Association of blood count-derived immunoinflammatory makers and risk of epilepsy: A prospective cohort of 497,291 participants.

Seizure

Department of Neurology, the First Affiliated Hospital of Chongqing Medical University, Chongqing Key Laboratory of Neurology, Chongqing 400016, PR China; Institute for Brain Science and Disease of Chongqing Medical University, Chongqing 400016, PR China. Electronic address:

Published: December 2024

AI Article Synopsis

  • The study aimed to investigate how certain blood count-derived immune markers relate to the risk of developing epilepsy over time, using data from a large UK population cohort.
  • Researchers analyzed blood cell ratios and counts in nearly 500,000 participants over a median follow-up of about 12 years, noting that a significant number developed epilepsy during this period.
  • Key findings indicated that higher levels of specific markers like monocytes and certain ratios (NLR, PLR, SII) were linked to an increased risk of epilepsy, while higher lymphocyte counts and the lymphocyte-to-monocyte ratio (LMR) were associated with a decreased risk.

Article Abstract

Objective: To explore the longitudinal association between blood count-derived immunoinflammatory markers and the risk of epilepsy in a large population cohort.

Methods: We used data from the UK Biobank (UKB) to investigate the association between pre-diagnostic peripheral immunoinflammatory cells and their derived ratios, including the neutrophil-to-lymphocyte ratio (NLR), platelet-to-lymphocyte ratio (PLR), lymphocyte-to-monocyte ratio (LMR), systemic immune-inflammation index (SII), and the risk of epilepsy. This was a longitudinal cohort study in which multivariate Cox proportional hazards models and a series of sensitivity and subgroup analyses were performed to explore the nature of these associations.

Results: We examined these associations in a prospective UKB cohort of 497,291 participants. During a median follow-up of 12.43 years, 2,715 participants developed epilepsy. After adjusting for all covariates, the results showed that higher monocyte counts and some blood count-derived immunoinflammatory metrics (monocyte counts, hazard ratio [HR]=1.093, 95 % confidence interval [CI] 1.052-1.136, P<0.001; NLR, HR=1.062, 95 % CI 1.022-1.103, P=0.002; PLR, HR=1.096, 95 % CI 1.055-1.139, P<0.001; SII, HR=1.041, 95 % CI 1.003-1.082, P=0.036) were associated with an increased risk of epilepsy. Conversely, we found that higher lymphocyte counts and LMR were negatively associated with the risk of epilepsy (lymphocyte count, HR=0.889, 95 % CI 0.856-0.923, P < 0.001; LMR, HR=0.85, 95 % CI 0.82-0.881, P < 0.001).

Conclusions: Monocyte count, NLR, PLR, and SII increased the risk of epilepsy, whereas lymphocyte count and LMR decreased it. Further studies will help translate these findings into clinical practice or targeted treatments.

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Source
http://dx.doi.org/10.1016/j.seizure.2024.10.006DOI Listing

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