{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,6]],"date-time":"2026-05-06T15:25:04Z","timestamp":1778081104974,"version":"3.51.4"},"reference-count":32,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T00:00:00Z","timestamp":1615852800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Laboratory Analysis"],"published-print":{"date-parts":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Conflicting results are found in the literature relating serum lipids levels and prostate cancer. Some results imply a relationship between them; others contradict this association. The purpose of this study was to investigate a possible association between serum lipids levels and prostate cancer, at time of diagnosis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We measured serum levels of total cholesterol, HDL cholesterol, LDL cholesterol, and triglycerides in 237 patients submitted to a prostate biopsy, with PSA between 2 and 10\u00a0ng\/ml. Patients without cancer at biopsy were used as controls, and the others were considered as cases. No information about lipid\u2010lowering therapy, including statins, was available neither in cases nor in controls. Cases were divided into risk groups, according to the disease severity, based on staging. Lipids levels were compared between groups, using parametric and nonparametric tests. Logistic regression analysis and odds ratios were calculated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>LDL and total cholesterol levels were lower in patients with cancer, with the difference being statistically significant for LDL cholesterol (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.010) and borderline for total cholesterol (<jats:italic>p<\/jats:italic>\u00a0=\u00a00.050). No significant differences were found between the several risk groups. Odds ratios for low LDL cholesterol (&lt;130\u00a0mg\/dl) and low total cholesterol (&lt;200\u00a0mg\/dl), with prostate cancer as the outcome, were 1.983 and 1.703, respectively. There were no significant differences between cases and controls for the other lipids.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Lower LDL cholesterol (&lt;130\u00a0mg\/dl) and lower total cholesterol (&lt;200\u00a0mg\/dl) serum levels seem to associate with prostate cancer, at time of diagnosis.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jcla.23705","type":"journal-article","created":{"date-parts":[[2021,3,16]],"date-time":"2021-03-16T13:38:11Z","timestamp":1615901891000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Serum lipids and prostate cancer"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0302-4094","authenticated-orcid":false,"given":"Manuel M.","family":"Garrido","sequence":"first","affiliation":[{"name":"Department of Clinical Pathology Central Lisbon University Hospital Center &amp; Department of Laboratory Medicine, School of Medicine, University of Lisbon Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 C.","family":"Marta","sequence":"additional","affiliation":[{"name":"Department of Clinical Pathology Central Lisbon University Hospital Center Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ruy M.","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Biomathematics Laboratory School of Medicine, University of Lisbon Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lu\u00eds C.","family":"Pinheiro","sequence":"additional","affiliation":[{"name":"Department of Urology Central Lisbon University Hospital Center &amp; Department of Urology, Nova Medical School Lisbon Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jo\u00e3o T.","family":"Guimar\u00e3es","sequence":"additional","affiliation":[{"name":"Department of Clinical Pathology Sao Joao University Hospital Center &amp; Department of Biomedicine, School of Medicine &amp; Institute of Public Health, University of Porto Porto Portugal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,3,16]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21492"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaoncol.2019.2996"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/13685530412331284687"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/CEJ.0b013e3283647394"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.eururo.2012.11.013"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev.biophys.32.110601.141803"},{"key":"e_1_2_6_8_1","first-page":"1","article-title":"The role of cholesterol metabolism and cholesterol transport in carcinogenesis: a review of scientific findings, relevant to future cancer 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