Department of Hepatobiliary Oncology, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou 510060, China.
Department of Hepatic Surgery, Fudan University Shanghai Cancer Center, Shanghai 200032, China.
Aging (Albany NY). 2021 Feb 11;13(4):5358-5368. doi: 10.18632/aging.202468.
The lymphocyte-C-reactive protein ratio (LCR) is a recently described inflammation-based score, and it remains unclear which is the optimal inflammation-based score among patients with hepatocellular carcinoma (HCC) who underwent transarterial chemoembolization (TACE). A large cohort of HCC patients (n=1625) who underwent TACE as the initial treatment were enrolled in the present study. Inflammation-based scores, including the Glasgow Prognostic Score (GPS), modified Glasgow Prognostic Score (mGPS), high-sensitivity modified Glasgow Prognostic Score (Hs-mGPS), neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), prognostic nutritional index (PNI), systemic immune-inflammation index (SII), and LCR, were all related to the survival of HCC patients, but only the LCR score was a significant and independent predictor in multivariate analysis (hazard ratio: 1.45; 95% confidence interval: 1.27-1.65; P<0.001). Further analysis showed that the LCR score stably and consistently differentiated subgroup patients with distinct prognoses. The predictive accuracies of the LCR score (0.70, 0.68, and 0.68 for 1-, 3-, and 5-year C-index, respectively) were superior to the other inflammatory-based scores (0.60-0.64, 0.58-0.62, and 0.58-0.62 for 1-, 3-, and 5-year C-index, respectively). The LCR score was an independent prognostic indicator for HCC patients who underwent TACE, and it was superior to the other inflammation-based scores in prognostic ability.
淋巴细胞- C 反应蛋白比值(LCR)是一种新描述的炎症评分,在接受经动脉化疗栓塞(TACE)治疗的肝细胞癌(HCC)患者中,哪种炎症评分最佳尚不清楚。本研究纳入了接受 TACE 作为初始治疗的 1625 例 HCC 患者的大队列。炎症评分包括格拉斯哥预后评分(GPS)、改良格拉斯哥预后评分(mGPS)、高敏改良格拉斯哥预后评分(Hs-mGPS)、中性粒细胞与淋巴细胞比值(NLR)、血小板与淋巴细胞比值(PLR)、预后营养指数(PNI)、全身免疫炎症指数(SII)和 LCR,均与 HCC 患者的生存相关,但只有 LCR 评分在多变量分析中是显著且独立的预测因素(危险比:1.45;95%置信区间:1.27-1.65;P<0.001)。进一步分析表明,LCR 评分稳定且一致地区分了预后不同的亚组患者。LCR 评分(1 年、3 年和 5 年 C 指数的预测准确率分别为 0.70、0.68 和 0.68)的预测准确性优于其他炎症评分(1 年、3 年和 5 年 C 指数的预测准确率分别为 0.60-0.64、0.58-0.62 和 0.58-0.62)。LCR 评分是接受 TACE 的 HCC 患者的独立预后指标,其预后能力优于其他炎症评分。