Evidence map›Paper›PMID 42316575›Full record

ArticleCancer medicine2026

Association of Lipid and Inflammatory Profiles With Tumor Stage in Hepatocellular Carcinoma.

Nanmu Yang, Ting Wang, Xiangjun Qian, Zhongyi Li, Hao Wang, Hang Xing, Yuanlin Xu, Shuaiya Ma, Bo Meng, Xianzhou Zhang and 4 more

Abstract read
In one paragraph

Article in Cancer medicine, 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

14 authors.

Nanmu YangDepartment of Hepatobiliopancreatic Surgery, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Ting WangDepartment of Radiation Oncology, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Xiangjun QianDepartment of Hepatobiliopancreatic Surgery, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Zhongyi LiThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Hao WangThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Hang XingRhode Island Hospital, Alpert Medical School of Brown University, Providence, Rhode Island, USA.ORCID https://orcid.org/0000-0002-5634-1037
Yuanlin XuThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Shuaiya MaThe Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Bo MengDepartment of Hepatobiliopancreatic Surgery, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Xianzhou ZhangDepartment of Hepatobiliopancreatic Surgery, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Feng HanDepartment of Hepatobiliopancreatic Surgery, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.
Yongmei LiDepartment of Pathogen Biology and Department of Genetics, School of Basic Medical Sciences, Tianjin Medical University, Tianjin, China.ORCID https://orcid.org/0000-0003-2625-2006
Dongxiao LiDepartment of Gastroenterology, Henan Provincial People's Hospital, People's Hospital of Zhengzhou University, Zhengzhou, China.
Hao ZhuangDepartment of Hepatobiliopancreatic Surgery, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.

Funding

Henan Clinical Medical Scientist Program HNCMS202406Henan Provincial Medical Science and Technology Project HNSWJW2022029Henan Provincial Medical Science and Technology Project SBGJ202103035Henan Provincial Medical Science and Technology Project SBGJ202402026Henan Provincial Selective Research Funding Program for Returned Scholars Studying Abroad HNLX202626National Key Clinical Discipline Construction ProjectNational Natural Science Foundation of China 81872377National Natural Science Foundation of China 82373076National Natural Science Foundation of China 82573639
6 · The paper itself

Abstract

backgroundHepatocellular carcinoma (HCC) is one of the most common cancers worldwide. Inflammatory responses and lipid metabolism disorders are known to influence cancer development; however, their combined effects on HCC progression remain unclear. This study examined the associations between lipid profiles and inflammatory markers with HCC stage.

methodsIn this cross-sectional study, data from 90 patients with HCC and available Barcelona Clinic Liver Cancer stage information were analyzed. Serum lipid profiles and inflammatory markers were measured, and derived indicators-including non-high-density lipoprotein cholesterol (non-HDL-C), the low-density lipoprotein cholesterol (LDL-C)-to-HDL-C ratio, the total cholesterol (TC)-to-HDL-C ratio, and the neutrophil-to-HDL-C ratio (NHR)-were calculated. Correlation analysis and logistic regression were performed with adjustment for potential confounders. Interaction analysis was conducted to examine relationships among lipid-inflammatory profiles, with findings validated in an independent cohort of 200 patients with HCC.

resultsHDL-C levels were significantly lower in patients with non-advanced stage tumors (0.81 ± 0.27 vs. 1.15 ± 0.28, p < 0.01). HDL-C showed a positive correlation with tumor stage (r = 0.544, p < 0.01), whereas non-HDL-C, LDL-to-HDL ratio, TC-to-HDL ratio, and NHR demonstrated negative correlations (r = -0.269, -0.568, -0.382, and -0.432, respectively; all p < 0.05). In univariate logistic regression analysis, higher LDL-to-HDL ratio (odds ratio [OR] = 0.193, 95% confidence interval [CI]: 0.066-0.562) and higher TC-to-HDL ratio (OR = 0.378, 95% CI: 0.195-0.730) were significantly associated with non-advanced stage, and these associations persisted after adjustment for NHR.

conclusionsLipid-inflammatory profiles were associated with HCC staging in correlation and partially adjusted regression analyses and showed apparent discriminative performance in ROC analysis. However, no independent predictors were identified in the fully adjusted multivariable model. These findings should be considered exploratory and hypothesis-generating, suggesting that lipid-inflammatory profiles may reflect staging-related metabolic and inflammatory alterations rather than serve as independent staging markers. Further validation in large prospective studies is required.

Indexed as

Carcinoma, HepatocellularInflammationLipidsLiver NeoplasmsAgedBiomarkers, TumorCholesterol, HDLCross-Sectional StudiesFemaleHumansMaleMiddle AgedNeoplasm StagingBiomarkers, TumorCholesterol, HDLLipidsHDLhepatocellular carcinomainflammationlipid metabolismtumor staging

Identifiers

PMID42316575
PMCPMC13279361

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