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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004168naa a2200457 4500
001oai:DiVA.org:umu-190660
003SwePub
008211221s2021 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1906602 URI
024a https://doi.org/10.1159/0005183972 DOI
040 a (SwePub)umu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Beilmann-Lehtonen, Ines4 aut
2451 0a The Relationship between the Tissue Expression of TLR2, TLR4, TLR5, and TLR7 and Systemic Inflammatory Responses in Colorectal Cancer Patients
264 c 2021-09-08
264 1b S. Karger,c 2021
338 a print2 rdacarrier
520 a Background: Colorectal cancer (CRC) is the third most commonly diagnosed malignancy globally. CRC patients with elevated plasma C-reactive protein (CRP) levels exhibit compromised prognoses. Toll-like receptors (TLRs), activating the innate and adaptive immune systems, may contribute to pro- and antitumorigenic inflammatory responses. We aimed to identify a possible link between local and systemic inflammatory responses in CRC patients by investigating the association between tissue TLRs and plasma CRP.Methods: Tissue expressions of TLR2, TLR4, TLR5, and TLR7 were assessed using immunohistochemistry of tissue microarray slides from 549 CRC patients surgically treated between 1998 and 2005. Blood samples were drawn preoperatively, centrifuged, aliquoted, and stored at −80°C until analysis. Plasma CRP was determined through high-sensitivity time-resolved immunofluorometric assay. We investigated the association of TLRs to clinicopathologic variables, plasma CRP, and survival.Results: High TLR2 expression (hazard ratio [HR] 0.59; 95% confidence interval [CI] 0.41–0.85; p = 0.005), high TLR5 expression (HR 0.60; 95% CI 0.45–0.83; p = 0.002), positive TLR7 expression (HR 0.49; 95% CI 0.33–0.72; p < 0.001), and low CRP (HR 1.48; 95% CI 1.08–2.11; p = 0.017) were associated with a better prognosis. A high TLR2 immunoexpression was associated with a better prognosis among low-CRP patients (HR 0.53; 95% CI 0.35–0.80; p = 0.002), high TLR4 expression among high-CRP patients (HR 2.04; 95% CI 1.04–4.00; p = 0.038), high TLR5 expression among low-CRP patients (HR 0.059; 95% CI 0.37–0.92; p = 0.021), and positive TLR7 expression among low-CRP patients (HR 0.53; 95% CI 0.28–1.00; p = 0.049). In multivariate analyses, no biomarkers emerged as significant independent variables.Conclusions: High tissue TLR2, TLR5, and TLR7 levels were associated with a better prognosis. Among low-CRP patients, those with high TLR2, TLR5, and TLR7 immunoexpressions exhibited a better prognosis. Among high CRP patients, a high TLR4 immunoexpression was associated with a better prognosis.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Cancer och onkologi0 (SwePub)302032 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cancer and Oncology0 (SwePub)302032 hsv//eng
653 a Colorectal cancer
653 a Immunohistochemistry
653 a Prognosis
653 a Survival
653 a Toll-like receptor
700a Hagström, Jaana4 aut
700a Kaprio, Tuomas4 aut
700a Stenman, Ulf-Håkan4 aut
700a Strigård, Karinu Umeå universitet,Kirurgi,Clister4 aut0 (Swepub:umu)kast0065
700a Palmqvist, Richardu Umeå universitet,Patologi4 aut0 (Swepub:umu)ripa0001
700a Gunnarsson, Ulfu Umeå universitet,Kirurgi,Clister4 aut0 (Swepub:umu)ulgu0014
700a Böckelman, Camilla4 aut
700a Haglund, Caj4 aut
710a Umeå universitetb Kirurgi4 org
773t Oncologyd : S. Kargerg 99:12, s. 790-801q 99:12<790-801x 0030-2414x 1423-0232
856u https://helda.helsinki.fi/bitstream/10138/338688/1/The_Relationship_Between_the_Tissue_Expression_of_TLR2_TLR4_TLR5_and_TLR7_and_Systemic_Inflammatory_Responses_in_Colorectal_Cancer_Patients_.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-190660
8564 8u https://doi.org/10.1159/000518397

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