Lactate dehydrogenase: relationship with the diagnostic GLIM criterion for cachexia in patients with advanced cancer

Background Although suggestive of dysregulated metabolism, the relationship between serum LDH level, phenotypic/aetiologic diagnostic Global Leadership Initiative on Malnutrition (GLIM) criteria and survival in patients with advanced cancer has yet to examined. Methods Prospectively collected data f...

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Veröffentlicht in:British journal of cancer 2023-03, Vol.128 (5), p.760-765
Hauptverfasser: McGovern, Josh, Dolan, Ross D., Simmons, Claribel P. L., Daly, Louise E., Ryan, Aoife M., Power, Derek G., Maguire, Donogh, Fallon, Marie T., Laird, Barry J., McMillan, Donald C.
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container_end_page 765
container_issue 5
container_start_page 760
container_title British journal of cancer
container_volume 128
creator McGovern, Josh
Dolan, Ross D.
Simmons, Claribel P. L.
Daly, Louise E.
Ryan, Aoife M.
Power, Derek G.
Maguire, Donogh
Fallon, Marie T.
Laird, Barry J.
McMillan, Donald C.
description Background Although suggestive of dysregulated metabolism, the relationship between serum LDH level, phenotypic/aetiologic diagnostic Global Leadership Initiative on Malnutrition (GLIM) criteria and survival in patients with advanced cancer has yet to examined. Methods Prospectively collected data from patients with advanced cancer, undergoing anti-cancer therapy with palliative intent, across nine sites in the UK and Ireland between 2011–2016, was retrospectively analysed. LDH values were grouped as 500 Units/L. Relationships were examined using χ 2 test for linear-by-linear association and binary logistics regression analysis. Results A total of 436 patients met the inclusion criteria. 46% ( n  = 200) were male and 59% ( n  = 259) were ≥65 years of age. The median serum LDH was 394 Units/L and 33.5% ( n  = 146) had an LDH > 500 Units/L. LDH was significantly associated with ECOG-PS ( p  
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L. ; Daly, Louise E. ; Ryan, Aoife M. ; Power, Derek G. ; Maguire, Donogh ; Fallon, Marie T. ; Laird, Barry J. ; McMillan, Donald C.</creator><creatorcontrib>McGovern, Josh ; Dolan, Ross D. ; Simmons, Claribel P. L. ; Daly, Louise E. ; Ryan, Aoife M. ; Power, Derek G. ; Maguire, Donogh ; Fallon, Marie T. ; Laird, Barry J. ; McMillan, Donald C.</creatorcontrib><description><![CDATA[Background Although suggestive of dysregulated metabolism, the relationship between serum LDH level, phenotypic/aetiologic diagnostic Global Leadership Initiative on Malnutrition (GLIM) criteria and survival in patients with advanced cancer has yet to examined. Methods Prospectively collected data from patients with advanced cancer, undergoing anti-cancer therapy with palliative intent, across nine sites in the UK and Ireland between 2011–2016, was retrospectively analysed. LDH values were grouped as <250/250–500/>500 Units/L. Relationships were examined using χ 2 test for linear-by-linear association and binary logistics regression analysis. Results A total of 436 patients met the inclusion criteria. 46% ( n  = 200) were male and 59% ( n  = 259) were ≥65 years of age. The median serum LDH was 394 Units/L and 33.5% ( n  = 146) had an LDH > 500 Units/L. LDH was significantly associated with ECOG-PS ( p  < 0.001), NLR ( p  < 0.05), mGPS ( p  < 0.05) and 3-month survival ( p  < 0.001). LDH was significantly associated with 3-month survival independent of weight loss ( p  < 0.01), BMI ( p  < 0.05), skeletal muscle mass ( p  < 0.01), metastatic disease ( p  < 0.05), NLR ( p  < 0.05) and mGPS ( p  < 0.01). Discussion LDH was associated with performance status, systemic inflammation and survival in patients with advanced cancer. LDH measurement may be considered as an aetiologic criteria and become a potential therapeutic target in the treatment of cancer cachexia.]]