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@ARTICLE{Nimptsch:180440,
author = {K. Nimptsch and K. Aleksandrova and V. Fedirko and M. Jenab
and M. J. Gunter and P. D. Siersema and K. Wu and V.
Katzke$^*$ and R. Kaaks$^*$ and S. Panico and D. Palli and
A. M. May and S. Sieri and B. Bueno-de-Mesquita and K.
Standahl and M.-J. Sánchez and A. Perez-Cornago and A.
Olsen and A. Tjønneland and C. B. Bonet and C. C. Dahm and
M.-D. Chirlaque and V. Fiano and R. Tumino and A. B. Gurrea
and M.-C. Boutron-Ruault and F. Menegaux and G. Severi and
B. van Guelpen and Y.-A. Lee and T. Pischon},
title = {{P}re-diagnostic {C}-reactive protein concentrations, {CRP}
genetic variation and mortality among individuals with
colorectal cancer in {W}estern {E}uropean populations.},
journal = {BMC cancer},
volume = {22},
number = {1},
issn = {1471-2407},
address = {Heidelberg},
publisher = {Springer},
reportid = {DKFZ-2022-01335},
pages = {695},
year = {2022},
abstract = {The role of elevated pre-diagnostic C-reactive protein
(CRP) concentrations on mortality in individuals with
colorectal cancer (CRC) remains unclear.We investigated the
association between pre-diagnostic high-sensitivity CRP
concentrations and CRP genetic variation associated with
circulating CRP and CRC-specific and all-cause mortality
based on data from 1,235 individuals with CRC within the
European Prospective Investigation into Cancer and Nutrition
cohort using multivariable-adjusted Cox proportional hazards
regression.During a median follow-up of 9.3 years, 455
CRC-specific deaths were recorded, out of 590 deaths from
all causes. Pre-diagnostic CRP concentrations were not
associated with CRC-specific (hazard ratio, HR highest
versus lowest quintile 0.92, $95\%$ confidence interval, CI
0.66, 1.28) or all-cause mortality (HR 0.91, $95\%$ CI 0.68,
1.21). Genetic predisposition to higher CRP (weighted score
based on alleles of four CRP SNPs associated with higher
circulating CRP) was not significantly associated with
CRC-specific mortality (HR per CRP-score unit 0.95, $95\%$
CI 0.86, 1.05) or all-cause mortality (HR 0.98, $95\%$ CI
0.90, 1.07). Among four investigated CRP genetic variants,
only SNP rs1205 was significantly associated with
CRC-specific (comparing the CT and CC genotypes with TT
genotype, HR 0.54, $95\%$ CI 0.35, 0.83 and HR 0.58, $95\%$
CI 0.38, 0.88, respectively) and all-cause mortality (HR
0.58, $95\%$ CI 0.40, 0.85 and 0.64, $95\%$ CI 0.44, 0.92,
respectively).The results of this prospective cohort study
do not support a role of pre-diagnostic CRP concentrations
on mortality in individuals with CRC. The observed
associations with rs1205 deserve further scientific
attention.},
cin = {C020},
ddc = {610},
cid = {I:(DE-He78)C020-20160331},
pnm = {313 - Krebsrisikofaktoren und Prävention (POF4-313)},
pid = {G:(DE-HGF)POF4-313},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:35739525},
doi = {10.1186/s12885-022-09778-9},
url = {https://inrepo02.dkfz.de/record/180440},
}