Evidence map›Paper›PMID 41141615›Full record

ArticleBiochemistry and biophysics reports2025

Soluble CTLA-4 and high-risk genetic variants: A new frontier in pancreatic ductal adenocarcinoma (PDAC) biomarkers.

Marwa Hassan, Yasmine Elhusseny, Fatma Elbatol Agamy, Mariam Magdy Azmy, Mahmoud Balata

Abstract read
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Article in Biochemistry and biophysics reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

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0cells of the map it votes in
3citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Marwa HassanImmunology Department, Theodor Bilharz Research Institute, Giza, Egypt.
Yasmine ElhussenyMedical Biochemistry and Molecular Biology, School of Medicine, NewGiza University, Giza, Egypt.
Fatma Elbatol AgamyFaculty of Medicine, Al-Azhar university, Cairo, Egypt.
Mariam Magdy AzmyFaculty of Biotechnology, Misr University for Science and Technology, Giza, Egypt.
Mahmoud BalataUniversity Hospital Rostock, Ernst-Heydemann-Straße 6, 18057, Rostock, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: CTLA-4 is regarded as the "leader" of immune checkpoint inhibitors, as it suppresses autoreactive T cells at the initial phase of naïve T-cell activation. Its genetic variability may impair its effectiveness in the anti-tumor response. Additionally, the presence of soluble CTLA-4 (sCTLA-4) in the tumor microenvironment suppresses effector T-cell activation, allowing for tumor evasion. Therefore, this study aimed to explore the relationship between CTLA-4 polymorphisms and sCTLA-4 and the risk of pancreatic ductal adenocarcinoma (PDAC) in an Egyptian population. Method: Three single-nucleotide polymorphisms of the CTLA-4 gene (rs231726, rs11571317, and rs13384548) were analyzed, and sCTLA-4 levels were assessed in 125 PDAC patients and 125 healthy controls. Results: The rs231726 TT genotype was associated with a six-fold greater risk of PDAC, advanced disease grades, and elevated carbohydrate antigen 19-9 (CA19-9) and carcinoembryonic antigen (CEA). Also, the T-allele increased the likelihood of developing PDAC by four times. Conversely, the CC genotype and C-allele conferred protection against PDAC development. The rs11571317 CC genotype and C-allele elevated the PDAC risk by 4.91 and 3.49-fold, respectively, with no relationship to disease severity. The rs13384548 polymorphism showed no significant association with PDAC susceptibility. sCTLA-4 correlated positively with CA19-9 and CEA levels, with the highest levels found in individuals possessing the rs231726 TT genotype and high malignancy grades. Conclusions: These findings highlight the potential of CTLA-4 SNPs and sCTLA-4 as biomarkers for PDAC diagnosis and prognosis. Integrating these biomarkers into screening programs can offer improved strategies for early detection and disease management in high-risk populations.

Indexed as

CTLA-4Gene polymorphismsImmune checkpointPancreatic ductal adenocarcinomars11571317rs231726

Identifiers

PMID41141615
PMCPMC12549928

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