Beta
181215

Association between Neutrophil-To-Lymphocyte and Platelet-To-Lymphocyte Ratios with Chronic Allograft Nephropathy

Article

Last updated: 03 Jan 2025

Subjects

-

Tags

-

Abstract

Background: In several diseases, both neutrophil-to-lymphocyte ratio (NLR) and platelet-to-lymphocyte ratio (PLR) are reliable indicators of chronic inflammation. Endothelial dysfunction is widely distributed in renal transplant patients and is caused by inflammation and can lead to the malfunction of the graft. Objective: To detect the correlations of NLR and PLR with chronic allograft nephropathy (CAN) in recipients of kidney transplants and determine the cutoff values for the prediction of CAN. Patients and Methods: 68 kidney transplant recipients shared in the study between January 2017 and December 2019. They were two groups. Group 1 (44 subjects) had estimated glomerular filtration rate (eGFR) ≥ 60 ml/m/1.73 m2 and group 2 (24 subjects) had eGFR less than 60 ml/m/1.73 m2. Results: The two groups had similar age and sex distributions. eGFR was shown to be adversely linked to NLR and PLR. The optimal cutoff level of NLR for predicting chronic allograft nephropathy was ≥1.58 and the optimal cutoff level of PLR was ≥109.13. Conclusion: Significant correlations were detected between kidney function tests and each of NLR and PLR. PLR is a more sensitive inflammatory marker to predict chronic allograft nephropathy than NLR with a sensitivity of 83.33 % versus 66.67 %.

DOI

10.21608/ejhm.2021.181215

Keywords

Glomerular Filtration Rate, Graft rejection, Inflammation, Kidney transplantation

Authors

First Name

Walid Ahmed Ragab

Last Name

Abdelhamid

MiddleName

-

Affiliation

Internal Medicine Department, Faculty of Medicine, Zagazig University, Zagazig, Egypt

Email

-

City

-

Orcid

-

Volume

84

Article Issue

1

Related Issue

25405

Issue Date

2021-07-01

Receive Date

2021-07-01

Publish Date

2021-07-01

Page Start

2,231

Page End

2,236

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_181215.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=181215

Order

97

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Association between Neutrophil-To-Lymphocyte and Platelet-To-Lymphocyte Ratios with Chronic Allograft Nephropathy

Details

Type

Article

Created At

22 Jan 2023