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  • Levels of Inflammation Mark...
    Wesselink, Evertine; Balvers, Michiel G J; Kok, Dieuwertje E; Winkels, Renate M; van Zutphen, Moniek; Schrauwen, Ruud W M; Keulen, Eric T P; Kouwenhoven, Ewout A; Breukink, Stephanie O; Witkamp, Renger F; de Wilt, Johannes H W; Bours, Martijn J L; Weijenberg, Matty P; Kampman, Ellen; van Duijnhoven, Fränzel J B

    Cancer epidemiology, biomarkers & prevention, 06/2021, Letnik: 30, Številka: 6
    Journal Article

    We investigated whether preoperative and postoperative levels of inflammation markers, which have mechanistically been linked to colorectal cancer progression, were associated with recurrence and all-cause mortality in patients with colorectal cancer. Data of two prospective cohort studies were used. For the current analysis, patients with stage I to III colorectal cancer were considered. Data on inflammation IL6, IL8, IL10, TNFα, high-sensitivity C-reactive protein (hsCRP), and a combined inflammatory -score were available for 747 patients before surgery and for 614 patients after surgery. The associations between inflammation marker levels and colorectal cancer recurrence and all-cause mortality were examined using multivariable Cox proportional hazard regression models, considering patient characteristics and clinical and lifestyle factors. Higher preoperative and postoperative hsCRP levels were associated with a higher risk of recurrence HR (95% CI), 1.15 (1.02-1.30) and 1.34 (1.16-1.55) and all-cause mortality HR (95% CI) 1.13 (1.01-1.28) and 1.15 (0.98-1.35). A doubling in IL8 levels (preoperative levels HR = 1.23; 95% CI, 1.00-1.53 and postoperative levels HR = 1.61; 95% CI, 1.23-2.12) and a higher combined inflammatory -score (preoperative HR = 1.39; 95% CI, 1.03-1.89 and postoperative HR = 1.56; 95% CI, 1.06-2.28) were associated with a higher risk of all-cause mortality, but not recurrence. No associations between IL6, IL10, and TNFα and recurrence or all-cause mortality were observed. Preoperative and postoperative levels of specific inflammation markers were associated with recurrence and/or all-cause mortality. The complex role of inflammation in cancer recurrence merits further elucidation by investigating local inflammation at the tumor site.