count (CBC) were to assess inflammation. Methods Fifty patients with METH use disorder (MUD) and 36 CG participants were included in the study. Two tubes of venous blood samples were taken to measure oxidative stress, serum thiol/disulfide balance, ischemia-modified albumin, and IL-6 levels between groups. The correlation of parameters measuring oxidative stress and inflammation between groups with sociodemographic data was investigated. Results In this study, serum total thiol, free thiol levels, disulfide/native thiol percentage ratios, and serum ischemia- modified albumin levels of the patients were statistically significantly higher than the healthy controls. No difference was observed between the groups in serum disulfide levels and serum IL-6 levels. Considering the regression analysis, only the duration of substance use was a statistically significant factor in explaining serum IL-6 levels. The parameters showing inflammation in the CBC were significantly higher in the patients than in the CG. Conclusion CBC can be used to evaluate systemic inflammation in patients with MUD. Parameters measuring thiol/disulfide homeostasis and ischemia-modified albumin can be, also, used to assess oxidative stress.
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Affiliation(s)
- Çetin Turan
- Department of Psychiatry, University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey
| | - Güliz Şenormancı
- Department of Psychiatry, University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey
| | - Salim Neşelioğlu
- Clinic of Clinical Biochemistry, Yıldırım Beyazıt University, Ankara City Hospital, Ankara, Turkey
| | - Yasemin Budak
- Department of Biochemistry, University of Health Sciences Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey
| | - Özcan Erel
- Clinic of Clinical Biochemistry, Yıldırım Beyazıt University, Ankara City Hospital, Ankara, Turkey
| | - Ömer Şenormancı
- Department of Clinical Psychology, University of Beykent, Istanbul, Turkey
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Han Y, Guo R, Feng Z, Wang H, Li Y, Zou J, Wang Y. Associations of systemic inflammation markers with myocardial enzymes in pediatric adenotonsillar hypertrophy: A cross-sectional study. Heliyon 2023; 9:e17719. [PMID: 37483768 PMCID: PMC10359822 DOI: 10.1016/j.heliyon.2023.e17719] [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: 01/23/2023] [Revised: 06/13/2023] [Accepted: 06/26/2023] [Indexed: 07/25/2023] Open
Abstract
Objective The present study aimed to investigate the relationship between systemic inflammation markers and myocardial enzymes in children with adenotonsillar hypertrophy (ATH). Methods The levels of myocardial enzymes were detected and the systemic inflammatory biomarkers including neutrophil-lymphocyte ratio (NLR), platelet-lymphocyte ratio (PLR) and systemic immune inflammation index (SII) were calculated. Regression analyses were performed and a prediction model for screening myocardial injury was established by receiver operating characteristic (ROC) curve. Results Finally, a total of 804 children with ATH were included. After adjusting for age, BMI, fasting blood glucose and lipid profiles, both NLR and SII were significantly associated with CK-MB (p = 0.041 and 0.034, respectively) and LDH (p = 0.002 and 0.001, respectively), and PLR was associated with CK-MB (p = 0.008). In addition, NLR, SII were independently associated with hyper-LDH [OR = 1.447, 95%CI (1.063, 1.968); OR = 1.001, 95%CI (1.000, 1.002), respectively] and the associations were more significant in girls. A prediction model for hyper-LDH based on SII was developed with the area under the ROC curve of 0.715 (0.682, 0.746). Conclusion Systemic inflammation markers were only independently associated with serum hyper-LDH in children with ATH, especially in girls. Further investigation was needed to determine the relationship between systemic inflammation with myocardial enzymes in ATH children.
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Affiliation(s)
- Yingying Han
- Department of Otorhinolaryngology, Qilu Hospital of Shandong University, NHC Key Laboratory of Otorhinolaryngology (Shandong University), Jinan, China
| | - Ruixiang Guo
- Department of Otorhinolaryngology, Qilu Hospital of Shandong University, NHC Key Laboratory of Otorhinolaryngology (Shandong University), Jinan, China
| | - Ziyu Feng
- School of Basic Medical Sciences, Shandong University, Jinan, China
| | - Haipeng Wang
- Department of Otorhinolaryngology Head and Neck Surgery, Zibo Central Hospital, Zibo, China
| | - Yanzhong Li
- Department of Otorhinolaryngology, Qilu Hospital of Shandong University, NHC Key Laboratory of Otorhinolaryngology (Shandong University), Jinan, China
| | - Juanjuan Zou
- Department of Otorhinolaryngology, Qilu Hospital of Shandong University, NHC Key Laboratory of Otorhinolaryngology (Shandong University), Jinan, China
| | - Yan Wang
- Department of Otorhinolaryngology, Qilu Hospital of Shandong University, NHC Key Laboratory of Otorhinolaryngology (Shandong University), Jinan, China
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