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淋巴细胞与单核细胞比值与男性前列腺癌的关系:一项基于人群的研究。

Association between lymphocyte-to-monocyte ratio and prostate cancer in men: A population-based study.

机构信息

Department of Urology, Fujian Provincial Hospital, Fuzhou, China.

Shengli Clinical Medical College of Fujian Medical University, Fuzhou, China.

出版信息

Medicine (Baltimore). 2024 Jul 5;103(27):e38826. doi: 10.1097/MD.0000000000038826.

Abstract

Using the novel inflammatory biomarker lymphocyte-to-monocyte ratio (LMR), this work aimed to look into any potential connections between LMR and prostate cancer (PCa). A cross-sectional research investigation was conducted on 7706 male participants involved in the National Health and Nutrition Examination Survey from 2001 to 2010. Multivariate logistic regression modeling investigated the relationship between LMR levels and PCa risk. Furthermore, threshold analysis, subgroup analysis, interaction testing, and smoothed curve fitting were carried out. A significant negative correlation was seen between LMR and PCa risk (OR = 0.79, 95% CI: 0.65-0.97, P = .0002), even after controlling for potential confounding factors. A significant nonlinear negative correlation with a threshold effect and a breakpoint of 4.86 was found by smooth curve fitting between LMR and PCa. Subgroup analysis revealed a significant interaction (P for interaction = 0.0448) between the negative correlation between PCa and LMR about hypertension. Moreover, additional stratified smoothed curve fitting demonstrated a statistically significant inverse relationship between PCa risk and LMR. According to our findings, there is a substantial inverse relationship between PCa risk and LMR level. The inflammatory response-related index is quick, easy to use, and offers some clinical references. However, more extensive prospective investigations are required to confirm the involvement of LMR levels in PCa.

摘要

本研究旨在利用新型炎症生物标志物淋巴细胞与单核细胞比值(LMR)探讨其与前列腺癌(PCa)之间的潜在联系。我们对 2001 年至 2010 年间参与国家健康和营养检查调查的 7706 名男性参与者进行了一项横断面研究。多变量逻辑回归模型分析了 LMR 水平与 PCa 风险之间的关系。此外,还进行了阈值分析、亚组分析、交互检验和平滑曲线拟合。即使在控制了潜在混杂因素后,LMR 与 PCa 风险之间仍呈显著负相关(OR=0.79,95%CI:0.65-0.97,P=0.0002)。通过平滑曲线拟合,我们发现 LMR 与 PCa 之间存在显著的非线性负相关关系,且具有阈值效应和 4.86 的临界点。亚组分析显示,LMR 与高血压之间与 PCa 负相关存在显著的交互作用(P 交互=0.0448)。此外,进一步分层的平滑曲线拟合表明,LMR 与 PCa 风险之间存在统计学上显著的反比关系。根据我们的研究结果,PCa 风险与 LMR 水平之间存在显著的反比关系。该炎症反应相关指标简便快捷,具有一定的临床参考价值。然而,需要进一步开展广泛的前瞻性研究以确认 LMR 水平与 PCa 的相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ebb4/11224892/1b0eda90144c/medi-103-e38826-g001.jpg

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