></description><identifier>ISSN: 0007-0920</identifier><identifier>EISSN: 1532-1827</identifier><identifier>DOI: 10.1038/s41416-022-02099-5</identifier><identifier>PMID: 36517550</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>631/67/2327 ; 631/80/221 ; Biomedical and Life Sciences ; Biomedicine ; Cachexia ; Cancer ; Cancer Research ; Drug Resistance ; Epidemiology ; Female ; Humans ; L-Lactate Dehydrogenase ; Lactic acid ; Leadership ; Male ; Malnutrition ; Malnutrition - diagnosis ; Medical diagnosis ; Metastases ; Molecular Medicine ; Neoplasms - pathology ; Nutrition Assessment ; Nutritional Status ; Oncology ; Retrospective Studies ; Skeletal muscle ; Survival ; Therapeutic targets</subject><ispartof>British journal of cancer, 2023-03, Vol.128 (5), p.760-765</ispartof><rights>The Author(s) 2022</rights><rights>2022. The Author(s).</rights><rights>The Author(s) 2022. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-ee499e1e93ea60516f86fd2abe4daef3be7454c1e65ed4547df9cdf4ed43bf593</citedby><cites>FETCH-LOGICAL-c474t-ee499e1e93ea60516f86fd2abe4daef3be7454c1e65ed4547df9cdf4ed43bf593</cites><orcidid>0000-0003-4260-5334 ; 0000-0002-5272-5906 ; 0000-0002-6889-6240</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977728/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC9977728/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,41464,42533,51294,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36517550$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>McGovern, Josh</creatorcontrib><creatorcontrib>Dolan, Ross D.</creatorcontrib><creatorcontrib>Simmons, Claribel P. L.</creatorcontrib><creatorcontrib>Daly, Louise E.</creatorcontrib><creatorcontrib>Ryan, Aoife M.</creatorcontrib><creatorcontrib>Power, Derek G.</creatorcontrib><creatorcontrib>Maguire, Donogh</creatorcontrib><creatorcontrib>Fallon, Marie T.</creatorcontrib><creatorcontrib>Laird, Barry J.</creatorcontrib><creatorcontrib>McMillan, Donald C.</creatorcontrib><title>Lactate dehydrogenase: relationship with the diagnostic GLIM criterion for cachexia in patients with advanced cancer</title><title>British journal of cancer</title><addtitle>Br J Cancer</addtitle><addtitle>Br J Cancer</addtitle><description><![CDATA[Background Although suggestive of dysregulated metabolism, the relationship between serum LDH level, phenotypic/aetiologic diagnostic Global Leadership Initiative on Malnutrition (GLIM) criteria and survival in patients with advanced cancer has yet to examined. Methods Prospectively collected data from patients with advanced cancer, undergoing anti-cancer therapy with palliative intent, across nine sites in the UK and Ireland between 2011–2016, was retrospectively analysed. LDH values were grouped as <250/250–500/>500 Units/L. Relationships were examined using χ 2 test for linear-by-linear association and binary logistics regression analysis. Results A total of 436 patients met the inclusion criteria. 46% ( n  = 200) were male and 59% ( n  = 259) were ≥65 years of age. The median serum LDH was 394 Units/L and 33.5% ( n  = 146) had an LDH > 500 Units/L. LDH was significantly associated with ECOG-PS ( p  < 0.001), NLR ( p  < 0.05), mGPS ( p  < 0.05) and 3-month survival ( p  < 0.001). LDH was significantly associated with 3-month survival independent of weight loss ( p  < 0.01), BMI ( p  < 0.05), skeletal muscle mass ( p  < 0.01), metastatic disease ( p  < 0.05), NLR ( p  < 0.05) and mGPS ( p  < 0.01). Discussion LDH was associated with performance status, systemic inflammation and survival in patients with advanced cancer. LDH measurement may be considered as an aetiologic criteria and become a potential therapeutic target in the treatment of cancer cachexia.]]></description><subject>631/67/2327</subject><subject>631/80/221</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Cachexia</subject><subject>Cancer</subject><subject>Cancer Research</subject><subject>Drug Resistance</subject><subject>Epidemiology</subject><subject>Female</subject><subject>Humans</subject><subject>L-Lactate Dehydrogenase</subject><subject>Lactic acid</subject><subject>Leadership</subject><subject>Male</subject><subject>Malnutrition</subject><subject>Malnutrition - diagnosis</subject><subject>Medical diagnosis</subject><subject>Metastases</subject><subject>Molecular Medicine</subject><subject>Neoplasms - pathology</subject><subject>Nutrition