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Intratumor Bacterial Presence and Serum Amyloid A in Colorectal Cancer

Article scientifique 2021 Anglais

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Abstract Background & Aims:The initiation, development, and progression of many cancers, including colorectal cancer (CRC), are associated with environmental factors. A significant link exists between specific bacterial infections and cancer incidence, with a strong association between chronic infection, chronic inflammation and colorectal carcinogenesis. Recently, we reported significantly increased levels of lipopolysaccharide in CRC patient blood, compared to that of healthy individuals. By analysing CRC tumors, this study aims to contribute to the identification of (novel) markers/factors associated with CRC tumorigenesis.Methods: Colorectal tumor samples from newly diagnosed (histologically confirmed) CRC patients (n = 24) and morphologically normal colon biopsies (n = 10) were collected and analysed in a cross-sectional study. Immunohistochemistry protocols and statistical signal analysis were used to detect specific bacteria and proteins of interest in human colorectal tissue. Furthermore, the presence of structural protein changes in CRC tumor tissues, compared to control tissues, was investigated using the fluorescent amyloidselective Amytracker™ 630 marker and confocal microscopy.Results: We show an intratumor bacterial presence in CRC patients, with high levels of Escherichia coli strongly associated with CRC. High levels of intratumor serum amyloid A are also strongly associated with CRC. Furthermore, Helicobacter pylori is elevated, but to a smaller degree, and only when we account for data imbalance. We also report a significantly enhanced amyloid-specific fluorescence signal in CRC tumors, compared to control tissues.Conclusions: The role that infections play in a variety of cancers, including CRC, is increasingly recognized, and we provide evidence of a bacterial presence in CRC tumors. The analysis of CRC tumors, in addition to CRC blood, offers unique opportunities to investigate factors that may fuel colorectal carcinogenesis, and to ultimately identify novel markers that are associated with CRC.

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Waal, G., Villiers, W., Rigby, J., Roberts, T., Pretorius, E. (2021). Intratumor Bacterial Presence and Serum Amyloid A in Colorectal Cancer. https://doi.org/10.21203/rs.3.rs-403105/v1

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Auteur(s)

Greta M. de Waal Willem J.S. de Villiers Jonathan Rigby Timothy Roberts Etheresia Pretorius

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