Prospective evaluation of antibody response to Streptococcus gallolyticus and risk of colorectal cancer

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....

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Veröffentlicht in:International journal of cancer 2018-07, Vol.143 (2), p.245-252
Hauptverfasser: Butt, Julia, Jenab, Mazda, Willhauck‐Fleckenstein, Martina, Michel, Angelika, Pawlita, Michael, Kyrø, Cecilie, Tjønneland, Anne, Boutron‐Ruault, Marie‐Christine, Carbonnel, Franck, Severi, Gianluca, Kaaks, Rudolf, Kühn, Tilman, Boeing, Heiner, Trichopoulou, Antonia, la Vecchia, Carlo, Karakatsani, Anna, Panico, Salvatore, Tumino, Rosario, Agnoli, Claudia, Palli, Domenico, Sacerdote, Carlotta, Bueno‐de‐Mesquita, H. B(as), Weiderpass, Elisabete, Sánchez, Maria‐José, Bonet Bonet, Catalina, Huerta, José María, Ardanaz, Eva, Bradbury, Kathryn, Gunter, Marc, Murphy, Neil, Freisling, Heinz, Riboli, Elio, Tsilidis, Kostas, Aune, Dagfinn, Waterboer, Tim, Hughes, David J.
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container_issue 2
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container_title International journal of cancer
container_volume 143
creator Butt, Julia
Jenab, Mazda
Willhauck‐Fleckenstein, Martina
Michel, Angelika
Pawlita, Michael
Kyrø, Cecilie
Tjønneland, Anne
Boutron‐Ruault, Marie‐Christine
Carbonnel, Franck
Severi, Gianluca
Kaaks, Rudolf
Kühn, Tilman
Boeing, Heiner
Trichopoulou, Antonia
la Vecchia, Carlo
Karakatsani, Anna
Panico, Salvatore
Tumino, Rosario
Agnoli, Claudia
Palli, Domenico
Sacerdote, Carlotta
Bueno‐de‐Mesquita, H. B(as)
Weiderpass, Elisabete
Sánchez, Maria‐José
Bonet Bonet, Catalina
Huerta, José María
Ardanaz, Eva
Bradbury, Kathryn
Gunter, Marc
Murphy, Neil
Freisling, Heinz
Riboli, Elio
Tsilidis, Kostas
Aune, Dagfinn
Waterboer, Tim
Hughes, David J.
description 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. What's new? The gut bacterium Streptococcus gallolyticus subspecies gallolyticus (SGG) has been associated with colorectal cancer (CRC), but whether this association exists pre‐diagnostically remains unknown. Here the authors performed a serological study in a prospective setting with samples from the European Prospective Investigation into Nutrition and Cancer (EPIC). They demonstrate a positive association of antibody responses to SGG proteins with CRC risk in pre‐diagnostic samples, implicating SGG serology as a new marker for risk of developing CRC.
doi_str_mv 10.1002/ijc.31283
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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. What's new? The gut bacterium Streptococcus gallolyticus subspecies gallolyticus (SGG) has been associated with colorectal cancer (CRC), but whether this association exists pre‐diagnostically remains unknown. Here the authors performed a serological study in a prospective setting with samples from the European Prospective Investigation into Nutrition and Cancer (EPIC). 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B(as)</creatorcontrib><creatorcontrib>Weiderpass, Elisabete</creatorcontrib><creatorcontrib>Sánchez, Maria‐José</creatorcontrib><creatorcontrib>Bonet Bonet, Catalina</creatorcontrib><creatorcontrib>Huerta, José María</creatorcontrib><creatorcontrib>Ardanaz, Eva</creatorcontrib><creatorcontrib>Bradbury, Kathryn</creatorcontrib><creatorcontrib>Gunter, Marc</creatorcontrib><creatorcontrib>Murphy, Neil</creatorcontrib><creatorcontrib>Freisling, Heinz</creatorcontrib><creatorcontrib>Riboli, Elio</creatorcontrib><creatorcontrib>Tsilidis, Kostas</creatorcontrib><creatorcontrib>Aune, Dagfinn</creatorcontrib><creatorcontrib>Waterboer, Tim</creatorcontrib><creatorcontrib>Hughes, David J.