Evidence mapPaperPMID 41700215Full record

ArticleJournal of the Endocrine Society2026

Assessment of N/L ratio and subclinical atherosclerosis in FH subjects with or without LDLR mutation.

Francesco Di Giacomo Barbagallo, Giosiana Bosco, Maurizio Di Marco, Sabrina Scilletta, Nicoletta Miano, Marina Martedì, Ivan Privitera, Maria Chiara Papa, Chiara Piazza, Francesca Valenza and 6 more

Abstract read
In one paragraph

Article in Journal of the Endocrine Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Francesco Di Giacomo BarbagalloDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.ORCID https://orcid.org/0009-0007-2746-8104
Giosiana BoscoDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.ORCID https://orcid.org/0009-0004-6036-927X
Maurizio Di MarcoDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.ORCID https://orcid.org/0000-0001-9021-6101
Sabrina ScillettaDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.ORCID https://orcid.org/0009-0001-9061-0368
Nicoletta MianoDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.ORCID https://orcid.org/0000-0003-0429-9807
Marina MartedìDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.
Ivan PriviteraDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.ORCID https://orcid.org/0000-0003-3687-0051
Maria Chiara PapaDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.
Chiara PiazzaDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.
Francesca ValenzaDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.
Giovanni PennisiDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.
Ernestina Marianna De FrancescoDepartment of Medicine and Surgery, "Kore" University of Enna, Enna 94100, Italy.ORCID https://orcid.org/0000-0002-2810-6128
Roberta MalaguarneraDepartment of Medicine and Surgery, "Kore" University of Enna, Enna 94100, Italy.ORCID https://orcid.org/0000-0003-4149-9488
Antonino Di PinoDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.ORCID https://orcid.org/0000-0003-1705-2782
Salvatore PiroDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.ORCID https://orcid.org/0000-0002-1781-0902
Roberto ScicaliDepartment of Clinical and Experimental Medicine, University of Catania, Catania 95123, Italy.ORCID https://orcid.org/0000-0002-7023-3649

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Familial hypercholesterolemia (FH) is a genetic disorder characterized by elevated low-density lipoprotein-cholesterol (LDL-C) and increased cardiovascular risk. While the role of LDL-C in atherogenesis is well established, the contribution of inflammatory activation in FH, particularly in relation to genotype, remains poorly defined. We aimed to evaluate the impact of genotype on neutrophil-to-lymphocyte ratio (NLR) and on subclinical atherosclerosis in a cohort of FH subjects. Methods: We conducted a cross-sectional study on 423 FH subjects not on lipid-lowering therapy and free from atherosclerotic cardiovascular disease. Biochemical, genetic, and vascular assessments were performed in all participants. The population was divided into 2 groups based on genotype: low-density lipoprotein receptor (LDLR; n = 273) and non-LDLR (NLDLR, n = 150). Vascular profile was assessed by coronary artery calcium score and carotid/femoral plaque presence. NLR was calculated from peripheral blood counts. Results: The LDLR group exhibited an higher NLR (2.27 ± 0.86 vs 2.05 ± 0.68, Conclusion: FH subjects with LDLR mutations had a higher NLR and a more severe atherosclerosis distribution. Our findings support the role of NLR as a noninvasive biomarker of early immune activation and highlights the importance of lipoinflammatory status evaluation in FH subjects.

Indexed as

cardiovascular riskfamilial hypercholesterolemiainflammationLDL receptorneutrophil-to-lymphocyte ratiosubclinical atherosclerosis

Identifiers

PMID41700215
PMCPMC12906952

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.