Evidence map›Paper›PMID 35135482›Full record

ArticleBMC cancer2022

Low-grade inflammation in survivors of childhood cancer and testicular cancer and its association with hypogonadism and metabolic risk factors.

Henrik Ekedahl, Sigrid Isaksson, Olof Ståhl, Karolina Bogefors, Patrik Romerius, Jakob Eberhard, Aleksander Giwercman

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.9field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Childhood cancer and future cardiometabolic health.npj metabolic health and disease · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Henrik EkedahlDepartment of Oncology, Skåne University Hospital, Lund, Sweden. henrik.ekedahl@med.lu.se.
Sigrid IsakssonDepartment of Oncology, Skåne University Hospital, Lund, Sweden.
Olof StåhlDepartment of Oncology, Skåne University Hospital, Lund, Sweden.
Karolina BogeforsDepartment of Oncology, Skåne University Hospital, Lund, Sweden.
Patrik RomeriusDepartment of Clinical Sciences, Division of Pediatrics, Lund University, Lund, Sweden.
Jakob EberhardDepartment of Oncology, Skåne University Hospital, Lund, Sweden.
Aleksander GiwercmanDepartment of Translational Medicine, Lund University, Malmö, Sweden.
Lund University · SESkåne University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn childhood (CCS) and testicular cancer (TCS) survivors, low-grade inflammation may represent a link between testosterone deficiency (hypogonadism) and risk of metabolic syndrome. We aimed to study levels of inflammatory markers in CCS and TCS and the association with hypogonadism and future cardio-metabolic risk factors.

methodsSerum levels of inflammatory markers and testosterone were analyzed in CCS (n = 90), and TCS (n = 64, median time from diagnosis: 20 and 2.0 years, respectively), and in controls (n = 44). Differences in levels between patients and controls were calculated using univariate analysis of variance. T-test and logistic regression were applied to compare levels of cardio-metabolic risk factors and odds ratio (OR) of hypogonadism and metabolic syndrome in low and high inflammatory marker groups after 4-12 years of follow up. Adjustment for age, smoking, and active cancer was made.

resultsTCS and CCS, as compared to controls, had 1.44 (95%CI 1.06-1.96) and 1.25 (95 CI 1.02-1.53) times higher levels of IL-8, respectively. High IL-6 levels were associated with hypogonadism at baseline (OR 2.83, 95%CI 1.25-6.43) and the association was stronger for high IL-6 combined with low IL-10 levels (OR 3.10, 95%CI 1.37-7.01). High IL-6 levels were also associated with higher BMI, waist circumference, insulin, and HbA1c at follow up. High TNF-α was associated with higher diastolic blood pressure. No individual inflammatory marker was significantly associated with risk of metabolic syndrome at follow up. High IL-6 combined with low IL-10 levels were associated with risk of metabolic syndrome (OR 3.83, 95%CI 1.07-13.75), however not statistically significantly after adjustment.

conclusionTCS and CCS present with low-grade inflammation. High IL-6 levels were associated with hypogonadism and cardio-metabolic risk factors. Low IL-10 levels might reinforce the IL-6 mediated risk of developing metabolic syndrome.

Indexed as

AdolescentAdultCancer SurvivorsCardiometabolic Risk FactorsFollow-Up StudiesHumansHypogonadismInflammationInflammation MediatorsInterleukin-10Interleukin-6Logistic ModelsMaleMetabolic SyndromeMiddle AgedOdds RatioIL10 protein, humanIL6 protein, humanInflammation MediatorsInterleukin-10Interleukin-6TestosteroneCancer survivorsHypogonadismIL-10IL-6IL-8InflammationMetabolic syndrome

Identifiers

PMID35135482
PMCPMC8827204
OpenAlexW4211166254

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.