</creatorcontrib><title>Prospective evaluation of antibody response to Streptococcus gallolyticus and risk of colorectal cancer</title><title>International journal of cancer</title><addtitle>Int J Cancer</addtitle><description>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. What's new? The gut bacterium Streptococcus gallolyticus subspecies gallolyticus (SGG) has been associated with colorectal cancer (CRC), but whether this association exists pre‐diagnostically remains unknown. Here the authors performed a serological study in a prospective setting with samples from the European Prospective Investigation into Nutrition and Cancer (EPIC). They demonstrate a positive association of antibody responses to SGG proteins with CRC risk in pre‐diagnostic samples, implicating SGG serology as a new marker for risk of developing CRC.</description><subject>Adult</subject><subject>Aged</subject><subject>antibodies</subject><subject>Antibodies, Bacterial - metabolism</subject><subject>Antibody response</subject><subject>Bacterial Proteins - blood</subject><subject>Bacterial Proteins - immunology</subject><subject>bacterial serology</subject><subject>Cancer</subject><subject>Case-Control Studies</subject><subject>Colorectal cancer</subject><subject>Colorectal carcinoma</subject><subject>colorectal neoplasms</subject><subject>Colorectal Neoplasms - epidemiology</subject><subject>Colorectal Neoplasms - immunology</subject><subject>Colorectal Neoplasms - microbiology</subject><subject>Female</subject><subject>Gastrointestinal Microbiome</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Humans</subject><subject>Intestinal microflora</subject><subject>Male</subject><subject>Medical research</subject><subject>Microbiomes</subject><subject>Middle Aged</subject><subject>Odds Ratio</subject><subject>prospective cohort</subject><subject>Prospective Studies</subject><subject>Proteins</subject><subject>Regression analysis</subject><subject>Serology</subject><subject>Stratification</subject><subject>Streptococcal Infections - immunology</subject><subject>Streptococcus</subject><subject>Streptococcus gallolyticus</subject><subject>Streptococcus gallolyticus subspecies gallolyticus - immunology</subject><subject>Streptococcus infections</subject><issn>0020-7136</issn><issn>1097-0215</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>D8T</sourceid><recordid>eNp1kU1v1DAQhi0EokvhwB9AlrjAIe04dpz4iFYFWlVqJeBsOc6k8tYbBztptf--Dll6QOLkj3n8yDMvIe8ZnDGA8tzt7BlnZcNfkA0DVRdQsuol2eQaFDXj8oS8SWkHwFgF4jU5KRWva1bzDbm7jSGNaCf3gBQfjJ_N5MJAQ0_NMLk2dAcaMY1hSEinQH9MEccp2GDtnOid8T74w-SWgxk6Gl26X97a4EPMVuOpNYPF-Ja86o1P-O64npJfXy9-br8X1zffLrdfrgsrSskLUaLFti37WiG3HBF601YIHccKZK51RlkhK9FI1XbAVG_QNkzyShgjZc9PSbF60yOOc6vH6PYmHnQwTh-v7vMOtVCguMz8p5UfY_g9Y5r03iWL3psBw5w0U4oDg6apMvrxH3QX5jjkbnQJohZLFAv1eaVsHmyK2D9_gYFeEJ3T0n_SyuyHo3Fu99g9k3_jycD5Cjw6j4f_m_Tl1XZVPgEyLaDt</recordid><startdate>20180715</startdate><enddate>20180715</enddate><creator>Butt, Julia</creator><creator>Jenab, Mazda</creator><creator>Willhauck‐Fleckenstein, Martina</creator><creator>Michel, Angelika</creator><creator>Pawlita, Michael</creator><creator>Kyrø, Cecilie</creator><creator>Tjønneland, Anne</creator><creator>Boutron‐Ruault, Marie‐Christine</creator><creator>Carbonnel, Franck</creator><creator>Severi, Gianluca</creator><creator>Kaaks, Rudolf</creator><creator>Kühn, Tilman</creator><creator>Boeing, Heiner</creator><creator>Trichopoulou, Antonia</creator><creator>la Vecchia, Carlo</creator><creator>Karakatsani, Anna</creator><creator>Panico, Salvatore</creator><creator>Tumino, Rosario</creator><creator>Agnoli, Claudia</creator><creator>Palli, Domenico</creator><creator>Sacerdote, Carlotta</creator><creator>Bueno‐de‐Mesquita, H. B(as)</creator><creator>Weiderpass, Elisabete</creator><creator>Sánchez, Maria‐José</creator><creator>Bonet Bonet, Catalina</creator><creator>Huerta, José María</creator><creator>Ardanaz, Eva</creator><creator>Bradbury, Kathryn</creator><creator>Gunter, Marc</creator><creator>Murphy, Neil</creator><creator>Freisling, Heinz</creator><creator>Riboli, Elio</creator><creator>Tsilidis, Kostas</creator><creator>Aune, Dagfinn</creator><creator>Waterboer, Tim</creator><creator>Hughes, David J.