Evidence map›Paper›PMID 39966658›Full record

ArticleBritish journal of cancer2025

Associations of mucinous differentiation and mucin expression with immune cell infiltration and prognosis in colorectal adenocarcinoma.

Hanna Elomaa, Vilma Tarkiainen, Ville K Äijälä, Päivi Sirniö, Maarit Ahtiainen, Onni Sirkiä, Henna Karjalainen, Meeri Kastinen, Vilja V Tapiainen, Jukka Rintala and 11 more

Abstract read
In one paragraph

Article in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. The Power of MUC2 in Mucinous Adenocarcinomas.Pathobiology : journal of immunopathology, molecular and cellular biology · 2026
    Review
  10. Review
  11. Article
  12. Article
  13. 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
    Article
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

21 authors.

Hanna Elomaa *Department of Education and Research, Hospital Nova of Central Finland, Well Being Services County of Central Finland, Jyväskylä, Finland.
Vilma Tarkiainen *Department of Biological and Environmental Science, University of Jyväskylä, Jyväskylä, Finland.
Ville K ÄijäläTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.
Päivi SirniöTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.
Maarit AhtiainenCentral Finland Biobank, Hospital Nova of Central Finland, Well Being Services County of Central Finland, Jyväskylä, Finland.
Onni SirkiäDepartment of Pathology, Hospital Nova of Central Finland, Well Being Services County of Central Finland, Jyväskylä, Finland.
Henna KarjalainenTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.
Meeri KastinenTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.
Vilja V TapiainenTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.
Jukka RintalaTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.
Sanna MeriläinenTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.
Juha SaarnioTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.
Tero RautioTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.
Anne TuomistoTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID http://orcid.org/0000-0002-9949-1887
Olli HelminenTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.
Erkki-Ville WirtaDepartment of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland.
Toni T SeppäläFaculty of Medicine and Health Technology, Tampere University and Tays Cancer Center, Tampere University Hospital, Tampere, Finland.
Jan BöhmDepartment of Pathology, Hospital Nova of Central Finland, Well Being Services County of Central Finland, Jyväskylä, Finland.
Markus J MäkinenTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland.ORCID http://orcid.org/0000-0002-9200-4118
Jukka-Pekka MecklinDepartment of Education and Research, Hospital Nova of Central Finland, Well Being Services County of Central Finland, Jyväskylä, Finland.
Juha P VäyrynenTranslational Medicine Research Unit, University of Oulu, Medical Research Center Oulu, and Oulu University Hospital, Oulu, Finland. juha.vayrynen@oulu.fi.ORCID http://orcid.org/0000-0002-8683-2996

Funding

Emil Aaltosen Säätiö (Emil Aaltonen Foundation) 220022KEmil Aaltosen Säätiö (Emil Aaltonen Foundation) 220257PSigrid Juséliuksen Säätiö (Sigrid Jusélius Foundation) 230229Syöpäsäätiö (Cancer Foundation Finland) 59-5619Syöpäsäätiö (Cancer Foundation Finland) 64-6279
6 · The paper itself

Abstract

backgroundThe production of extracellular mucus and expression of mucins are commonly aberrant in colorectal cancer, yet their roles in tumour progression remain unclear.

methodsTo investigate the potential influence of mucus on immune response and prognosis, we analysed mucinous differentiation (non-mucinous, 0%; mucinous component, 1-50%; mucinous, >50%) and its associations with immune cell densities (determined with three multiplex immunohistochemistry assays or conventional immunohistochemistry) and survival in 1049 colorectal cancer patients and a validation cohort of 771 patients. We also assessed expression patterns of transmembrane (MUC1, MUC4) and secreted (MUC2, MUC5AC and MUC6) mucins using immunohistochemistry.

resultsMucinous differentiation was associated with higher densities of CD14

conclusionsAlthough mucinous differentiation did not independently predict survival, extracellular mucus and MUC1 expression could promote tumour progression through immunosuppression.

Indexed as

AdenocarcinomaAdenocarcinoma, MucinousColorectal NeoplasmsMucinsAgedCell DifferentiationFemaleHumansLymphocytes, Tumor-InfiltratingMaleMiddle AgedPrognosisMucins

Identifiers

PMID39966658
PMCPMC11961615

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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.