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Association between systemic inflammation and serum prostate-specific antigen in a healthy Korean population

Authors
Yun, JonghyunLee, HyunyoungYang, Wonjae
Issue Date
Sep-2017
Publisher
AVES
Keywords
Prostatic hyperplasia; screening; systemic inflammation
Citation
TURKISH JOURNAL OF UROLOGY, v.43, no.3, pp 284 - 288
Pages
5
Journal Title
TURKISH JOURNAL OF UROLOGY
Volume
43
Number
3
Start Page
284
End Page
288
URI
https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/7262
DOI
10.5152/tud.2017.25901
ISSN
2149-3235
Abstract
Objective: Serum prostate-specific antigen (PSA) may be elevated in healthy men with systemic inflammation. We aimed to investigate the association between systemic inflammation markers and serum PSA in a healthy Korean population. Material and methods: A cohort of 20,151 healthy native Korean men without prostate disease between the ages of 40 and 65 years who underwent medical checkups were studied from January 2007 to December 2013. Serum total PSA and serum C-reactive protein concentrations, neutrophil, lymphocyte, and platelet counts were determined. The neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio (PLR) were calculated. We checked the correlation between systemic inflammation markers and PSA. Results: Data obtained from 18,800 healthy men were analyzed. The mean age of the study subjects was 50.72 +/- 7.62 years and the mean NLR was 1.764 +/- 0.804. Correlation analysis after adjustment for age and body mass index (BMI) revealed that neutrophil count (coefficient = 0.028, p value <0.001), and NLR (coefficient = 0.027, p value <0.001) correlated with PSA. Multivariate analysis using the full model revealed that age, neutrophil count and NLR were positively correlated with PSA (p<0.001, 0.001, and 0.043 respectively). Multivariate analysis using a stepwise model revealed that age, neutrophil count and NLR were positively correlated with PSA (p<0.001, 0.001, and 0.040, respectively) and BMI was negatively correlated with PSA (p<0.001). Conclusion: Systemic inflammation markers are useful with a serum PSA in a healthy Korean population. NLR in particular is significantly associated with serum PSA.
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