Evidence map›Paper›PMID 31196200›Full record

ArticleJournal of translational medicine2019

Platelet count, aspirin use, and characteristics of host inflammatory responses in colorectal cancer.

Juha P Väyrynen, Sara A Väyrynen, Päivi Sirniö, Ilkka Minkkinen, Kai Klintrup, Toni Karhu, Jyrki Mäkelä, Karl-Heinz Herzig, Tuomo J Karttunen, Anne Tuomisto and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
1.2field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
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  3. Unraveling the Effects and Characteristics of Proliferating Tumor and Cytotoxic T Cells in Colorectal Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  4. Significance of Th1 and Th2 Cell Densities and Th1/Th2 Cytokine Profiles in Colorectal Cancer.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 3 countries.

Juha P VäyrynenCancer and Translational Medicine Research Unit, University of Oulu, POB 5000, 90014, Oulu, Finland. juha.vayrynen@oulu.fi.ORCID 0000-0002-8683-2996
Sara A VäyrynenCancer and Translational Medicine Research Unit, University of Oulu, POB 5000, 90014, Oulu, Finland.
Päivi SirniöCancer and Translational Medicine Research Unit, University of Oulu, POB 5000, 90014, Oulu, Finland.
Ilkka MinkkinenCancer and Translational Medicine Research Unit, University of Oulu, POB 5000, 90014, Oulu, Finland.
Kai KlintrupResearch Unit of Surgery, Anesthesia and Intensive Care, University of Oulu, POB 5000, 90014, Oulu, Finland.
Toni KarhuResearch Unit of Biomedicine and Biocenter of Oulu, University of Oulu, POB 5000, 90014, Oulu, Finland.
Jyrki MäkeläResearch Unit of Surgery, Anesthesia and Intensive Care, University of Oulu, POB 5000, 90014, Oulu, Finland.
Karl-Heinz HerzigResearch Unit of Biomedicine and Biocenter of Oulu, University of Oulu, POB 5000, 90014, Oulu, Finland.
Tuomo J KarttunenCancer and Translational Medicine Research Unit, University of Oulu, POB 5000, 90014, Oulu, Finland.
Anne TuomistoCancer and Translational Medicine Research Unit, University of Oulu, POB 5000, 90014, Oulu, Finland.
Markus J MäkinenCancer and Translational Medicine Research Unit, University of Oulu, POB 5000, 90014, Oulu, Finland.
Oulu University Hospital · FIHarvard University · USPoznan University of Medical Sciences · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPlatelets not only contribute to hemostasis but also to the regulation of inflammatory reactions and cancer pathogenesis. We hypothesized that blood platelet count would be associated with systemic inflammation, the densities of tumor infiltrating immune cells, and survival in colorectal cancer (CRC), and these relationships could be altered by aspirin use.

methodsWe measured blood platelet count in a cohort of 356 CRC patients and analyzed its relationships with tumor and patient characteristics including aspirin use, markers of systemic inflammation (modified Glasgow Prognostic Score, mGPS; serum levels of CRP, albumin, and 13 cytokines), blood hemoglobin levels, five types of tumor infiltrating immune cells (CD3, CD8, FoxP3, Neutrophil elastase, mast cell tryptase), and survival.

resultsPlatelet count inversely correlated with blood hemoglobin levels (p < 0.001) and positively correlated with serum levels of CRP and multiple cytokines including IL-1RA, IL-4, IL-6, IL-7, IL-8, IL-12, IFNγ, and PDGF-BB (p < 0.001 for all), while aspirin use was not associated with the levels of systemic inflammatory markers. High platelet count was also associated with high mGPS (p < 0.001) but did not show statistically significant multivariable adjusted associations with the densities of tumor infiltrating immune cells. Higher platelet counts were observed in higher tumor stage (p < 0.001), but platelet count or aspirin use were not associated with patient survival.

conclusionsHigh platelet count is associated with systemic inflammation in CRC. This study could not demonstrate statistically significant associations between platelet count, aspirin use, and the densities of tumor infiltrating immune cells.

Indexed as

AdenocarcinomaColorectal NeoplasmsAdultAgedAspirinBiomarkersBlood PlateletsCohort StudiesCytokinesFemaleHumansInflammationInflammation MediatorsMaleMiddle AgedPlatelet CountAspirinBiomarkersCytokinesInflammation MediatorsAspirinColorectal cancerCRPCytokineInflammationPlateletPrognosisThrombocytosis

Identifiers

PMID31196200
PMCPMC6567577
OpenAlexW2952120738

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.