JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2016, Vol. 54 ›› Issue (8): 72-77.doi: 10.6040/j.issn.1671-7554.0.2016.355

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Correlation between lymphocyte-to-monocyte ratio in peripheral blood and prognosis of malignant pleural mesothelioma

WANG Wen, LIU Yao, LONG Fei, MA Weixia, SU Lili   

  1. Department of Respiratory, Shandong Provincial Hospital Affiliated to Shandong University, Jinan 250012, Shandong, China
  • Received:2016-04-01 Online:2016-08-10 Published:2016-08-10

Abstract: Objective To explore the correlation between lymphocyte-to-monocyte ratio(LMR)in peripheral blood and prognosis of malignant pleural mesothelioma(MPM). Methods Clinicopathological data of 85 patients with MPM were retrospectively analyzed. According to the LMR in peripheral blood, the patients were divided into two groups: high LMR group(n=27)and low LMR group(n=58). The clinicopathological data and overall survival of the two groups were compared. The correlation between the clinicopathological data and the overall survival was analyzed with Cox regression model. Results Significant differences were observed between the two groups in gender, performance status(PS)score, absolute lymphocyte count and absolute monocyte count(P<0.05). The median overall survival of patients with high LMR was significantly longer than that of patients with low LMR(27 months vs 9 months, P<0.001). Of patients with various histological types and tumor stages, the median overall survival of patients with high LMR was significantly longer than that of patients with low LMR. Multivariate analysis showed that LMR was an independent prognostic factor associated with prognosis of MPM(HR: 0.277; 95% CI: 0.142-0.538; P<0.001). Conclusion LMR in peripheral blood is a biological marker for the prognosis of MPM.

Key words: Thoracoscopy, Lymphocyte-to-monocyte ratio, Malignant pleural mesothelioma, Prognosis, Overall survival

CLC Number: 

  • R734.3
[1] 曲宸绪, 周珊珊, 乔友林. 我国部分地区胸膜间皮瘤的描述流行病学分析[J]. 肿瘤研究与临床, 2004, 16(2): 143-144.
[2] 张盼, 王静. 胸膜间皮瘤的研究进展[J]. 肿瘤基础与临床, 2011, 24(1): 81-82.
[3] Nishijima TF, Muss HB, Shachar SS, et al. Prognostic value of lymphocyte-to-monocyte ratio in patients with solid tumors: A systematic review and meta-analysis[J]. Cancer Treat Rev, 2015, 41(10): 971-978.
[4] Cao C, Tian D, Park J, et al. A systematic review and meta-analysis of surgical treatments for malignant pleural mesothelioma[J]. Lung Cancer, 2014, 83(2): 240-245.
[5] Rusch VW. A proposed new international TNM staging system for malignant pleural mesothelioma. From the International Mesothelioma Interest Group[J]. Chest, 1995, 108(4): 1122-1128.
[6] 郭靓, 钱露, 郭宁. 炎症——肿瘤恶性演进的推手[J]. 中国肿瘤生物治疗杂志, 2013, 20(3): 259-265. GUO Liang, QIAN Lu, GUO Ning. Inflammation: A promoter in malignant progression of tumor[J]. Chin J Cancer Biother, 2013, 20(3): 259-265.
[7] Li ZM, Huang JJ, Xia Y, et al. Blood lymphocyte-to-monocyte ratio identifies high-risk patients in diffuse large B-cell lymphoma treated with R-CHOP[J]. PLoS ONE, 2012, 7(7): e41658. doi: 10.1371/journal.pone.0041658.
[8] Porrata LF, Ristow K, Colgan JP, et al. Peripheral blood lymphocyte/monocyte ratio at diagnosis and survival in classical Hodgkins lymphoma[J]. Haematologica, 2012, 97(2): 262-269.
[9] Stotz M, Szkandera J, Stojakovic T, et al. The lymphocyte to monocyte ratio in peripheral blood represents a novel prognostic marker in patients with pancreatic cancer[J]. Clin Chem Lab Med, 2015, 53(3): 499-506.
[10] Zhou X, Du Y, Xu J, et al. The preoperative lymphocyte to monocyte ratio predicts clinical outcomes in patients with stage Ⅱ/Ⅲ gastric cancer[J]. Tumour Biol, 2014, 35(11): 11659-11666.
[11] Hu P, Shen H, Wang G, et al. Prognostic significance of systemic inflammation-based lymphocyte- monocyte ratio in patients with lung cancer: based on a large cohort study[J]. PLoS ONE, 2014, 9(9): e108062. doi: 10.1371/journal.pone.0108062.
[12] Lin GN, Peng JW, Xiao JJ, et al. Prognostic impact of circulating monocytes and lymphocyte-to-monocyte ratio on previously untreated metastatic non-small cell lung cancer patients receiving platinum-based doublet[J]. Med Oncol, 2014, 31(7): 70.
[13] Mantovani A, Allavena P, Sica A, et al. Cancer-related inflammation[J]. Nature, 2008, 454(7203): 436-444.
[14] Coussens LM, Werb Z. Inflammation and cancer[J]. Nature, 2002, 420(6917): 860-867.
[15] Schmidt H, Bastholt L, Geertsen P, et al. Elevated neutrophil and monocyte counts in peripheral blood are associated with poor survival in patients with metastatic melanoma: a prognostic model[J]. Br J Cancer, 2005, 93(3): 273-278.
[16] Lee YY, Choi CH, Sung CO, et al. Prognostic value of pretreatment circulating monocyte count in patients with cervical cancer: comparison with SCC-Ag level[J]. Gynecol Oncol, 2012, 124(1): 92-97.
[17] Koh YW, Shin SJ, Park C, et al. Absolute monocyte count predicts overall survival in mantle cell lymphomas: correlation with tumour-associated macrophages[J]. Hematol Oncol, 2014, 32(4): 178-186.
[18] Chanmee T, Ontong P, Konno K, et al. Tumor-associated macrophages as major players in the tumor microenvironment[J]. Cancers, 2014, 6(3): 1670-1690.
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