@article{article_286607, title={The relationship between acute exacerbation of chronic obstructive pulmonary disease and neutrophile-to-lymphocyte ratio, serum uric acid and gamma-glutamyl transferase levels}, journal={Turkish Journal of Clinics and Laboratory}, volume={8}, pages={105–112}, year={2017}, DOI={10.18663/tjcl.286607}, url={https://izlik.org/JA75KW88XB}, author={Ogan, Nalan and Bağlan Uzunget, Sezen and Ekici, Berkay}, keywords={inflammation,C- reactive protein,Chronic obstructive pulmonary disease,neutrophil/lymphocyte ratio,serum uric acid}, abstract={<p class="MsoNormal" style="margin-bottom:.0001pt;text-align:justify;line-height:normal;"> <b> <span style="font-family:Arial, sans-serif;font-size:14px;">Aim: </span> </b> <span style="font-family:Arial, sans-serif;"> <span style="font-size:14px;">Chronic inflammation plays a pathogenic role in chronic obstructive </span> <span style="font-size:14px;">  </span> <span style="font-size:14px;">pulmonary disease. Increase in the ratio of circulating neutrophil to lymphocyte ratio (NLR), serum uric acid and gamma-glutamyl transferase (GGT) levels </span> <span style="font-size:14px;">  </span> <span style="font-size:14px;">may serve as a marker of systemic inflammation. The aim of this study is to evaluate the potential predictive value of blood neutrophil-to- lymphocyte NLR and possible role of serum uric acid and gamma-glutamyl transferase levels as biomarkers in chronic obstructive pulmonary disease patients. </span> </span> </p> <p> </p> <p class="MsoNormal" style="margin-bottom:.0001pt;text-align:justify;line-height:normal;"> <b> <span style="font-family:Arial, sans-serif;font-size:14px;">Material and Methods: </span> </b> <span style="font-family:Arial, sans-serif;font-size:14px;">  </span> <span style="font-family:Arial, sans-serif;"> <span style="font-size:14px;">The sample was derived from a population of 276 patients admitted for acute exacerbation of chronic obstructive pulmonary disease to our respiratory medicine department. </span> </span> </p> <p> </p> <p class="MsoNormal" style="margin-bottom:.0001pt;text-align:justify;line-height:normal;"> <b> <span style="font-family:Arial, sans-serif;font-size:14px;">Results: </span> </b> <span style="font-family:Arial, sans-serif;"> <span style="font-size:14px;"> Higher N/L ratios, uric acid and GGT levels were detected in chronic obstructive pulmonary disease patients than in the controls (P < 0.001). Positive correlations between smoking (pack-years) and NLR, serum GGT, uric acid, and C- reactive protein levels were found (P < 0.001; r = 0.339, P < 0.001; r = 0.224, P < 0.001;r = 0.242,and P < 0.001; r = 0.563, respectively). </span> </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:200%;"> <span style="font-size:14px;"> </span> <span style="font-size:14px;"> </span> <span style="font-size:14px;"> </span> </p> <p class="MsoNormal" style="margin-bottom:.0001pt;text-align:justify;line-height:normal;"> <b> <span style="font-family:Arial, sans-serif;font-size:14px;">Conclusion: </span> </b> <span style="font-family:Arial, sans-serif;"> <span style="font-size:14px;"> Our study demonstrated that NLR, serum GGT and uric acid levels are significantly higher in patients with chronic obstructive </span> <span style="font-size:14px;">  </span> <span style="font-size:14px;">pulmonary disease. With regard to the associations between chronic obstructive pulmonary disease and these parameters, they can be used to determine disease burden besides other risk factors in routine clinical practice. </span> </span> </p> <p> </p> <p> <b> </b> </p> <b> </b>}, number={3}