Spectrum of Lipid Profile among Cancer Patients: Pre and Post Treatment Analysis, a Prognostic Factor Determining Quality of Life
Keywords:
Cancer, Lipid profile, Pre-Post treatment analysisAbstract
The objective of the study was to analyze the lipid profile among cancer patients and their pre and post treatment evaluation to monitor the effect of Lipids in cancer progression.It was a retrospective observational study conducted at Shaukat Khanum Memorial Cancer Hospital from January 1st 2023 to January 1st 2025. Serum samples of 392 patients were included in the study that were already analysed on automated chemistry analyser Atellica for serum lipid profile along with two levels of Quality Control by BioRad. The lipid profile included serum total cholesterol, triglyceride (TGs), low-density lipoprotein (LDL), and high-density lipoproteins (HDL). Kolmogrov’s Smirnov test was applied for normality. For pre-post treatment comparison, Wilcoxon rank sum test was used. The data was analysed using SPSS version 29. The results showed that about 63% females participated compared to 37% males. Participants were put in four age groups and lipid parameters were highest in the age group of 26-40. Breast carcinoma was the most frequent (41%) followed by CA Colon (7.4%). There was a significant difference (P value< 0.005) in lipid parameters pre and post-treatment except HDL-C (P value=0.538). We also found a significant difference in serum lipids with highest and the lowest value of LDL-C in CA Breast and CA kidney (116 ± 38.9 vs 89 ± 33.1). It was concluded that for early monitoring of the disease, patients can be grouped as low and high risk depending on their LDL levels. Furthermore, LDL-C proved to be a target for treatment in cancer patients for restricting the growth and progression of the disease.
References
. Safi R, Menéndez P, Pol A. Lipid droplets provide metabolic flexibility for cancer progression. FEBS Lett. 2024 May; 598(10):1301-1327. doi: 10.1002/1873-3468.14820. Epub 2024 Feb 7. PMID: 38325881.
. Vogel, F.C.E., Chaves-Filho, A.B. & Schulze, A. Lipids as mediators of cancer progression and metastasis. Nat Cancer 5, 16–29 (2024). https://doi.org/10.1038/s43018-023-00702-z
. Broadfield LA, Pane AA, Talebi A, Swinnen JV and Fendt SM (2021) Lipid metabolism in cancer: new perspectives and emerging mechanisms. Dev Cell 56, 1363–1393.
. Martin-Perez M, Urdiroz-Urricelqui U, Bigas C and Benitah SA (2022) The role of lipids in cancer progression and metastasis. Cell Metab 34, 1675–1699.
. Grabner GF, Xie H, Schweiger M and Zechner R (2021) Lipolysis: cellular mechanisms for lipid mobilization from fat stores. Nat Metab 3, 1445–1465.
. Zadoorian A, Du X and Yang H (2023) Lipid droplet biogenesis and functions in health and disease. Nat Rev Endocrinol 19, 443–459.
. Bosch M and Pol A (2022) Eukaryotic lipid droplets: metabolic hubs, and immune first responders. Trends Endocrinol Metab 33, 218–229
. Walther TC, Kim S, Arlt H, Voth GA and Farese RV Jr (2023) Structure and function of lipid droplet assembly complexes. Curr Opin Struct Biol 80, 102606.
. McLelland G-L, Lopez-Osias M, Verzijl CRC, Ellenbroek BD, Oliveira RA, Boon NJ, Dekker M, van den Hengel LG, Ali R, Janssen H et al. (2023) Identification of an alternative triglyceride biosynthesis pathway. Nature 621, 171–178
. Cruz AL, Barreto EA, Fazolini NPB, Viola JPB and Bozza PT (2020) Lipid droplets: platforms with multiple functions in cancer hallmarks. Cell Death Dis 11, 105
. Lee, D., Ko, H., & Kim, A. (2022). Lipid profile and survival time in patients with terminal cancer: a cross-sectional study. Annals Of Palliative Medicine, 11(10), 3075-3084. doi:10.21037/apm-22-366
. Markeli? I, Hlap?i? I, Rogi? D, Rako I, Samaržija M, Popovi?-Grle S, Rumora L, Vuki? Dugac A. Lipid profile and atherogenic indices in patients with stable chronic obstructive pulmonary disease. Nutr Metab Cardiovasc Dis. 2021 Jan 4;31(1):153-161. doi: 10.1016/j.numecd.2020.07.039. Epub 2020 Aug 5. PMID: 32981798.
