Evidence map›Paper›PMID 34476575›Full record

ArticleJournal of cancer research and clinical oncology2021

The association of immunosurveillance and distant metastases in colorectal cancer.

Sven Jacob, Vindi Jurinovic, Christopher Lampert, Elise Pretzsch, Jörg Kumbrink, Jens Neumann, Ren Haoyu, Bernhard W Renz, Thomas Kirchner, Markus O Guba and 3 more

Abstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
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

8 citing papers in PubMed.

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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

13 authors.

Sven JacobDepartment of General, Visceral and Transplantation Surgery, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.ORCID http://orcid.org/0000-0002-0990-2292
Vindi JurinovicThe Institute for Medical Information Processing, Biometry, and Epidemiology, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Christopher LampertDepartment of General, Visceral and Transplantation Surgery, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Elise PretzschDepartment of General, Visceral and Transplantation Surgery, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Jörg KumbrinkInstitute of Pathology, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Jens NeumannInstitute of Pathology, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Ren HaoyuDepartment of General, Visceral and Transplantation Surgery, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Bernhard W RenzDepartment of General, Visceral and Transplantation Surgery, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Thomas KirchnerInstitute of Pathology, Ludwig-Maximilians-University (LMU) Munich, Munich, Germany.
Markus O GubaDepartment of General, Visceral and Transplantation Surgery, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Jens WernerDepartment of General, Visceral and Transplantation Surgery, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Martin K AngeleDepartment of General, Visceral and Transplantation Surgery, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany.
Florian BöschDepartment of General, Visceral and Transplantation Surgery, University Hospital, LMU Munich, Marchioninistr. 15, 81377, Munich, Germany. florian.boesch@med.uni-muenchen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) is the third most common malignancy worldwide, but the key driver to distant metastases is still unknown. This study aimed to elucidate the link between immunosurveillance and organotropism of metastases in CRC by evaluating different gene signatures and pathways. MATERIAL AND

methodsCRC patients undergoing surgery at the Department of General, Visceral and Transplantation Surgery at the Ludwig-Maximilian University Hospital Munich (Munich, Germany) were screened and categorized into M0 (no distant metastases), HEP (liver metastases) and PER (peritoneal carcinomatosis) after a 5-year follow-up. Six patients of each group were randomly selected to conduct a NanoString analysis, which includes 770 genes. Subsequently, all genes were further analyzed by gene set enrichment analysis (GSEA) based on seven main cancer-associated databases.

resultsComparing HEP vs. M0, the gene set associated with the Toll-like receptor (TLR) cascade defined by the Reactome database was significantly overrepresented in HEP. HSP90B1, MAPKAPK3, PPP2CB, PPP2R1A were identified as the core enrichment genes. The immunologic signature pathway GSE6875_TCONV_VS_FOXP3_KO_TREG_DN with FOXP3 as downstream target was significantly overexpressed in M0. RB1, TMEM 100, CFP, ZKSCAN5, DDX50 were the core enrichment genes. Comparing PER vs. M0 no significantly differentially expressed gene signatures were identified.

conclusionChronic inflammation might enhance local tumor growth. This is the first study identifying immune related gene sets differentially expressed between patients with either liver or peritoneal metastases. The present findings suggest that the formation of liver metastases might be associated with TLR-associated pathways. In M0, a high expression of FOXP3 + tumor infiltrating lymphocytes (TILs) seemed to prevent at least in part metastases. Thus, these correlative findings lay the cornerstone to further studies elucidating the underlying mechanisms of organotropism of metastases.

Indexed as

AgedAged, 80 and overColorectal NeoplasmsFemaleHumansImmunologic SurveillanceLiver NeoplasmsLymphocytes, Tumor-InfiltratingMaleMiddle AgedNeoplasm StagingPeritoneal NeoplasmsColorectal cancerGene signatureHematogenous metastasesLiver metastasesPeritoneal carcinomatosis

Identifiers

PMID34476575
PMCPMC8484134

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Registered trials

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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.