Prospective evaluation of antibody response to Streptococcus gallolyticus and risk of colorectal cancer
File(s)180105 Butt A IJC.pdf (287.18 KB)
Accepted version
Author(s)
Type
Journal Article
Abstract
The gut microbiome is increasingly implicated in colorectal cancer (CRC) development. A subgroup of patients diagnosed with CRC show high antibody responses to Streptococcus gallolyticus subspecies gallolyticus (SGG). However, it is unclear whether the association is also present pre‐diagnostically. We assessed the association of antibody responses to SGG proteins in pre‐diagnostic serum samples with CRC risk in a case–control study nested within a prospective cohort. Pre‐diagnostic serum samples from 485 first incident CRC cases (mean time between blood draw and diagnosis 3.4 years) and 485 matched controls in the European Prospective Investigation into Nutrition and Cancer (EPIC) study were analyzed for antibody responses to 11 SGG proteins using multiplex serology. Odds ratios (OR) and 95% confidence intervals (CI) were estimated using multivariable conditional logistic regression models. Antibody positivity for any of the 11 SGG proteins was significantly associated with CRC risk with 56% positive controls compared to 63% positive cases (OR: 1.36, 95% CI: 1.04–1.77). Positivity for two or more proteins of a previously identified SGG 6‐marker panel with greater CRC‐specificity was also observed among 9% of controls compared to 17% of CRC cases, corresponding to a significantly increased CRC risk (OR: 2.17, 95% CI: 1.44–3.27). In this prospective nested case–control study, we observed a positive association between antibody responses to SGG and CRC development in serum samples taken before evident disease onset. Further work is required to establish the possibly etiological significance of these observations and whether SGG serology may be applicable for CRC risk stratification.
Date Issued
2018-07-15
Date Acceptance
2018-01-05
Citation
International Journal of Cancer, 2018, 143 (2), pp.245-252
ISSN
0020-7136
Publisher
Wiley
Start Page
245
End Page
252
Journal / Book Title
International Journal of Cancer
Volume
143
Issue
2
Copyright Statement
© 2018 UICC. This is the accepted version of the following article, which has been published in final form at https://onlinelibrary.wiley.com/doi/abs/10.1002/ijc.31283
Sponsor
Commission of the European Communities
Grant Number
SP23-CT-2005-006438
Subjects
Science & Technology
Life Sciences & Biomedicine
Oncology
colorectal neoplasms
Streptococcus gallolyticus
bacterial serology
antibodies
prospective cohort
SUBSPECIES GALLOLYTICUS
ASSOCIATION
BOVIS
ENDOCARDITIS
BACTEREMIA
SEROLOGY
DISEASE
COHORT
COLON
1112 Oncology And Carcinogenesis
Oncology & Carcinogenesis
Publication Status
Published
Date Publish Online
2018-01-29