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DNA methylation-derived systemic inflammation indices and their association with oropharyngeal cancer risk and survival

  • Bo Yang
  • , Melissa Eliot
  • , Michael D. McClean
  • , Tim Waterboer
  • , Michael Pawlita
  • , Rondi Butler
  • , Heather H. Nelson
  • , Scott M. Langevin
  • , Brock C. Christensen
  • , Karl T. Kelsey

Research output: Contribution to journal › Article › peer-review

Abstract

Background: Head and neck squamous cell carcinomas are associated with systemic inflammation (SI). We evaluated whether DNA methylation-derived SI (mdSI) indices are associated with oropharyngeal cancer risk and survival. Methods: Ninety-four oropharyngeal squamous cell carcinoma (OPSCC) cases and 57 controls with DNA methylation data were included. Logistic regression analysis and survival analysis were performed to test the association of mdSI indices with OPSCC risk and survival. Results: Higher methylation-derived neutrophil-to-lymphocyte ratio (mdNLR) was associated with increased risk of OPSCC (OR = 1.21, 95%CI: 1.11–1.40) while no association was found with methylation-derived lymphocyte-to-monocyte ratio (mdLMR). For 5-year overall survival, higher mdLMR was significantly associated with decreased risk of death (HR = 0.25, 95%CI: 0.10–0.64) while the converse was observed for mdNLR (HR = 2.48, 95%CI: 1.04–5.92). Conclusion: We observed an association between mdSI indices and OPSCC risk and 5-year overall survival. It is possible to use mdLMR as an independent prognostic factor for OPSCC.

Original languageEnglish (US)
Pages (from-to)904-913
Number of pages10
JournalHead and Neck
Volume44
Issue number4
DOIs
StatePublished - Apr 2022

Bibliographical note

Publisher Copyright:
© 2022 Wiley Periodicals LLC.

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

Keywords

  • DNA methylation
  • head and neck cancer
  • lymphocyte-to-monocyte ratio
  • neutrophil-to-lymphocyte ratio
  • oropharyngeal cancer

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