Monocyte to high-density lipoprotein cholesterol ratio is associated with cerebral small vessel diseases.
BMC Neurol
; 24(1): 18, 2024 Jan 04.
Article
en En
| MEDLINE
| ID: mdl-38178033
ABSTRACT
BACKGROUND:
Inflammation is a major pathological mechanism underlying cerebrovascular disease. Recently, a new inflammatory marker based on the ratio between monocyte count and high-density lipoprotein (HDL) cholesterol has been proposed. In this study, we evaluated the relationship between monocyte-to-HDL cholesterol ratio (MHR) and cerebral small vessel disease (cSVD) lesions in health check-up participants.METHODS:
This study was a retrospective cross-sectional study based on a registry that prospectively collected health check-up participants between 2006 and 2013. Three cSVD subtypes were measured on brain magnetic resonance imaging. White matter hyperintensity (WMH) volume, and lacunes and cerebral microbleeds (CMBs) were quantitatively and qualitatively measured, respectively. The MHR was calculated according to the following formula MHR = monocyte counts (× 103/µL) / HDL cholesterol (mmol/L).RESULTS:
In total, 3,144 participants were evaluated (mean age 56 years, male sex 53.9%). In multivariable analyzes adjusting for confounders, MHR was significantly associated with WMH volume [ß = 0.099, 95% confidence interval (CI) = 0.025 to 0.174], lacune [adjusted odds ratio (aOR) = 1.43, 95% CI = 1.07-1.91], and CMB (aOR = 1.51, 95% CI = 1.03-2.19). In addition, MHR showed a positive quantitative relationship with cSVD burden across all three subtypes WMH (P < 0.001), lacunes (P < 0.001), and CMBs (P < 0.001).CONCLUSIONS:
High MHR was closely associated with cSVD in health check-up participants. Because these associations appear across all cSVD subtypes, inflammation appears to be a major pathological mechanism in the development of various cSVDs.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Monocitos
/
Enfermedades de los Pequeños Vasos Cerebrales
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Límite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
BMC Neurol
Asunto de la revista:
NEUROLOGIA
Año:
2024
Tipo del documento:
Article
País de afiliación:
Corea del Sur