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100 1 _ |a Yuan, Tanwei
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245 _ _ |a Methylation-based smoking signatures in blood and tissue samples for the prediction of self-reported smoking status and mortality in patients with colorectal cancer.
260 _ _ |a [Erscheinungsort nicht ermittelbar]
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520 _ _ |a Smoking is a well-established risk factor for colorectal cancer (CRC) development. However, the reliability of DNA methylation-based smoking signatures in predicting smoking status and their prognostic value in CRC remain unclear, particularly across different biological sample types.Five previously validated methylation-based smoking signatures were analyzed in 2237 CRC patients with blood-derived DNA and 2273 patients with tumor tissue-derived DNA. Blood-derived signatures showed strong correlations with self-reported smoking status, effectively differentiating current smokers from never smokers (all p < 0.0001), with excellent discriminative ability (median area under the receiver operating characteristic curve: 0.94). In contrast, tumor tissue-derived signatures exhibited much weaker associations with smoking status. Among non-metastatic CRC patients, blood-derived methylation signatures were significantly associated with increased risks of all-cause and non-CRC-related mortality, but not with CRC-specific mortality. Conversely, two tumor tissue-derived signatures demonstrated stronger associations with CRC-specific mortality compared to blood-derived signatures.Blood-derived methylation-based smoking signatures are robust indicators for smoking exposure and are associated with increased mortality risk among non-metastatic CRC patients. When applied to tumor tissue, signatures showed stronger associations with CRC-specific mortality.
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650 _ 7 |a Colorectal cancer
|2 Other
650 _ 7 |a DNA methylation biomarkers
|2 Other
650 _ 7 |a Prognosis
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650 _ 7 |a Smoking
|2 Other
650 _ 2 |a Humans
|2 MeSH
650 _ 2 |a Colorectal Neoplasms: genetics
|2 MeSH
650 _ 2 |a Colorectal Neoplasms: mortality
|2 MeSH
650 _ 2 |a Colorectal Neoplasms: blood
|2 MeSH
650 _ 2 |a DNA Methylation
|2 MeSH
650 _ 2 |a Male
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650 _ 2 |a Female
|2 MeSH
650 _ 2 |a Middle Aged
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650 _ 2 |a Smoking: genetics
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650 _ 2 |a Smoking: adverse effects
|2 MeSH
650 _ 2 |a Smoking: blood
|2 MeSH
650 _ 2 |a Self Report
|2 MeSH
650 _ 2 |a Aged
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650 _ 2 |a Prognosis
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650 _ 2 |a Risk Factors
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700 1 _ |a Tagscherer, Katrin E
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700 1 _ |a Roth, Wilfried
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700 1 _ |a Bewerunge-Hudler, Melanie
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700 1 _ |a Brobeil, Alexander
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700 1 _ |a Kloor, Matthias
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700 1 _ |a Bläker, Hendrik
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700 1 _ |a Brenner, Hermann
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700 1 _ |a Hoffmeister, Michael
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773 _ _ |a 10.1186/s13148-025-01918-9
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