Evidence map›Paper›PMID 42545538›Full record

ArticleEndocrine2026

Pan-immune-inflammation value is associated with thyroid autoantibody positivity in a Chinese health examination cohort.

Yunzhi Chen, Jialin Liao, Wenwen Feng, Yanlian Tan, Haixia Guan, Zixiao Wang

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Article in Endocrine, 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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6 authors.

Yunzhi Chen *Department of Endocrinology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 106 Zhongshan Er Road, Guangzhou, 510080, Guangdong Province, China.
Jialin Liao *Department of Endocrinology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 106 Zhongshan Er Road, Guangzhou, 510080, Guangdong Province, China.
Wenwen FengDepartment of Endocrinology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 106 Zhongshan Er Road, Guangzhou, 510080, Guangdong Province, China.
Yanlian TanDepartment of Endocrinology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 106 Zhongshan Er Road, Guangzhou, 510080, Guangdong Province, China.
Haixia GuanDepartment of Endocrinology, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Southern Medical University, 106 Zhongshan Er Road, Guangzhou, 510080, Guangdong Province, China. guanhaixia@gdph.org.cn.
Zixiao WangDepartment of Health Management, The First Hospital of China Medical University, No.155 Nanjing North Street, Heping District, Shenyang, 110001, Liaoning Province, China. wangzixiao0109@126.com.

Funding

Natural Science Foundation of Guangdong Province 2024A1515220020
6 · The paper itself

Abstract

purposeAutoimmune thyroid disease (AITD) is associated with adverse health outcomes, yet routine thyroid autoantibody testing may not always be practical in general screening settings. The pan-immune-inflammation value (PIV), derived from complete blood counts, represents a simple, low-cost marker of systemic inflammation. This study investigated the association between PIV and thyroid autoantibody positivity in a health examination cohort.

methodsThis cross-sectional study included 5,785 Chinese adults undergoing routine health examinations at the First Hospital of China Medical University. Associations between PIV and anti-thyroglobulin (TgAb) or anti-thyroid peroxidase (TPOAb) antibody positivity were evaluated using multivariable logistic regression and restricted cubic spline (RCS) models. Subgroup analyses explored interactions with demographic and metabolic factors.

resultsRCS analyses revealed significant non-linear associations between PIV and TgAb (P for non-linearity = 0.002) as well as TPOAb (P = 0.043) positivity. In fully adjusted models, the highest PIV quartile was associated with an increased risk of TgAb positivity compared to the lowest quartile (OR 1.23, 95% CI 1.03-1.47, P = 0.026). The association with TPOAb was borderline significant (P = 0.061). Notably, the relationship was prominent in females and significantly amplified by hypertension (P for interaction = 0.038).

conclusionElevated PIV is non-linearly associated with thyroid autoantibody positivity, particularly TgAb, with stronger effects observed in women and hypertensive individuals. As an inexpensive index derived from routine blood tests, PIV may be a useful adjunctive marker for identifying thyroid autoantibody positivity.

Indexed as

AutoantibodiesInflammationThyroid GlandAdultAgedBiomarkersChinaCohort StudiesCross-Sectional StudiesFemaleHumansIodide PeroxidaseMaleMiddle Agedanti-thyroglobulinanti-thyroid autoantibodiesAutoantibodiesBiomarkersIodide PeroxidasePan-immune-inflammation valueSystemic inflammationTgAbThyroid autoimmunityTPOAb

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