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. 2021 Feb 6;13(4):658. doi: 10.3390/cancers13040658

Table 2.

Potential Systemic Inflammatory Biomarkers.

Biomarker Unfavorable Univariate Value Multivariate Value Impact Design Number of
Patients/Range
Cut-Off Value References
WBC count High HR: N.S.-1.9 HR: N.S.-2.3 All prog All R 84–363 8.1–15.6 109/L/8.3 109/L * [102,103,107,109,110,111,112,113,114,115,116,117]
Lymphocytes Low N.S.-N.R. N.S. All prog All R 105–285 1.27–2.0 109/L [102,114,117]
Monocyte count High HR: N.R.-4.0 HR: N.S.-2.7 All prog All R 105–667 0.55 109/L [43,102,114]
M-CSF High HR: 1.6 HR: N.S Prog R 36 1120 [79]
Neutrophil count High HR: N.S.-N.R. HR: N.S. All prog All R 105–285 5.3–5.89 109/L [102,114,117]
Platelet count High HR: N.S-2.1 HR: N.S.-2.1 All prog All R 84–363 300–450 g/L, 400 109/L * [102,103,107,109,110,111,112,113,114,115,116,117,118]
NLR High HR: N.S.-2.3 HR: N.S.-2.7 All prog All R 30–285 3 and 5/5 * [102,103,104,109,110,111,112,113,119,120,121]
NLR normalization after treatment No HR: N.R.-2.2 All prog All R 66–69 Decline to 5 [109,111]
LMR Low HR: N.R. HR: N.S.-1.8 All prog All R 105–283 2.36–2.74 [102,114,122]
PLR High HR: N.R.-1.5 HR: N.S. All prog All R 105–285 144–300 [102,103,114]
CRP High HR: N.S-2.8 HR: N.S.-2.7 All prog and [11] pred All R 115–363 10–50 mg/L/10 mg/L* [11,102,103,115,116,123]
CAR High HR: N.S.-2.6 HR: N.S.-2.1 All prog All R 100–201 0.58 and 7.5, 0.58 * [102,104,124]
mGPS High HR: N.R. HR: 2.6 Prog R 132 1 [103]
Fibrinogen High HR: 2.1 HR: 1.8 Prog and pred R 176 750 mg/dL [10]
Albumin Low HR: N.R.-1.5 HR: N.S.-1.8 All prog All R 97–278 35–40 g/L, 35 g/L * [102,103,114,125]
C4d High HR: 7.3 high vs. low HR: 0.3 low vs. high Prog R 30 1.5 µg/mL [8]
Activin A High HR: 0.4 HR: 0.4 Prog R 119 574.0 pg/mL [55]
sPD-L1 High HR: N.R. H.R.: N.S. Prog P 40 0.07–1.83 ng/mL measured at 4 timepoints during therapy [15]

BC white blood cell, M-CSF macrophage colony stimulating factor, NLR neutrophil-to-lymphocyte ratio, LMR lympho-cyte-to-monocyte ratio, PLR platelet-to-lymphocyte ratio, IL-6 interleukin 6, CRP C-reactive protein, CAP CRP-to-Albumin ratio, mGPS modified Glasgow prognostic score, C4d Circulating complement component 4d, sPD-L1 soluble programmed cell death ligand 1, HR hazard ratio, N.R. not reported, N.S. not significant, Prog prognostic bi-omarker, Pred predictive biomarker, R retrospective, P prospective, * most frequently used cut-off value.