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TO</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>7X8</scope><scope>ADTPV</scope><scope>AOWAS</scope><scope>D8T</scope><scope>ZZAVC</scope><orcidid>https://orcid.org/0000-0002-8008-5096</orcidid><orcidid>https://orcid.org/0000-0002-9083-8960</orcidid><orcidid>https://orcid.org/0000-0003-3347-8249</orcidid><orcidid>https://orcid.org/0000-0001-7738-8611</orcidid><orcidid>https://orcid.org/0000-0002-5558-2437</orcidid><orcidid>https://orcid.org/0000-0003-3345-7333</orcidid><orcidid>https://orcid.org/0000-0003-1441-897X</orcidid></search><sort><creationdate>20180715</creationdate><title>Prospective evaluation of antibody response to Streptococcus gallolyticus and risk of colorectal cancer</title><author>Butt, Julia ; Jenab, Mazda ; Willhauck‐Fleckenstein, Martina ; Michel, Angelika ; Pawlita, Michael ; Kyrø, Cecilie ; Tjønneland, Anne ; Boutron‐Ruault, Marie‐Christine ; Carbonnel, Franck ; Severi, Gianluca ; Kaaks, Rudolf ; Kühn, Tilman ; Boeing, Heiner ; Trichopoulou, Antonia ; la Vecchia, Carlo ; Karakatsani, Anna ; Panico, Salvatore ; Tumino, Rosario ; Agnoli, Claudia ; Palli, Domenico ; Sacerdote, Carlotta ; Bueno‐de‐Mesquita, H. B(as) ; Weiderpass, Elisabete ; Sánchez, Maria‐José ; Bonet Bonet, Catalina ; Huerta, José María ; Ardanaz, Eva ; Bradbury, Kathryn ; Gunter, Marc ; Murphy, Neil ; Freisling, Heinz ; Riboli, Elio ; Tsilidis, Kostas ; Aune, Dagfinn ; Waterboer, Tim ; Hughes, David J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4263-42ecebb2f79e3c3ee0fab5e0d3e506eceda9c4654869bd019faec816354aa66f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>antibodies</topic><topic>Antibodies, Bacterial - metabolism</topic><topic>Antibody response</topic><topic>Bacterial Proteins - blood</topic><topic>Bacterial Proteins - immunology</topic><topic>bacterial serology</topic><topic>Cancer</topic><topic>Case-Control Studies</topic><topic>Colorectal cancer</topic><topic>Colorectal carcinoma</topic><topic>colorectal neoplasms</topic><topic>Colorectal Neoplasms - epidemiology</topic><topic>Colorectal Neoplasms - immunology</topic><topic>Colorectal Neoplasms - microbiology</topic><topic>Female</topic><topic>Gastrointestinal Microbiome</topic><topic>Health risk assessment</topic><topic>Health risks</topic><topic>Humans</topic><topic>Intestinal microflora</topic><topic>Male</topic><topic>Medical research</topic><topic>Microbiomes</topic><topic>Middle Aged</topic><topic>Odds Ratio</topic><topic>prospective cohort</topic><topic>Prospective Studies</topic><topic>Proteins</topic><topic>Regression analysis</topic><topic>Serology</topic><topic>Stratification</topic><topic>Streptococcal Infections - immunology</topic><topic>Streptococcus</topic><topic>Streptococcus gallolyticus</topic><topic>Streptococcus gallolyticus subspecies gallolyticus - immunology</topic><topic>Streptococcus infections</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Butt, Julia</creatorcontrib><creatorcontrib>Jenab, Mazda</creatorcontrib><creatorcontrib>Willhauck‐Fleckenstein, Martina</creatorcontrib><creatorcontrib>Michel, Angelika</creatorcontrib><creatorcontrib>Pawlita, Michael</creatorcontrib><creatorcontrib>Kyrø, Cecilie</creatorcontrib><creatorcontrib>Tjønneland, Anne</creatorcontrib><creatorcontrib>Boutron‐Ruault, Marie‐Christine</creatorcontrib><creatorcontrib>Carbonnel, Franck</creatorcontrib><creatorcontrib>Severi, Gianluca</creatorcontrib><creatorcontrib>Kaaks, Rudolf</creatorcontrib><creatorcontrib>Kühn, Tilman</creatorcontrib><creatorcontrib>Boeing, Heiner</creatorcontrib><creatorcontrib>Trichopoulou, Antonia</creatorcontrib><creatorcontrib>la Vecchia, Carlo</creatorcontrib><creatorcontrib>Karakatsani, Anna</creatorcontrib><creatorcontrib>Panico, Salvatore</creatorcontrib><creatorcontrib>Tumino, Rosario</creatorcontrib><creatorcontrib>Agnoli, Claudia</creatorcontrib><creatorcontrib>Palli, Domenico</creatorcontrib><creatorcontrib>Sacerdote, Carlotta</creatorcontrib><creatorcontrib>Bueno‐de‐Mesquita, H. B(as)</creatorcontrib><creatorcontrib>Weiderpass, Elisabete</creatorcontrib><creatorcontrib>Sánchez, Maria‐José</creatorcontrib><creatorcontrib>Bonet Bonet, Catalina</creatorcontrib><creatorcontrib>Huerta, José