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2025 ; 24
(1
): 343
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Monocyte-to-HDL ratio (MHR) as a novel biomarker: reference ranges and
associations with inflammatory diseases and disease-specific mortality
#MMPMID41131556
Arabi A
; Abdelhamid A
; Nasrallah D
; Al-Haneedi Y
; Assami D
; Alsheikh R
; Zughaier SM
Lipids Health Dis
2025[Oct]; 24
(1
): 343
PMID41131556
show ga
BACKGROUND: Monocyte-to-HDL Ratio (MHR) biomarker reflects monocyte-driven
inflammation and HDL's anti-inflammatory properties. MHR's reference ranges and
prognostic utility remain undefined. We establish normal MHR reference ranges and
examine its association with inflammatory diseases and mortality. METHODS: Using
NHANES data (1999-2018, 2021-2023), two sets of sex-specific MHR reference ranges
were generated using two healthy adult populations (monocyte count: 6,757;
monocyte percentage: 6,817). Further analyses utilized MHR by monocyte count for
more straightforward interpretation. Adjusted associations between MHR and
inflammatory diseases were assessed in 49,929 adults, and disease-specific
mortality in 35,781. RESULTS: The 2.5th-97.5th percentiles for MHR by monocyte
count were 0.175 (90% CI: 0.167-0.184) to 0.709 (90% CI: 0.690-0.727) in males
and 0.135 (90% CI: 0.130-0.140) to 0.511 (90% CI: 0.503-0.520) in females, with
similar trends for MHR by monocyte percentage. High MHR was most strongly
associated with diabetes (aOR?=?1.76, p?0.001) and cardiovascular disease
(aOR?=?1.69, p?0.001), while mortality risk was highest for kidney disease
(aHR?=?3.13, p?0.001) and diabetes (aHR?=?2.26, p?0.001). CONCLUSION: MHR is
a feasible and accessible biomarker of inflammation and lipid dysregulation that
can be derived from routine laboratory tests and shows strong associations with
cardiometabolic diseases and disease-related mortality.