Evidence map›Paper›PMID 41972145›Full record

ArticleFrontiers in immunology2026

The neutrophil-to-lymphocyte ratio is associated with adverse outcomes in patients with anti-neutrophil cytoplasmic antibody-associated vasculitis.

Yunan Li, Zirui Liu, Di Zhang, Ziyi Sun, Haomiao Zhang, Liyuan Xie, Hongshan Chen, Chenxi Cai, Yuanyuan Li, Junya Jia and 1 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Yunan Li *Department of Nephrology, Kidney Disease Medical Center, General Hospital, Tianjin Medical University, National Key Clinical Specialty, Tianjin Key Medical Discipline, Tianjin, China.
Zirui Liu *Department of Nephrology, Kidney Disease Medical Center, General Hospital, Tianjin Medical University, National Key Clinical Specialty, Tianjin Key Medical Discipline, Tianjin, China.
Di ZhangDepartment of Nephrology, Kidney Disease Medical Center, General Hospital, Tianjin Medical University, National Key Clinical Specialty, Tianjin Key Medical Discipline, Tianjin, China.
Ziyi SunDepartment of Nephrology, Kidney Disease Medical Center, General Hospital, Tianjin Medical University, National Key Clinical Specialty, Tianjin Key Medical Discipline, Tianjin, China.
Haomiao ZhangDepartment of Nephrology, Kidney Disease Medical Center, General Hospital, Tianjin Medical University, National Key Clinical Specialty, Tianjin Key Medical Discipline, Tianjin, China.
Liyuan XieDepartment of Nephrology, Kidney Disease Medical Center, General Hospital, Tianjin Medical University, National Key Clinical Specialty, Tianjin Key Medical Discipline, Tianjin, China.
Hongshan ChenDepartment of Nephrology, Kidney Disease Medical Center, General Hospital, Tianjin Medical University, National Key Clinical Specialty, Tianjin Key Medical Discipline, Tianjin, China.
Chenxi CaiDepartment of Nephrology, Kidney Disease Medical Center, General Hospital, Tianjin Medical University, National Key Clinical Specialty, Tianjin Key Medical Discipline, Tianjin, China.
Yuanyuan LiDepartment of Nephrology, Kidney Disease Medical Center, General Hospital, Tianjin Medical University, National Key Clinical Specialty, Tianjin Key Medical Discipline, Tianjin, China.
Junya JiaDepartment of Nephrology, Kidney Disease Medical Center, General Hospital, Tianjin Medical University, National Key Clinical Specialty, Tianjin Key Medical Discipline, Tianjin, China.
Pengcheng XuDepartment of Nephrology, Kidney Disease Medical Center, General Hospital, Tianjin Medical University, National Key Clinical Specialty, Tianjin Key Medical Discipline, Tianjin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The neutrophil-to-lymphocyte ratio (NLR) is a convenient biomarker reflecting systemic inflammation and immune balance. While its prognostic value is established in other diseases, its role in predicting long-term outcomes in patients with ANCA-associated vasculitis (AAV) remains unclear. This study aimed to investigate the association between NLR and organ involvement, all-cause mortality, and end-stage renal disease (ESRD) in AAV patients. Methods: We conducted a retrospective study of 532 patients first diagnosed with AAV at Tianjin Medical University General Hospital between June 2012 and June 2024. The primary outcome was all-cause mortality, and the secondary outcome was ESRD. Logistic regression was used to assess associations between NLR and organ involvement. Restricted cubic spline (RCS), Cox proportional hazards regression, Kaplan-Meier survival analysis, time-dependent receiver operating characteristic (ROC) and subgroup analysis were employed to analyze the association between NLR and outcomes in AAV patients. Results: At baseline, patients with higher NLR level exhibited more severe inflammation, worse renal function, and higher disease activity (all Conclusion: A nonlinear relationship with a saturation effect was observed between NLR and all-cause mortality in AAV patients. An elevated NLR served as an independent risk factor for adverse outcomes. This simple biomarker could be valuable for risk stratification in AAV patients.

Indexed as

Anti-Neutrophil Cytoplasmic Antibody-Associated VasculitisLymphocytesNeutrophilsAgedBiomarkersFemaleHumansKidney Failure, ChronicLymphocyte CountMaleMiddle AgedPrognosisRetrospective StudiesBiomarkersall-cause deathANCA-associated vasculitisend-stage renal disease (ESRD)neutrophil-to-lymphocyte ratio (NLR)prognosis

Identifiers

PMID41972145
PMCPMC13062306

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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.