María</creatorcontrib><creatorcontrib>Ardanaz, Eva</creatorcontrib><creatorcontrib>Bradbury, Kathryn</creatorcontrib><creatorcontrib>Gunter, Marc</creatorcontrib><creatorcontrib>Murphy, Neil</creatorcontrib><creatorcontrib>Freisling, Heinz</creatorcontrib><creatorcontrib>Riboli, Elio</creatorcontrib><creatorcontrib>Tsilidis, Kostas</creatorcontrib><creatorcontrib>Aune, Dagfinn</creatorcontrib><creatorcontrib>Waterboer, Tim</creatorcontrib><creatorcontrib>Hughes, David J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>International journal of cancer</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Butt, Julia</au><au>Jenab, Mazda</au><au>Willhauck‐Fleckenstein, Martina</au><au>Michel, Angelika</au><au>Pawlita, Michael</au><au>Kyrø, Cecilie</au><au>Tjønneland, Anne</au><au>Boutron‐Ruault, Marie‐Christine</au><au>Carbonnel, Franck</au><au>Severi, Gianluca</au><au>Kaaks, Rudolf</au><au>Kühn, Tilman</au><au>Boeing, Heiner</au><au>Trichopoulou, Antonia</au><au>la Vecchia, Carlo</au><au>Karakatsani, Anna</au><au>Panico, Salvatore</au><au>Tumino, Rosario</au><au>Agnoli, Claudia</au><au>Palli, Domenico</au><au>Sacerdote, Carlotta</au><au>Bueno‐de‐Mesquita, H. B(as)</au><au>Weiderpass, Elisabete</au><au>Sánchez, Maria‐José</au><au>Bonet Bonet, Catalina</au><au>Huerta, José María</au><au>Ardanaz, Eva</au><au>Bradbury, Kathryn</au><au>Gunter, Marc</au><au>Murphy, Neil</au><au>Freisling, Heinz</au><au>Riboli, Elio</au><au>Tsilidis, Kostas</au><au>Aune, Dagfinn</au><au>Waterboer, Tim</au><au>Hughes, David J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective evaluation of antibody response to Streptococcus gallolyticus and risk of colorectal cancer</atitle><jtitle>International journal of cancer</jtitle><addtitle>Int J Cancer</addtitle><date>2018-07-15</date><risdate>2018</risdate><volume>143</volume><issue>2</issue><spage>245</spage><epage>252</epage><pages>245-252</pages><issn>0020-7136</issn><eissn>1097-0215</eissn><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. What's new? The gut bacterium Streptococcus gallolyticus subspecies gallolyticus (SGG) has been associated with colorectal cancer (CRC), but whether this association exists pre‐diagnostically remains unknown. Here the authors performed a serological study in a prospective setting with samples from the European Prospective Investigation into Nutrition and Cancer (EPIC). They demonstrate a positive association of antibody responses to SGG proteins with CRC risk in pre‐diagnostic samples, implicating SGG serology as a new marker for risk of developing CRC.</abstract><cop>United States</cop><pub>Wiley Subscription Services, Inc</pub><pmid>29377173</pmid><doi>10.1002/ijc.31283</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-8008-5096</orcidid><orcidid>https://orcid.org/0000-0002-9083-8960</orcidid><orcidid>https://orcid.org/0000-0003-3347-8249</orcidid><orcidid>https://orcid.org/0000-0001-7738-8611</orcidid><orcidid>https://orcid.org/0000-0002-5558-2437</orcidid><orcidid>https://orcid.org/0000-0003-3345-7333</orcidid><orcidid>https://orcid.org/0000-0003-1441-897X</orcidid><oa>free_for_read</oa></addata></record>
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subjects Adult
Aged
antibodies
Antibodies, Bacterial - metabolism
Antibody response
Bacterial Proteins - blood
Bacterial Proteins - immunology
bacterial serology
Cancer
Case-Control Studies
Colorectal cancer
Colorectal carcinoma
colorectal neoplasms
Colorectal Neoplasms - epidemiology
Colorectal Neoplasms - immunology
Colorectal Neoplasms - microbiology
Female
Gastrointestinal Microbiome
Health risk assessment
Health risks
Humans
Intestinal microflora
Male
Medical research
Microbiomes
Middle Aged
Odds Ratio
prospective cohort
Prospective Studies
Proteins
Regression analysis
Serology
Stratification
Streptococcal Infections - immunology
Streptococcus
Streptococcus gallolyticus
Streptococcus gallolyticus subspecies gallolyticus - immunology
Streptococcus infections
title Prospective evaluation of antibody response to Streptococcus gallolyticus and risk of colorectal cancer
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