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. 2024 Jun 24;15(6):717–729. doi: 10.5306/wjco.v15.i6.717

Table 1.

Relevant results on the interaction between dyslipidemia and other metabolic disturbances and thrombosis or other factors in myeloproliferative neoplasm

Ref.
Study sample
MPN subtypes
Main findings
Pedersen et al[33] 116728 Not specified ↓ Apolipoprotein A1 (HR = 1.59, 95%CI: 1.22-2.08; P < 0.001) = ↑ risk of MPNs
Pedersen et al[33] 116728 Not specified ↓ HDL-C (HR = 1.66, 95%CI: 1.22-2.26; P < 0.001) = ↑ risk of MPNs
Zhang et al[34] 1537 PV, ET, PMF ↑ Rates of dyslipidemia in MPNs individuals with thrombotic events vs thrombosis-free (62.1% vs 37.9%; P < 0.0001)
García-Fortes
et al[36]
668 PMF, post-PV MF, post-ET MF Negative association of survival and dyslipidemia in MF (HR = 4.65, 95%CI: 3.11-6.95; P < 0.001)
Stein et al[38] 164 PV, ET, PMF Association of dyslipidemia and history of thrombotic events (OR = 2.31, 95%CI: 1.00-5.34; P = 0.05) in JAK2V617F-positive MPNs
Gu et al[39] 567 PV CVRFs (including dyslipidemia) = predictors of thrombosis after MPN diagnosis (HR = 4.22, 95%CI: 2.00-8.92; P < 0.001)
Horvat et al[40] 258 PV, ET, PMF Association between dyslipidemia and vascular events (OR = 3.5, 95%CI: 1.8-6.8; P < 0.001), arterial thrombosis (OR = 4.1, 95%CI: 2.0-8.3; P < 0.001), venous thrombosis (OR = 1.5, 95%CI: 0.5-4.5; P = 0.330), arterial thrombosis in ET (OR = 4.5, 95%CI: 1.6-12.6; P = 0.006), and PMF (OR = 6.1, 95%CI: 1.1-33.6; P = 0.046)
Furuya et al[41] 580 ET ↑ TG positively associated with thrombotic events in ET (HR = 3.530, 95%CI: 1.630-7.643; P < 0.001)
Furuya et al[41] 580 ET LDL-C concentrations marginally associated with vascular events in ET (HR = 2.191, 95%CI: 0.966-4.971; P = 0.061)
Furuya et al[41] 580 ET ↑ TG = only CVRF associated with thrombosis in ET (HR = 3.364, 95%CI: 1.541-7.346; P = 0.002)
Furuya et al[41] 580 ET TG ≥ 106.19 mg/dL = ↓ thrombosis-free survival in ET (HR = 2.592; P = 0.026)
Košťál et al[42] 1142 PV, ET, PMF Hypertriglyceridemia not hypercholesterolemia = RF for cerebrovascular events (HR = 1.734, 95%CI: 1.162-2.586; P = 0.008)
Košťál et al[42] 1142 PV, ET, PMF Hypertriglyceridemia and not hypercholesterolemia = RF for cerebrovascular events in MPNs without cytoreductive treatment (OR = 2.265, 95%CI: 1.188-4.318; P = 0.015)
Hashimoto et al[45] 1152 ET Hypertriglyceridemia predicts thrombosis-free survival (HR = 3.018, 95%CI: 1.644-5.540; P < 0.001)
Hashimoto et al[45] 1152 ET ↑ LDL-C marginally predicts thrombosis-free survival (HR = 1.722, 95%CI: 0.979-3.029; P = 0.059)
Benevolo et al[47] 816 PV overweight/obese PV = ↓ post-PV MF rates (HR = 0.38, 95%CI = 0.15-0.94; P = 0.04)
Benevolo et al[47] 816 PV overweight/obese PV = ↑ survival rates (HR = 0.42, 95%CI: 0.18-0.97; P = 0.04)
Christensen et al[48] 3114 PV, ET, PMF obesity + MPNs = ↑ symptom burden & ↓ QoL vs normal-weight MPNs

CI: Confidence interval; CVRFs: Cardiovascular risk factors; ET: Essential thrombocythemia; HDL-C: High-density lipoprotein cholesterol; HR: Hazard ratio; MF: Myelofibrosis; MPNs: Myeloproliferative neoplasms; OR: Odds ratio; PMF: Primary myelofibrosis; PV: Polycythemia vera; QoL: Quality of life; RF: Risk factor; ↑ increased/elevated; ↓: Reduced/decreased.