Combination of lymphocyte count and albumin concentration as a new prognostic biomarker for rectal cancer

Sci Rep. 2021 Mar 3;11(1):5027. doi: 10.1038/s41598-021-84475-4.

Abstract

Although numerous studies have highlighted the prognostic values of various inflammation-related markers, clinical significance remains to be elucidated. The prognostic values of inflammation-related biomarkers for rectal cancer were investigated in this study. A total of 448 patients with stage II/III rectal cancer undergoing curative resection were enrolled from the discovery cohort (n = 240) and validation cohort (n = 208). We comprehensively compared the prognostic values of 11 inflammation-related markers-derived from neutrophil, lymphocyte, platelet, monocyte, albumin, and C-reactive protein for overall survival (OS) and recurrence-free survival (RFS). Among 11 inflammation-related markers, only "lymphocyte × albumin (LA)" was significantly associated with both OS and RFS in the discovery cohort (P = 0.007 and 0.015, respectively). Multivariate analysis indicated that low LA was significantly associated with poor OS (hazard ratio [HR] 2.19, 95% confidence interval [CI] 1.09-4.58, P = 0.025), and poor RFS (HR 1.61, 95% CI 1.01-2.80, P = 0.048). Furthermore, using the discovery cohort, we confirmed that low LA was significantly associated with poor OS (HR 2.89, 95% CI 1.42-6.00, P = 0.002), and poor RFS (HR 1.79, 95% CI 1.04-2.95, P = 0.034). LA can be a novel prognostic biomarker for stage II/III rectal cancer.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Biomarkers / blood
  • Blood Platelets / immunology
  • Blood Platelets / pathology
  • C-Reactive Protein / immunology
  • C-Reactive Protein / metabolism
  • Cohort Studies
  • Female
  • Humans
  • Inflammation
  • Lymphocyte Count
  • Lymphocytes / immunology
  • Lymphocytes / pathology*
  • Male
  • Middle Aged
  • Monocytes / immunology
  • Monocytes / pathology
  • Neoplasm Staging
  • Neutrophils / immunology
  • Neutrophils / pathology
  • Prognosis
  • Rectal Neoplasms / diagnosis*
  • Rectal Neoplasms / immunology
  • Rectal Neoplasms / mortality
  • Rectal Neoplasms / pathology
  • Serum Albumin / immunology
  • Serum Albumin / metabolism*
  • Survival Analysis

Substances

  • Biomarkers
  • Serum Albumin
  • C-Reactive Protein