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Protocol

Home-built environment interventions and inflammation biomarkers: a systematic review and meta-analysis protocol

Eva Hernandez-Garcia, Evangelia Chrysikou, Larissa Nekhlyudov, Derek W Gilroy and José M Ordóñez-Mena
BJGP Open 2022; 6 (4): BJGPO.2022.0104. DOI: https://doi.org/10.3399/BJGPO.2022.0104
Eva Hernandez-Garcia
1 The Bartlett School of Sustainable Construction, University College London, London, UK
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  • For correspondence: eva.hernandez.20@ucl.ac.uk
Evangelia Chrysikou
1 The Bartlett School of Sustainable Construction, University College London, London, UK
2 Clinic of Social and Family Medicine, Department of Social Medicine, University of Crete, Heraklion, Greece
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Larissa Nekhlyudov
3 Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA
4 Department of Medical Oncology, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA
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Derek W Gilroy
5 Centre for Clinical Pharmacology and Therapeutics, Division of Medicine, University College London, London, UK
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José M Ordóñez-Mena
6 Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK
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    Figure 1. Conceptual framework describing the relationships between home-built environment intervention, systemic inflammatory response, clinical outcomes and general practice care of survivors of cancer.

    *In daytime. Minimum melanopic equivalent daylight illuminance at the eye measured in the vertical plane at 1.2m height. 25(OH)D = 25 hydroxyvitamin D. 5-HT = 5-hydroxytryptamine/serotonin. AC = adrenal cortex. ALB = albumin. COR = cortisol. COX = cyclooxygenase. CRP = c-reactive protein. E = environmental. EDI = melanopic equivalent daylight illuminance. ESR = erythrocyte sedimentation rate. Fer = ferritin. FGN = fibrinogen. G-CSF = granulocyte-colony stimulating factor. GP = general practice. Hb = haemoglobin. H-BE = home-built environment. HDL-C = high-density lipoprotein cholesterol. IGF = insulin-like growth factor. IL = interleukin. LC = leukocyte count. LED = light-emitting diode. MEL = melatonin. NSAIDs = non-steroidal anti-inflammatory drugs. Personal E exposure = Personal environmental exposure. PG = prostaglandin. PLT = platelets. PV = plasma viscosity. RBC = red blood cells. SIR = systemic inflammatory response. TC = total cholesterol. TG = triglycerides. TP = total protein. TX = therapy. VEGF = vascular endothelial growth factor. WBC = white blood cells.

Tables

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    Table 1. Summary of cancer-associated systemic inflammatory response biomarkers
    GroupIDMarkerIDMarker
    Circulating individual inflammatory markersa
    G1–10Inflammatory mediators
    G1Cytokines
    1–42Interleukins94–96Interferons
    43–47Colony-stimulating factors97–99Tumour necrosis factor
    48–51Adipokines100Macrophage migration inhibitory factor
    52–93Chemokines
    G2Growth factors
    101Transforming growth factor112Hepatocyte growth factor
    102–104Vascular endothelial growth factor113Nerve growth factor
    105Platelet-derived growth factor114,115Insulin, insulin-like growth factor
    106–108Fibroblast growth factor116–118Endothelins
    109,110Epidermal growth factor119,120Renin-angiotensin system
    111Placental growth factor121–129Angiopoietin, angiopoietin-like protein
    G3Transcription factors
    130Nuclear factor kappa B133–138Signal transducers and activators of transcription
    131,132Nuclear factor erythroid 2-related factor139–141Hypoxia-inducible factor
    G4Immunoglobulins
    142–149Cell-adhesion molecules150–152Programmed cell death protein
    G5Eicosanoids
    153,154Cyclooxygenase160Lipoxygenase
    155–158Prostaglandins161–164Leukotrienes
    159Thromboxane165Lipoxins
    G6Acute phase proteins
    166–168C-reactive protein188–195Plasminogen activation system
    169–172Pentraxins family196–197Microglobulins
    173–175Serum amyloid A198–201Transport proteins
    176–178Alpha globulins202–205Complement system
    179–184Extracellular matrix proteins206–209Albumin, transferrin
    185–187Fibrinogen, D-dimer
    G7Matrix metalloproteinases
    210–225Matrix metalloproteinases
    G8Redox active mediators
    226,227Metalloproteins (haemoglobin; heme)233Calcitriol
    228–231Vitamin D (25-hydroxyvitamin D)234Melatonin
    232Calcidiol2356-sulfatoxymelatonin
    G9Lipoproteins
    236–238Very low-, low-, high-density lipoprotein241Total cholesterol
    239Oxidised low-density lipoprotein242Triglycerides
    240Apolipoprotein
    G10Adrenal cortex hormones and neurotransmitters
    243–245Glucocorticoids251–253Catecholamines
    246–250Neurotransmitters
    G11–13Inflammatory effector cells
    254Platelets259–265White blood cells
    255–258Red blood cells
    Combining multiple inflammatory markers (into a score)a
    cG11.13White blood cells-platelets parameters
    266Lymphocyte to monocyte ratio269Derived Neutrophil to lymphocyte ratio
    267Neutrophil to lymphocyte ratio270–272Novel combined scoring systemb
    268Platelet to lymphocyte ratio
    cG6Acute phase proteins parameters, combinations
    273–275Glasgow prognostic scores277–280Novel combined scoring systemb
    276Prognostic inflammatory and nutritional index
    cG11.6White blood cells-acute phase proteins parameters, combinations
    281–285Novel combined scoring systemb
    cG11.6.8White blood cells-acute phase proteins-redox active mediators parameters
    286Combined haemoglobin, albumin, lymphocyte, platelet
    cG10Lipoprotein particle-derived measure of insulin resistance
    287Lipoprotein insulin resistance score
    • aThe proposed panel of 287 cancer-associated inflammatory biomarkers could be modified and upgraded over time in accordance with clinical efficacy tested and promising clinical results of novel candidates. Before eligibility, it was verified that each biomarker could be identified in blood, urine, or saliva samples.bNovel combined inflammation-based scoring systems proposed in further research will be incorporated into panel.

    • G = group. cG = combined group. ID = identifier

Supplementary Data

  • HG_BJGPO.2022.0104_Supp.pdf -

    Supplementary material is not copyedited or typeset, and is published as supplied by the author(s). The author(s) retain(s) responsibility for its accuracy.

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Home-built environment interventions and inflammation biomarkers: a systematic review and meta-analysis protocol
Eva Hernandez-Garcia, Evangelia Chrysikou, Larissa Nekhlyudov, Derek W Gilroy, José M Ordóñez-Mena
BJGP Open 2022; 6 (4): BJGPO.2022.0104. DOI: 10.3399/BJGPO.2022.0104

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Home-built environment interventions and inflammation biomarkers: a systematic review and meta-analysis protocol
Eva Hernandez-Garcia, Evangelia Chrysikou, Larissa Nekhlyudov, Derek W Gilroy, José M Ordóñez-Mena
BJGP Open 2022; 6 (4): BJGPO.2022.0104. DOI: 10.3399/BJGPO.2022.0104
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Keywords

  • housing
  • home-built environment
  • biomarkers
  • inflammation
  • cancer survivor
  • Comorbidity
  • chronic disease
  • General Practice
  • community care

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