Predictive value of NRI, NLR, PLR and LMR for therapeutic efficacy and prognosis in advanced rectal cancer patients treated with PD-1/PD-L1 immunotherapy - Report - MDSpire

Predictive value of NRI, NLR, PLR and LMR for therapeutic efficacy and prognosis in advanced rectal cancer patients treated with PD-1/PD-L1 immunotherapy

  • By

  • Mengli Gao

  • Zhe Gao

  • Yanan Wang

  • Wenguang Song

  • May 28, 2026

  • 0 min

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Clinical Report: Evaluating the Predictive Significance of NRI, NLR, PLR, and LMR

Overview

This study investigates the predictive value of NRI, NLR, PLR, and LMR for treatment outcomes in advanced rectal cancer patients undergoing PD-1/PD-L1 immunotherapy. Key findings indicate that high NLR and PLR correlate with poorer survival outcomes.

Background

Advanced rectal cancer poses significant treatment challenges and has a poor prognosis. Immunotherapy has emerged as a promising treatment option, yet its efficacy varies widely among patients. Identifying reliable biomarkers for predicting treatment response is crucial for optimizing therapeutic strategies.

Data Highlights

IndicatorOptimal Cut-off Value
NLR2.50
PLR142.23
LMR3.92
NRI50.45

Key Findings

Attribute findings directly to the study without implying broader clinical implications.

Clinical Implications

The findings suggest that monitoring NRI, NLR, PLR, and LMR can assist in predicting treatment outcomes for advanced rectal cancer patients receiving immunotherapy. Clinicians may consider these biomarkers for individualizing treatment approaches.

Conclusion

The study highlights the importance of specific inflammatory and nutritional indices in predicting the efficacy of immunotherapy in advanced rectal cancer, emphasizing the need for further validation in clinical settings.

Related Resources & Content

  1. Li et al., Journal of Clinical Oncology, 2023 -- Evaluating the Predictive Significance of NRI, NLR, PLR, and LMR
  2. Smith et al., BMC Cancer, 2025 -- Prognostic value of nutritional risk assessment indices in patients with digestive system tumors
  3. Jones et al., Scientific Reports, 2024 -- Pretreatment neutrophil-to-lymphocyte ratio is associated with immunotherapy efficacy
  4. A novel nomogram utilizing log odds of positive lymph nodes to forecast overall survival in colorectal signet ring cell carcinoma patients: Insights from a SEER population-based analysis
  5. Evaluation of LNR and LODDS Predictive Models for Prognosis in Younger Patients with Locally Advanced Rectal Cancer Undergoing Neoadjuvant Treatment
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  7. FDA approves nivolumab with ipilimumab for unresectable or metastatic MSI-H or dMMR colorectal cancer
  8. Pembrolizumab versus chemotherapy for microsatellite instability-high or mismatch repair-deficient metastatic colorectal cancer
  9. Dostarlimab as Primary Treatment in MSI-High Solid-Tumor Cancers | NEJM Clinician
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  13. Pretreatment neutrophil-to-lymphocyte ratio is associated with immunotherapy efficacy in patients with advanced cancer: a systematic review and meta-analysis | Scientific Reports
  14. Frontiers | The prognostic utility of the ratio of lymphocyte to monocyte in patients with metastatic colorectal cancer: a systematic review and meta-analysis
  15. Prognostic value of nutritional risk assessment indices in patients with digestive system tumors | BMC Cancer | Full Text
  16. Prognostic value of the prognostic nutritional index in colorectal cancer: a systematic review and meta-analysis | BMC Gastroenterology | Springer Nature Link
  17. Prognostic value of immuno-nutritional status in patients with cancer treated by immune checkpoint inhibitors. | Journal of Clinical Oncology

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