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High-sensitivity C-reactive protein levels and cancer mortality
Young-Jin Ko1, Young-Min Kwon, Kyae Hyung Kim
1Department of Family Medicine, Center for Health Promotion, Seoul National University Hospital, Seoul, South Korea.
Insights
Elevated high-sensitivity C-reactive protein (hs-CRP) indicates increased cancer mortality risk, particularly lung cancer in men. This inflammatory marker helps identify individuals at higher risk for cancer death.
Area of Science:
- Biomarkers
- Inflammation
- Oncology
Background:
- Inflammation plays a role in cancer initiation and progression.
- High-sensitivity C-reactive protein (hs-CRP) is a key inflammatory marker.
Purpose of the Study:
- To investigate the association between serum hs-CRP levels and mortality in apparently cancer-free Koreans.
- To examine all-cause, cancer-specific, and site-specific cancer mortality risks based on hs-CRP levels.
Main Methods:
- Study included 33,567 participants with available serum hs-CRP data.
- Follow-up for mortality occurred from baseline until December 31, 2008 (average 9.4 years).
Main Results:
- Elevated hs-CRP (≥3 mg/L) was linked to increased all-cause and cancer mortality in men.
- A trend of increased mortality was observed in women, though not statistically significant.
- Elevated hs-CRP was associated with a significantly higher risk of lung cancer mortality in both sexes combined.
Conclusions:
- Elevated hs-CRP levels in apparently cancer-free individuals may predict increased all-cause and cancer mortality.
- hs-CRP can serve as a valuable marker for identifying individuals at elevated risk of cancer death, especially lung cancer in men.
Background:
High-sensitivity C-reactive protein (hs-CRP) is an important inflammatory marker, and inflammation is known to be involved in the initiation and progression of cancer. We investigated the association between serum hs-CRP levels and all-cause mortality, cancer mortality, and site-specific cancer mortality in apparently cancer-free Koreans.
Methods:
A total of 33,567 participants who underwent routine check-ups at a single tertiary hospital health-screening center between May 1995 and December 2006, and whose serum hs-CRP level data were available, were included in the study. Baseline serum hs-CRP levels were obtained and subjects were followed up for mortality from baseline examination until December 31, 2008.
Results:
During an average follow-up of 9.4 years, 1,054 deaths, including 506 cancer deaths, were recorded. The adjusted HRs (aHR; 95% confidence interval [CI]) of subjects with hs-CRP ≥3 mg/L for all-cause and cancer-related mortality were 1.38 (1.15-1.66) and 1.61 (1.25-2.07) in men, and 1.29 (0.94-1.77) and 1.24 (0.75-2.06) in women, respectively, compared with subjects with hs-CRP ≤1 mg/L. Elevated hs-CRP was also associated with an increased risk of site-specific mortality from lung cancer for sexes combined (2.53 [1.57-4.06]).
Conclusions:
This study suggests that elevated levels of hs-CRP in apparently cancer-free individuals may be associated with increased mortality from all-causes and cancer, in particular, lung cancer in men, but not in women.
Impact:
As a marker for chronic inflammation, hs-CRP assists in the identification of subjects with an increased risk of cancer death.
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