Association between high-density lipoprotein cholesterol and 7-autoantibodies: a study on physical examination data from 2018 to 2023

BackgroundLimited research has explored the effect of high-density lipoprotein cholesterol (HDL-C) on lung cancer’s seven autoantibodies (7-AABs). This study investigated the association between serum HDL-C and 7-AABs among 5,574 Chinese adults aged ≥ 18 years from January 2018 to December 2023.Meth...

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Main Authors: Yang Zhou, Yongbing Sun, Qi Qiao, Xin Qi, Xinbei Lin, Yawei Du, Ao Liu, Jing Zhou, Xue Lv, Zhonglin Li, Xiaoling Wu, Zhi Zou, Michael Zhang, Jiadong Zhu, Feifei Shang, Hao Li, Yongli Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-03-01
Series:Frontiers in Endocrinology
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Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2025.1504266/full
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Summary:BackgroundLimited research has explored the effect of high-density lipoprotein cholesterol (HDL-C) on lung cancer’s seven autoantibodies (7-AABs). This study investigated the association between serum HDL-C and 7-AABs among 5,574 Chinese adults aged ≥ 18 years from January 2018 to December 2023.MethodsThis cross-sectional study utilized physical examination data from the Department of Health Management at Henan Provincial People’s Hospital. The associations between HDL-C and autoantibodies, such as tumor protein 53(P53), SRY-box containing gene 2 (SOX2), and ATP-dependent RNA helicase 4-5 (GBU4-5), were modeled using a restricted cubic spline logistic regression model.ResultsAfter the adjustment for factors, such as age and body mass index, the binary logistic regression model showed distinct correlations between serum HDL-C levels and autoantibodies, including P53, SOX2, and 7-AABs. Restricted cubic spline logistic regression analysis indicated that the increased level of serum HDL-C was associated with a decreased risk of positive P53 (all participants: HDL-C: 1.227–1.366 mmol/L, PHDL-C=0.028), SOX2 (all participants: HDL-C ≥ 1.227 mmol/L, PHDL-C =0.021; all women: HDL-C ≥ 1.224 mmol/L, PHDL-C=0.037), GBU4-5 (all women: HDL-C ≥ 1.269 mmol/L, PHDL-C=0.039), and 7-AABs (all women: HDL-C ≥ 1.224 mmol/L, PHDL-C=0.015). In women, HDL-C levels between 1.163 and 1.224 mmol/L correlated with an increased risk of positive 7-AABs test results.ConclusionsElevated HDL-C levels exhibited an independent association with a reduced risk of positivity for 7-AABs of lung cancer, especially in the female physical examination population. These findings suggest that high HDL-C levels may play a role in hindering lung cancer development with gender differences. However, further confirmation is still needed in the future.
ISSN:1664-2392