. Shabana, Shahid SU, Sarwar S. The abnormal lipid profile in obesity and coronary heart disease (CHD) in Pakistani subjects. Lipids Health Dis. 2020 Apr 14;19(1):73. doi: 10.1186/s12944-020-01248-0. PMID: 32290855; PMCID: PMC7158030.
. M. J. Shahwan, A. A. Jairoun, A. Farajallah, and S. Shanabli, “Prevalence of dyslipidemia and factors afecting lipid profle in patients with type 2 diabetes,” Diabetes & Metabolic Syndrome: Clinical Research & Reviews, vol. 13, no. 4, pp. 2387–2392, 2019.
. Chen, Xinru & Yin, Wenjin & Zhao, Yingying & Lu, Jinsong. (2024). Abstract PO5-02-08: Prognostic value of serum lipid levels in breast cancer patients who received neoadjuvant chemotherapy: A retrospective exploratory analysis of the prospective cohort. Cancer Research. 84. PO5-02. 10.1158/1538-7445.SABCS23-PO5-02-08.
. T. Lofterød, E. S. Mortensen, H. Nalwoga et al., “Impact of prediagnostic triglycerides and HDL-cholesterol on breast cancer recurrence and survival by breast cancer subtypes,” BMC Cancer, vol. 18, no. 1, p. 654, 2018.
. D. Diakowska, K. Grabowski, M. Nienartowicz, P. Zar?bski, K. Fudalej, and K. Markocka-M?czka, “Circulating oxidized low-density lipoproteins and antibodies against oxidized low density lipoproteins as potential biomarkers of colorectal cancer,” Gastroenterology Research and Practice, vol. 2015, Article ID 146819, 7 pages, 2015.
. M. J. Shahwan, A. A. Jairoun, A. Farajallah, and S. Shanabli, “Prevalence of dyslipidemia and factors affecting lipid profile in patients with type 2 diabetes,” Diabetes & Metabolic Syndrome: Clinical Research & Reviews, vol. 13, no. 4, pp. 2387– 2392, 2019.
. J. Heshmati, M. Sepidarkish, N. Namazi et al., “Impact of dietary calcium supplement on circulating lipoprotein concentrations and atherogenic indices in overweight and obese individuals: a systematic review,” Journal of Dietary Supplements, vol. 16, no. 3, pp. 357–367, 2019.
. Maran L, Hamid A, Hamid SBS. Lipoproteins as Markers for Monitoring Cancer Progression. J Lipids 2021;2021:8180424. [Crossref] [PubMed]
. Lohe VK, Degwekar SS, Bhowate RR, Kadu RP, Dangore SB. Evaluation of correlation of serum lipid profile in patients with oral cancer and precancer and its association with tobacco abuse. J Oral Pathol Med. 2010 Feb;39(2):141-8. doi: 10.1111/j.1600-0714.2009.00828.x. Epub 2009 Dec 7. PMID: 20002982.
. Laisupasin P., Thompat W., Sukarayodhin S., Sornprom A., Sudjaroen Y. Comparison of serum lipid profiles between normal controls and breast cancer patients. Journal of Laboratory Physicians. 2013;5(1):38–41. doi: 10.4103/0974-2727.115934. [DOI] [PMC free article] [PubMed] [Google Scholar]
. Crespo-Sanjuán J., Calvo-Nieves M. D., Aguirre-Gervás B., et al. Early detection of high oxidative activity in patients with adenomatous intestinal polyps and colorectal adenocarcinoma: myeloperoxidase and oxidized low-density lipoprotein in serum as new markers of oxidative stress in colorectal cancer. Laboratory Medicine. 2015;46(2):123–135. doi: 10.1309/LMZJJU6BC86WUDHW. [D
. Zettler M. E., Prociuk M. A., Austria J. A., Massaeli H., Zhong G., Pierce G. N. OxLDL stimulates cell proliferation through a general induction of cell cycle proteins. American Journal of Physiology-Heart and Circulatory Physiology. 2003;284(2):H644–H653. doi: 10.1152/ajpheart.00494.2001. [DOI] [PubMed] [Google Scholar].
Downloads
Published
Issue
Section
License
Copyright (c) 2025 American Scientific Research Journal for Engineering, Technology, and Sciences

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Authors who submit papers with this journal agree to the following terms.