The Neutrophil-to-Lymphocyte Ratio is Related to Disease Activity in Relapsing Remitting Multiple Sclerosis

Background: The role of the neutrophil-to-lymphocyte ratio (NLR) of peripheral blood has been investigated in relation to several autoimmune diseases. Limited studies have addressed the significance of the NLR in terms of being a marker of disease activity in multiple sclerosis (MS). Methods: This i...

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Main Authors: Emanuele D’Amico, Aurora Zanghì, Alessandra Romano, Mariangela Sciandra, Giuseppe Alberto Maria Palumbo, Francesco Patti
Format: Article
Language:English
Published: MDPI AG 2019-09-01
Series:Cells
Subjects:
Online Access:https://www.mdpi.com/2073-4409/8/10/1114
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author Emanuele D’Amico
Aurora Zanghì
Alessandra Romano
Mariangela Sciandra
Giuseppe Alberto Maria Palumbo
Francesco Patti
author_facet Emanuele D’Amico
Aurora Zanghì
Alessandra Romano
Mariangela Sciandra
Giuseppe Alberto Maria Palumbo
Francesco Patti
author_sort Emanuele D’Amico
collection DOAJ
description Background: The role of the neutrophil-to-lymphocyte ratio (NLR) of peripheral blood has been investigated in relation to several autoimmune diseases. Limited studies have addressed the significance of the NLR in terms of being a marker of disease activity in multiple sclerosis (MS). Methods: This is a retrospective study in relapsing&#8722;remitting MS patients (RRMS) admitted to the tertiary MS center of Catania, Italy during the period of 1 January to 31 December 2018. The aim of the present study was to investigate the significance of the NLR in reflecting the disease activity in a cohort of early diagnosed RRMS patients. Results: Among a total sample of 132 patients diagnosed with RRMS, 84 were enrolled in the present study. In the association analysis, a relation between the NLR value and disease activity at onset was found (V-Cramer 0.271, <i>p</i> = 0.013). In the logistic regression model, the variable NLR (<i>p</i> = 0.03 ExpB 3.5, CI 95% 1.089&#8722;11.4) was related to disease activity at onset. Conclusion: An elevated NLR is associated with disease activity at onset in RRMS patients. More large-scale studies with a longer follow-up are needed.
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spelling doaj.art-3f7ba75792f14123884295f8d4c5f9d52023-09-02T17:50:33ZengMDPI AGCells2073-44092019-09-01810111410.3390/cells8101114cells8101114The Neutrophil-to-Lymphocyte Ratio is Related to Disease Activity in Relapsing Remitting Multiple SclerosisEmanuele D’Amico0Aurora Zanghì1Alessandra Romano2Mariangela Sciandra3Giuseppe Alberto Maria Palumbo4Francesco Patti5Department “G.F. Ingrassia”, MS Center, University of Catania, Via Santa Sofia 78, 95123 Catania, ItalyDepartment “G.F. Ingrassia”, MS Center, University of Catania, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of Surgery and Medical Specialties, Division of Hematology-A.O.U. Policlinico-OVE, Catania, Via Santa Sofia 78, 95123 Catania, ItalyDepartment of Economics, Business and Statistics, University of Palermo, 90128 Palermo, ItalyDepartment “G.F. Ingrassia”, Division of Hematology-A.O.U. Policlinico-OVE, Catania, University of Catania, Via Santa Sofia 78, 95123 Catania, ItalyDepartment “G.F. Ingrassia”, MS Center, University of Catania, Via Santa Sofia 78, 95123 Catania, ItalyBackground: The role of the neutrophil-to-lymphocyte ratio (NLR) of peripheral blood has been investigated in relation to several autoimmune diseases. Limited studies have addressed the significance of the NLR in terms of being a marker of disease activity in multiple sclerosis (MS). Methods: This is a retrospective study in relapsing&#8722;remitting MS patients (RRMS) admitted to the tertiary MS center of Catania, Italy during the period of 1 January to 31 December 2018. The aim of the present study was to investigate the significance of the NLR in reflecting the disease activity in a cohort of early diagnosed RRMS patients. Results: Among a total sample of 132 patients diagnosed with RRMS, 84 were enrolled in the present study. In the association analysis, a relation between the NLR value and disease activity at onset was found (V-Cramer 0.271, <i>p</i> = 0.013). In the logistic regression model, the variable NLR (<i>p</i> = 0.03 ExpB 3.5, CI 95% 1.089&#8722;11.4) was related to disease activity at onset. Conclusion: An elevated NLR is associated with disease activity at onset in RRMS patients. More large-scale studies with a longer follow-up are needed.https://www.mdpi.com/2073-4409/8/10/1114neutrophilslymphocytesNLRmultiple sclerosisdisease activity
spellingShingle Emanuele D’Amico
Aurora Zanghì
Alessandra Romano
Mariangela Sciandra
Giuseppe Alberto Maria Palumbo
Francesco Patti
The Neutrophil-to-Lymphocyte Ratio is Related to Disease Activity in Relapsing Remitting Multiple Sclerosis
Cells
neutrophils
lymphocytes
NLR
multiple sclerosis
disease activity
title The Neutrophil-to-Lymphocyte Ratio is Related to Disease Activity in Relapsing Remitting Multiple Sclerosis
title_full The Neutrophil-to-Lymphocyte Ratio is Related to Disease Activity in Relapsing Remitting Multiple Sclerosis
title_fullStr The Neutrophil-to-Lymphocyte Ratio is Related to Disease Activity in Relapsing Remitting Multiple Sclerosis
title_full_unstemmed The Neutrophil-to-Lymphocyte Ratio is Related to Disease Activity in Relapsing Remitting Multiple Sclerosis
title_short The Neutrophil-to-Lymphocyte Ratio is Related to Disease Activity in Relapsing Remitting Multiple Sclerosis
title_sort neutrophil to lymphocyte ratio is related to disease activity in relapsing remitting multiple sclerosis
topic neutrophils
lymphocytes
NLR
multiple sclerosis
disease activity
url https://www.mdpi.com/2073-4409/8/10/1114
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