An elevated platelet-to-lymphocyte ratio is associated with a higher risk of intracranial atherosclerotic stenosis

Abstract. Background:. Previous studies have shown that inflammation plays an important role in intracranial atherosclerotic stenosis (ICAS). The platelet-to-lymphocyte ratio (PLR) has recently emerged as a potential inflammatory biomarker. This study aimed to explore the association of the PLR with...

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Main Authors: Yanhua Huang, Zuoteng Wang, Bing Zhao, Yahui Ma, Yanan Ou, Hao Hu, Xiaohe Hou, Jintai Yu, Lan Tan, Yanjie Yin, Xiuyuan Hao
Format: Article
Language:English
Published: Wolters Kluwer 2022-06-01
Series:Chinese Medical Journal
Online Access:http://journals.lww.com/10.1097/CM9.0000000000002228
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author Yanhua Huang
Zuoteng Wang
Bing Zhao
Yahui Ma
Yanan Ou
Hao Hu
Xiaohe Hou
Jintai Yu
Lan Tan
Yanjie Yin
Xiuyuan Hao
author_facet Yanhua Huang
Zuoteng Wang
Bing Zhao
Yahui Ma
Yanan Ou
Hao Hu
Xiaohe Hou
Jintai Yu
Lan Tan
Yanjie Yin
Xiuyuan Hao
author_sort Yanhua Huang
collection DOAJ
description Abstract. Background:. Previous studies have shown that inflammation plays an important role in intracranial atherosclerotic stenosis (ICAS). The platelet-to-lymphocyte ratio (PLR) has recently emerged as a potential inflammatory biomarker. This study aimed to explore the association of the PLR with ICAS in a Chinese Han population. Methods:. A total of 2134 participants (518 with ICAS, 1616 without ICAS) were enrolled in this study. ICAS was defined as atherosclerotic stenosis >50% or the occlusion of several main intracranial arteries. Multivariable logistic regression analyses were used to assess the association of the PLR with ICAS. Additional subgroup analyses were performed according to age (<60 vs. ≥60 years) and acute ischemic stroke. Results:. Multivariate regression analysis showed that a high PLR was associated with a higher risk of ICAS in all participants (P < 0.001). Compared with the lowest quartile, the fourth PLR quartile was significantly associated with ICAS (OR 1.705, 95% confidence interval 1.278–2.275, P < 0.001). In the subgroups stratified by age, an association between the PLR and ICAS was found in the late-life group (P < 0.001), but not in the mid-life group (P = 0.650). In the subgroups stratified by acute ischemic stroke, the relationship between an elevated PLR and a higher risk of ICAS remained unchanged (stroke group, P < 0.001; non-stroke group, P = 0.027). Conclusions:. An elevated PLR was associated with a higher risk of ICAS in a Chinese Han population. The PLR might serve as a potential biomarker for ICAS in the elderly population.
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spelling doaj.art-2b7583bff43147dbb9152c9d562beb082022-12-22T03:50:25ZengWolters KluwerChinese Medical Journal0366-69992542-56412022-06-01135121425143110.1097/CM9.0000000000002228202206200-00006An elevated platelet-to-lymphocyte ratio is associated with a higher risk of intracranial atherosclerotic stenosisYanhua HuangZuoteng WangBing ZhaoYahui MaYanan OuHao HuXiaohe HouJintai YuLan TanYanjie YinXiuyuan HaoAbstract. Background:. Previous studies have shown that inflammation plays an important role in intracranial atherosclerotic stenosis (ICAS). The platelet-to-lymphocyte ratio (PLR) has recently emerged as a potential inflammatory biomarker. This study aimed to explore the association of the PLR with ICAS in a Chinese Han population. Methods:. A total of 2134 participants (518 with ICAS, 1616 without ICAS) were enrolled in this study. ICAS was defined as atherosclerotic stenosis >50% or the occlusion of several main intracranial arteries. Multivariable logistic regression analyses were used to assess the association of the PLR with ICAS. Additional subgroup analyses were performed according to age (<60 vs. ≥60 years) and acute ischemic stroke. Results:. Multivariate regression analysis showed that a high PLR was associated with a higher risk of ICAS in all participants (P < 0.001). Compared with the lowest quartile, the fourth PLR quartile was significantly associated with ICAS (OR 1.705, 95% confidence interval 1.278–2.275, P < 0.001). In the subgroups stratified by age, an association between the PLR and ICAS was found in the late-life group (P < 0.001), but not in the mid-life group (P = 0.650). In the subgroups stratified by acute ischemic stroke, the relationship between an elevated PLR and a higher risk of ICAS remained unchanged (stroke group, P < 0.001; non-stroke group, P = 0.027). Conclusions:. An elevated PLR was associated with a higher risk of ICAS in a Chinese Han population. The PLR might serve as a potential biomarker for ICAS in the elderly population.http://journals.lww.com/10.1097/CM9.0000000000002228
spellingShingle Yanhua Huang
Zuoteng Wang
Bing Zhao
Yahui Ma
Yanan Ou
Hao Hu
Xiaohe Hou
Jintai Yu
Lan Tan
Yanjie Yin
Xiuyuan Hao
An elevated platelet-to-lymphocyte ratio is associated with a higher risk of intracranial atherosclerotic stenosis
Chinese Medical Journal
title An elevated platelet-to-lymphocyte ratio is associated with a higher risk of intracranial atherosclerotic stenosis
title_full An elevated platelet-to-lymphocyte ratio is associated with a higher risk of intracranial atherosclerotic stenosis
title_fullStr An elevated platelet-to-lymphocyte ratio is associated with a higher risk of intracranial atherosclerotic stenosis
title_full_unstemmed An elevated platelet-to-lymphocyte ratio is associated with a higher risk of intracranial atherosclerotic stenosis
title_short An elevated platelet-to-lymphocyte ratio is associated with a higher risk of intracranial atherosclerotic stenosis
title_sort elevated platelet to lymphocyte ratio is associated with a higher risk of intracranial atherosclerotic stenosis
url http://journals.lww.com/10.1097/CM9.0000000000002228
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