Relationship of telomere length in colorectal cancer patients with cancer phenotype and patient prognosis
Open accessAbstract
BACKGROUND: Telomeres, repetitive DNA capping ends of eukaryotic chromosomes, are important in the maintenance of genomic integrity. Perturbed telomeres are common features of many human malignancies, including colorectal cancer. METHODS: Telomere length (TL), measured by a Monochrome Multiplex Real-Time qPCR, was investigated in tumour tissues, adjacent mucosa, and blood from patients with colorectal cancer with different clinicopathological features and its impact on patient survival. TL was also measured in a limited number of liver metastases, non-cancerous liver tissues or corresponding tissues from the same patients. RESULTS: TL in tumour tissues was shorter than in the adjacent mucosa (P < 0.0001). Shorter TL was observed in tumours with lower stage than in those with advanced stages (P = 0.001). TL was shorter in tumours at the proximal than at the distal sites of the colon (P < 0.0001). Shorter TL was also associated with microsatellite instability (P = 0.001) and mucinous tumour histology (P < 0.0001). Patients with a smaller TL ratio between tumour tissues and the adjacent mucosa were associated with increased overall survival (P = 0.022). Metastasised tumours had shorter telomeres than the adjacent non-cancerous liver tissues (P = 0.0005). CONCLUSIONS: Overall, the results demonstrate differences in TL between tumours and the adjacent mucosa, between tumours located at different sites and association with patient survival.
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Recent studies on CRC have revealed that telomere length from malignant cells tends to be shorter than in neighboring healthy mucosa.
“Recent studies on CRC have revealed that TL from malignant cells tends to be shorter than in neighboring “healthy” mucosa [194].”
From Current and Future Trends of Colorectal Cancer Treatment: Exploring Advances in Immunotherapy (2024) · cites this paper as [194]
The clinical stage of CRC malignancy seems to be correlated with telomere length; cancers at lower stages tend to have shorter telomeres in contrast to advanced and metastatic cancers.
“Additionally, the clinical stage of the malignancy seems to be correlated with TL. In fact, cancers at lower stages tend to have shorter telomeres in contrast to advanced and metastatic cancers [194].”
From Current and Future Trends of Colorectal Cancer Treatment: Exploring Advances in Immunotherapy (2024) · cites this paper as [194]
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- Authors
- Kroupa, M., Rachakonda, S. K., Liska, V., Srinivas, N., Urbanova, M., Jiraskova, K., Schneiderova, M., Vycital, O., Vymetalkova, V., Vodickova, L., Kumar, R., & Vodicka, P.
- Affiliations
- Czech Academy of Sciences (CZ)
- German Cancer Research Center (DE)
- Corresponding author
- Kroupa, Michal
- Venue
- British Journal of Cancer
- Published
- 2019-07-17
- Volume
- 121
- Issue
- 4
- Pages
- 344-350
- ISSN
- 0007-0920 (ISSN-L)
- 1532-1827
- PMC
- PMC6738117
- OpenAlex
- W2958346341
- Cited by
- 41
- References
- 31
- Citations by year
- 2026: 6 · 2025: 1 · 2024: 4 · 2023: 8 · 2022: 12 · 2021: 3 · 2020: 7
- FWCI
- 3.77
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- British Journal of Cancer (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Grantová Agentura České Republiky (15-27580A, GA18-09709S)
- Ministerstvo Zdravotnictví Ceské Republiky (NV19-09-00237, AZV 15-27580A, LO1503, AZV 15-, AZV 17- 30920A, 15-27580A, NV18-03-00199, UNCE/MED/006, 17-30920A)
- Topics
- Health Sciences › Medicine › Physiology › Telomeres, Telomerase, and Senescence
- Health Sciences › Medicine › Pathology and Forensic Medicine › Genetic factors in colorectal cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer-related molecular mechanisms research
- Keywords
- telomere length, colorectal cancer, cancer phenotypes, prognosis, overall survival, microsatellite instability, liver metastasis, tumor stage, genomic instability
- MeSH terms
- Adult, Aged, Aged, 80 and over, Female, Humans, Lymphatic Metastasis, Male, Middle Aged, Phenotype, Prognosis, Colorectal Neoplasms, Telomere, Microsatellite Instability
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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