Cited by 31Inflammatory Biomarkers in Disease PrognosisAcute Ischemic Stroke ManagementLipoproteins and Cardiovascular Health

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Evaluation of monocyte-to-high-density lipoprotein cholesterol ratio and monocyte-to-lymphocyte ratio in ischemic stroke

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Liu, Huiling, Zhan, Feng, Wang, Yazhou·2020·Journal of International Medical Research

Abstract

Objectives: We aimed to evaluate the diagnostic value of the combination of the monocyte-to-high-density lipoprotein cholesterol ratio (MHR) with the monocyte-to-lymphocyte ratio (MLR) in ischemic stroke patients. Methods: There were 253 patients who were diagnosed with ischemic stroke and 211 healthy subjects enrolled into this retrospective study. Result: MHR and MLR were significantly higher in ischemic stroke patients compared with controls. MHR and MLR remained as independent variables for the presence of ischemic stroke. In receiver operating characteristic analyses, the optimal cut-off values for MHR and MLR were 0.28 and 0.19, respectively. The area under the curve for MHR was 0.777 (sensitivity, 66.01%; specificity, 77.25%), and that for MLR was 0.742 (sensitivity, 70.36%; specificity, 67.77%) in ischemic stroke patients. Moreover, the combination MHR and MLR increased the sensitivity compared with MHR or MLR alone. Conclusion: The present study shows that a high MHR and MLR are each predictive for the risk of ischemic stroke, and together, they exhibit a better diagnostic value compared with each ratio alone.

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Figure 1. MHR or MLR levels in different groups. MHR level (a) and MLR level (b) in ischemic stroke patients and healthy controls. Statistical comparisons were made using the Mann–Whitney U-test (**p < 0.001). MLR, monocyte to lymphocyte ratio; MHR, monocyte to high-density lipoprotein cholesterol ratio.
Figure 1. MHR or MLR levels in different groups. MHR level (a) and MLR level (b) in ischemic stroke patients and healthy controls. Statistical comparisons were made using the Mann–Whitney U-test (**p < 0.001). MLR, monocyte to lymphocyte ratio; MHR, monocyte to high-density lipoprotein cholesterol ratio.CC BY-NC · PubMed Central
Figure 2. Correlations between MHR or MLR and NIHSS score. MLR, monocyte to lymphocyte ratio; MHR, monocyte to high-density lipoprotein cholesterol ratio; NIHSS, NIHSS, National Institutes of Health Stroke Scale.
Figure 2. Correlations between MHR or MLR and NIHSS score. MLR, monocyte to lymphocyte ratio; MHR, monocyte to high-density lipoprotein cholesterol ratio; NIHSS, NIHSS, National Institutes of Health Stroke Scale.CC BY-NC · PubMed Central
Figure 3. MHR or/and MLR ROC analysis of the between stroke and control group. MLR, monocyte to lymphocyte ratio; MHR, monocyte to high-density lipoprotein cholesterol ratio; ROC, receiver operating characteristics.
Figure 3. MHR or/and MLR ROC analysis of the between stroke and control group. MLR, monocyte to lymphocyte ratio; MHR, monocyte to high-density lipoprotein cholesterol ratio; ROC, receiver operating characteristics.CC BY-NC · PubMed Central

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Metadata

Authors
Liu, H., Zhan, F., & Wang, Y.
Affiliations
  • Soochow University (CN)
  • Department of Clinical Laboratory, Changzhou Tumor Hospital Affiliated with Soochow University, Jiangsu, China
Corresponding author
Liu, Huiling
Venue
Journal of International Medical Research
Published
2020-07
Volume
48
Issue
7
Pages
300060520933806-300060520933806
ISSN
  • 0300-0605 (ISSN-L)
  • 1473-2300
OpenAlex
W3043176161
Cited by
31
References
1
Citations by year
2026: 1 · 2025: 7 · 2024: 2 · 2023: 8 · 2022: 7 · 2021: 6
FWCI
1.90
Type
journal article
Language
en
Open access
Locations
  • Journal of International Medical Research (publishedVersion, cc-by-nc)
  • PubMed Central (publishedVersion, cc-by-nc)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Topics
  • Health Sciences › Medicine › Oncology › Inflammatory Biomarkers in Disease Prognosis
  • Health Sciences › Medicine › Clinical Neurology › Acute Ischemic Stroke Management
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipoproteins and Cardiovascular Health
Keywords
ischemic stroke, monocyte-to-lymphocyte ratio, inflammatory markers, diagnostic accuracy, cut-off values, combined biomarker prediction
MeSH terms
Ischemic Stroke, Brain Ischemia, Humans, Cholesterol, HDL, Lymphocytes, Monocytes, Retrospective Studies, Stroke

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