Assessment</subject><subject>Nutritional Status</subject><subject>Oncology</subject><subject>Retrospective Studies</subject><subject>Skeletal muscle</subject><subject>Survival</subject><subject>Therapeutic targets</subject><issn>0007-0920</issn><issn>1532-1827</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kcFvFCEUxomxsWv1H_BgSLx4GQszMAweTJpGa5M1XvRMWHizQzMLK7DV_vc-nVpbDx7I44Xf9_FePkJecPaGs244LYIL3jesbfEwrRv5iKy47NqGD616TFaMMdUw3bJj8rSUK2w1G9QTctz1kisp2YrUtXXVVqAephuf0xaiLfCWZphtDSmWKezp91AnWieEgt3GVGpw9GJ9-Ym6HCpkxOiYMnXWTfAjWBoi3aMaYi2L1vprGx14RLDkZ-RotHOB57f1hHz98P7L-cdm_fni8vxs3TihRG0AhNbAQXdgeyZ5Pw796Fu7AeEtjN0GlJDCcegleLwpP2rnR4FNtxml7k7Iu8V3f9jswDscKNvZ7HPY2Xxjkg3m4UsMk9mma6O1Uqod0OD1rUFO3w5QqtmF4mCebYR0KKZVUgxy0LxD9NU_6FU65IjrITVgXr1SPVLtQrmcSskw3g3DmfkVqllCNRiq-R2qkSh6eX-NO8mfFBHoFqDgU9xC_vv3f2x_Av54sJM</recordid><startdate>20230323</startdate><enddate>20230323</enddate><creator>McGovern, Josh</creator><creator>Dolan, Ross D.</creator><creator>Simmons, Claribel P. 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L.</au><au>Daly, Louise E.</au><au>Ryan, Aoife M.</au><au>Power, Derek G.</au><au>Maguire, Donogh</au><au>Fallon, Marie T.</au><au>Laird, Barry J.</au><au>McMillan, Donald C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Lactate dehydrogenase: relationship with the diagnostic GLIM criterion for cachexia in patients with advanced cancer</atitle><jtitle>British journal of cancer</jtitle><stitle>Br J Cancer</stitle><addtitle>Br J Cancer</addtitle><date>2023-03-23</date><risdate>2023</risdate><volume>128</volume><issue>5</issue><spage>760</spage><epage>765</epage><pages>760-765</pages><issn>0007-0920</issn><eissn>1532-1827</eissn><abstract><![CDATA[Background Although suggestive of dysregulated metabolism, the relationship between serum LDH level, phenotypic/aetiologic diagnostic Global Leadership Initiative on Malnutrition (GLIM) criteria and survival in patients with advanced cancer has yet to examined. Methods Prospectively collected data from patients with advanced cancer, undergoing anti-cancer therapy with palliative intent, across nine sites in the UK and Ireland between 2011–2016, was retrospectively analysed. LDH values were grouped as <250/250–500/>500 Units/L. Relationships were examined using χ 2 test for linear-by-linear association and binary logistics regression analysis. Results A total of 436 patients met the inclusion criteria. 46% ( n  = 200) were male and 59% ( n  = 259) were ≥65 years of age. The median serum LDH was 394 Units/L and 33.5% ( n  = 146) had an LDH > 500 Units/L. LDH was significantly associated with ECOG-PS ( p  < 0.001), NLR ( p  < 0.05), mGPS ( p  < 0.05) and 3-month survival ( p  < 0.001). LDH was significantly associated with 3-month survival independent of weight loss ( p  < 0.01), BMI ( p  < 0.05), skeletal muscle mass ( p  < 0.01), metastatic disease ( p  < 0.05), NLR ( p  < 0.05) and mGPS ( p  < 0.01). Discussion LDH was associated with performance status, systemic inflammation and survival in patients with advanced cancer. LDH measurement may be considered as an aetiologic criteria and become a potential therapeutic target in the treatment of cancer cachexia.]]></abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>36517550</pmid><doi>10.1038/s41416-022-02099-5</doi><tpages>6</tpages><orcidid>https://orcid.org/0000-0003-4260-5334</orcidid><orcidid>https://orcid.org/0000-0002-5272-5906</orcidid><orcidid>https://orcid.org/0000-0002-6889-6240</orcidid><oa>free_for_read</oa></addata></record>
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subjects 631/67/2327
631/80/221
Biomedical and Life Sciences
Biomedicine
Cachexia
Cancer
Cancer Research
Drug Resistance
Epidemiology
Female
Humans
L-Lactate Dehydrogenase
Lactic acid
Leadership
Male
Malnutrition
Malnutrition - diagnosis
Medical diagnosis
Metastases
Molecular Medicine
Neoplasms - pathology
Nutrition Assessment
Nutritional Status
Oncology
Retrospective Studies
Skeletal muscle
Survival
Therapeutic targets
title Lactate dehydrogenase: relationship with the diagnostic GLIM criterion for cachexia in patients with advanced cancer
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