Serum High-Density Lipoprotein Cholesterol Concentrations in Pancreatic Ductal Adenocarcinoma and Its Association With Histological Grade in a Chinese Population

Background Serum high-density lipoprotein cholesterol (HDL-c) may influence cancer development. However, its relationship with the histological grade of pancreatic ductal adenocarcinoma (PDAC) is not well understood. This study aims to explore the potential associations between serum HDL-c levels an...

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Main Authors: Ying-Ying Cao PhD, Xiao-Jing Lv MD, Hui Li PhD, Li-Chao Qian PhD, Hai-Peng Si MD, Yuan Li PhD, Kai Guo PhD, Shuai Ren PhD, Zhong-Qiu Wang MD
Format: Article
Language:English
Published: SAGE Publishing 2025-01-01
Series:Cancer Control
Online Access:https://doi.org/10.1177/10732748251316602
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author Ying-Ying Cao PhD
Xiao-Jing Lv MD
Hui Li PhD
Li-Chao Qian PhD
Hai-Peng Si MD
Yuan Li PhD
Kai Guo PhD
Shuai Ren PhD
Zhong-Qiu Wang MD
author_facet Ying-Ying Cao PhD
Xiao-Jing Lv MD
Hui Li PhD
Li-Chao Qian PhD
Hai-Peng Si MD
Yuan Li PhD
Kai Guo PhD
Shuai Ren PhD
Zhong-Qiu Wang MD
author_sort Ying-Ying Cao PhD
collection DOAJ
description Background Serum high-density lipoprotein cholesterol (HDL-c) may influence cancer development. However, its relationship with the histological grade of pancreatic ductal adenocarcinoma (PDAC) is not well understood. This study aims to explore the potential associations between serum HDL-c levels and different histological grades of PDAC. Methods This retrospective study included 181 patients with pathologically confirmed PDAC who underwent radical surgery. Clinical data, blood biochemical results, imaging features, and pathological details of the patients were collected, such as age, gender, diabetes, hypertension, tumor grade, tumor size and location, high-density lipoprotein (HDL-c), low-density lipoprotein (LDL), total cholesterol (TC), triglycerides (TG), carbohydrate antigen 19-9 (CA19-9), and carcinoembryonic antigen (CEA). Results Patients with high-grade PDAC had significantly lower HDL-c levels compared to those with low-grade PDAC across both training and validation cohorts ( P < 0.05). Significant associations were found between HDL-c levels and high-grade PDAC in the training ( P < 0.001) and validation ( P = 0.044) groups. Moreover, HDL-c levels were inversely related to lymph node metastasis in the training ( P = 0.001) and validation ( P = 0.012) sets. Conclusions Lower HDL-c levels are associated with high-grade PDAC and lymph node metastasis, suggesting that HDL-c may play a protective role in the progression of PDAC.
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spelling doaj-art-99cc5592590b41e4a008ab533347945e2025-02-10T17:03:27ZengSAGE PublishingCancer Control1526-23592025-01-013210.1177/10732748251316602Serum High-Density Lipoprotein Cholesterol Concentrations in Pancreatic Ductal Adenocarcinoma and Its Association With Histological Grade in a Chinese PopulationYing-Ying Cao PhDXiao-Jing Lv MDHui Li PhDLi-Chao Qian PhDHai-Peng Si MDYuan Li PhDKai Guo PhDShuai Ren PhDZhong-Qiu Wang MDBackground Serum high-density lipoprotein cholesterol (HDL-c) may influence cancer development. However, its relationship with the histological grade of pancreatic ductal adenocarcinoma (PDAC) is not well understood. This study aims to explore the potential associations between serum HDL-c levels and different histological grades of PDAC. Methods This retrospective study included 181 patients with pathologically confirmed PDAC who underwent radical surgery. Clinical data, blood biochemical results, imaging features, and pathological details of the patients were collected, such as age, gender, diabetes, hypertension, tumor grade, tumor size and location, high-density lipoprotein (HDL-c), low-density lipoprotein (LDL), total cholesterol (TC), triglycerides (TG), carbohydrate antigen 19-9 (CA19-9), and carcinoembryonic antigen (CEA). Results Patients with high-grade PDAC had significantly lower HDL-c levels compared to those with low-grade PDAC across both training and validation cohorts ( P < 0.05). Significant associations were found between HDL-c levels and high-grade PDAC in the training ( P < 0.001) and validation ( P = 0.044) groups. Moreover, HDL-c levels were inversely related to lymph node metastasis in the training ( P = 0.001) and validation ( P = 0.012) sets. Conclusions Lower HDL-c levels are associated with high-grade PDAC and lymph node metastasis, suggesting that HDL-c may play a protective role in the progression of PDAC.https://doi.org/10.1177/10732748251316602
spellingShingle Ying-Ying Cao PhD
Xiao-Jing Lv MD
Hui Li PhD
Li-Chao Qian PhD
Hai-Peng Si MD
Yuan Li PhD
Kai Guo PhD
Shuai Ren PhD
Zhong-Qiu Wang MD
Serum High-Density Lipoprotein Cholesterol Concentrations in Pancreatic Ductal Adenocarcinoma and Its Association With Histological Grade in a Chinese Population
Cancer Control
title Serum High-Density Lipoprotein Cholesterol Concentrations in Pancreatic Ductal Adenocarcinoma and Its Association With Histological Grade in a Chinese Population
title_full Serum High-Density Lipoprotein Cholesterol Concentrations in Pancreatic Ductal Adenocarcinoma and Its Association With Histological Grade in a Chinese Population
title_fullStr Serum High-Density Lipoprotein Cholesterol Concentrations in Pancreatic Ductal Adenocarcinoma and Its Association With Histological Grade in a Chinese Population
title_full_unstemmed Serum High-Density Lipoprotein Cholesterol Concentrations in Pancreatic Ductal Adenocarcinoma and Its Association With Histological Grade in a Chinese Population
title_short Serum High-Density Lipoprotein Cholesterol Concentrations in Pancreatic Ductal Adenocarcinoma and Its Association With Histological Grade in a Chinese Population
title_sort serum high density lipoprotein cholesterol concentrations in pancreatic ductal adenocarcinoma and its association with histological grade in a chinese population
url https://doi.org/10.1177/10732748251316602
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