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An elevated neutrophil-to-lymphocyte ratio associates with weight loss and cachexia in cancer.


ABSTRACT: Systemic inflammation is present during and serves as a diagnostic tool for cancer-associated cachexia and is detrimental to serum 25-hydroxyvitamin D (25(OH)D) concentrations in non-cancer conditions. The neutrophil-to-lymphocyte ratio (NLR) is a desirable measure of systemic inflammation because it is easily calculated from a routine complete blood cell count with differentials. We sought to determine if an elevation in the NLR associates with greater weight loss, cachexia, and lower serum 25-hydroxyvitamin D (25(OH)D) concentrations in patients with advanced cancer. Advanced colon, lung, and prostate cancer patients (stages III/IV; n?=?50) were retrospectively studied and separated into one of two groups: 1) Above (n?=?25) or 2) Below (n?=?25) the median NLR of 3.15 determined at diagnosis. Around the time of diagnosis, serum 25(OH)D and body weight were assessed, while body weight was assessed again at a later date. Weight loss and cachexia were significantly (both p?

SUBMITTER: Barker T 

PROVIDER: S-EPMC7200806 | biostudies-literature | 2020 May

REPOSITORIES: biostudies-literature

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An elevated neutrophil-to-lymphocyte ratio associates with weight loss and cachexia in cancer.

Barker Tyler T   Fulde Gail G   Moulton Bryce B   Nadauld Lincoln D LD   Rhodes Terence T  

Scientific reports 20200505 1


Systemic inflammation is present during and serves as a diagnostic tool for cancer-associated cachexia and is detrimental to serum 25-hydroxyvitamin D (25(OH)D) concentrations in non-cancer conditions. The neutrophil-to-lymphocyte ratio (NLR) is a desirable measure of systemic inflammation because it is easily calculated from a routine complete blood cell count with differentials. We sought to determine if an elevation in the NLR associates with greater weight loss, cachexia, and lower serum 25-  ...[more]

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