Evidence map›Paper›PMID 41794800›Full record

ArticleLipids in health and disease2026

Investigating the relationship between monocyte to high-density lipoprotein cholesterol ratio and carotid artery plaque in cerebral infarction patients under different blood pressure and glucose metabolic conditions.

Shencheng Luo, Kun Ma, Ting Liu, Jiawen Dong, Lin Zhu, Sitong Shen, Bernhard Kolberg, Jing Li, Jiangwei Shi, Junhua Zhang

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Article in Lipids in health and disease, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

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10 authors.

Shencheng Luo *First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Kun Ma *Binhai New Area Hospital of TCM, Tianjin, China.
Ting LiuFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Jiawen DongFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Lin ZhuFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Sitong ShenFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China.
Bernhard KolbergDepartment of Internal Medicine, Mannheim Medical School of Heidelberg University, Mannheim, Germany.
Jing LiFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China. 1725155193@qq.com.
Jiangwei ShiFirst Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin, China. shijw20250601@163.com.
Junhua ZhangEvidence-Based Medicine Center, Tianjin University of Traditional Chinese Medicine, Tianjin, China. zjhtcm@foxmail.com.

Funding

National Natural Science Foundation of China 81674056
6 · The paper itself

Abstract

purposeThis study aims to explore the connection between the Monocyte to High-Density Lipoprotein Cholesterol Ratio (MHR) and the formation of carotid artery plaque (CAP) in individuals who have experienced a cerebral infarction (CI). Additionally, it examines the relationship between CAP and varying blood pressure and glucose metabolism stratifications.

methodThe investigation involved 10,627 individuals with cerebral infarction. Participants were categorized based on their blood pressure levels and glucose metabolism profiles, and then sorted into tertiles according to their MHRs. Logistic regression analysis was used to assess the relationship between MHR and carotid plaque in CI patients, adjusting for potential confounders and applying FDR correction. Discrimination performance was evaluated using ROC curves, NRI, and IDI. Restricted cubic splines and threshold analysis were employed to explore dose-response relationships and identify inflection points.

resultMHR demonstrated a significant positive association with carotid artery plaque (CAP) in patients with cerebral infarction. For each one-standard deviation increase in standardized MHR, the adjusted OR was 1.154 (95% CI: 1.079–1.235, P < 0.001). The strongest association was found in the T3 group (MHR > 0.552) (OR = 1.392, P < 0.001), which remained significant after FDR correction. Subgroup analysis indicated that this association was significant in individuals with prehypertension (OR = 1.169, P = 0.020), hypertension (OR = 1.180, P < 0.001), prediabetes (OR = 1.158, P < 0.05), and diabetes (OR = 1.137, P < 0.05). After FDR adjustment, the association remained robust in the hypertension group (FDR-adjusted P = 0.004) and the prediabetes group (FDR-adjusted P = 0.030). MHR displayed a nonlinear association with CAP (P for nonlinear = 0.04) and a threshold effect, with an inflection point at 0.89 (OR = 2.47, P < 0.001 when MHR < 0.89). Incorporating MHR improved the model’s AUC to 0.746 (P = 0.049), with NRI = 0.095 and IDI = 0.002 (both P < 0.001).

conclusionIn patients with cerebral infarction, MHR is significantly associated with carotid plaque. This association remains robust in hypertensive and prediabetic patients after FDR adjustment. Furthermore, MHR exhibits a nonlinear relationship with carotid plaque and a threshold effect at an inflection point of 0.89, significantly enhancing plaque discrimination performance.

Indexed as

Cerebral InfarctionCholesterol, HDLMonocytesPlaque, AtheroscleroticAgedBlood GlucoseBlood PressureCarotid ArteriesFemaleGlucoseHumansMaleMiddle AgedRisk FactorsBlood GlucoseCholesterol, HDLGlucoseBlood pressureCarotid Artery PlaqueCerebral infarctionGlucose metabolismMHR

Identifiers

PMID41794800
PMCPMC13081265

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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.