Evidence map›Paper›PMID 40546022›Full record

ArticleAlimentary pharmacology & therapeutics2025

Lymphocyte-to-Monocyte Ratio as a Predictor of Recompensation in Patients With Decompensated Primary Biliary Cholangitis.

Huiying Lin, Mengyao Zheng, Yaqin Huang, Huilin Zhu, Lili Zhang, Wenting Yang, Hongjin Wang, Tingting Yin, Min Zhou, Hongtao Lei and 2 more

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Article in Alimentary pharmacology & therapeutics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

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8citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

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  5. [Research advances in autoimmune liver disease in 2025: toward precision regulation and personalized treatment].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Huiying LinDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Mengyao ZhengDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Yaqin HuangDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Huilin ZhuDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Lili ZhangDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Wenting YangDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Hongjin WangDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Tingting YinDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Min ZhouDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Hongtao LeiSchool of Public Health, Kunming Medical University, Kunming, China.
Wenlin TaiDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University, Kunming, China.
Jinhui YangDepartment of Gastroenterology, Second Affiliated Hospital of Kunming Medical University, Kunming, China.

Funding

Collaborative Research Projects of the Second Affiliated Hospital of Kunming Medical University 2022dwhz01Foundation for Innovative Research Groups of the National Natural Science Foundation of China 82160106Research on the Role and Mechanism of IGF2BP2-mediated m6A Modification Regulating circCHD2 in Metabolic Associated Fatty Liver Disease Nos.202501AY070001-088Yunnan Provincial Department of Education Scientific Research Fund 2025J0270
6 · The paper itself

Abstract

backgroundPrimary biliary cholangitis (PBC) patients in the decompensated stage face poor prognoses, with recompensation being crucial for improving long-term outcomes.

aimThis study aims to evaluate the predictive value of the lymphocyte-to-monocyte ratio (LMR) for recompensation in decompensated PBC patients.

methodsWe retrospectively analysed 410 patients with PBC-related decompensated cirrhosis receiving ursodeoxycholic acid (UDCA) treatment. The association between the LMR and recompensation was examined using Cox regression analysis, with additional trend analysis performed based on LMR quartiles. The predictive accuracy of the LMR, neutrophil-to-lymphocyte ratio (NLR), systemic immune-inflammation index (SII) and platelet-to-lymphocyte ratio (PLR) was evaluated using receiver operating characteristic (ROC) curve analysis. Sensitivity analyses were conducted to confirm the robustness of the findings.

resultsDuring follow-up, among 401 patients with decompensated cirrhosis (age: 60.0 [IQR: 53.0-69.0] years; 88.3% female), 105 patients (26.18%) achieved recompensation. Multivariate Cox regression analysis showed that higher LMR was an independent promoting factor for recompensation after adjusting for all confounding factors in the model (HR = 1.415, 95% CI: 1.264-1.585, p < 0.001), with a linear positive correlation trend. ROC curve analysis demonstrated that LMR had superior predictive performance compared to other inflammatory markers (SII, PLR, NLR), with an area under the curve (AUC) of 0.787 (95% CI: 0.736-0.838, p < 0.001).

conclusionLMR serves as a robust independent predictor for recompensation in decompensated PBC patients.

Indexed as

Liver Cirrhosis, BiliaryLymphocytesMonocytesUrsodeoxycholic AcidAgedFemaleHumansLymphocyte CountMaleMiddle AgedPredictive Value of TestsPrognosisRetrospective StudiesROC CurveUrsodeoxycholic Aciddecompensated cirrhosislymphocyte‐to‐monocyte ratioprimary biliary cholangitisrecompensationursodeoxycholic acid

Identifiers

PMID40546022
PMCPMC12395890

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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.