Expression of the immune modulator secretory leukocyte protease inhibitor (SLPI) in colorectal cancer liver metastases and matched primary tumors is associated with a poorer prognosis

Secretory leukocyte protease inhibitor (SLPI), a pleiotropic protein expressed by healthy intestinal epithelial cells, functions as an inhibitor of NF-κB and neutrophil proteases and exerts antimicrobial activity. We previously showed SLPI suppresses intestinal epithelial chemokine production in res...

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Main Authors: Sandrine Nugteren, Jeroen A.C.M. Goos, Pien M. Delis-van Diemen, Ytje Simons-Oosterhuis, Dicky J. Lindenbergh-Kortleve, Daniëlle H. van Haaften, Joyce Sanders, Gerrit A. Meijer, Remond J.A. Fijneman, Janneke N. Samsom
Format: Article
Language:English
Published: Taylor & Francis Group 2020-01-01
Series:OncoImmunology
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Online Access:http://dx.doi.org/10.1080/2162402X.2020.1832761
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author Sandrine Nugteren
Jeroen A.C.M. Goos
Pien M. Delis-van Diemen
Ytje Simons-Oosterhuis
Dicky J. Lindenbergh-Kortleve
Daniëlle H. van Haaften
Joyce Sanders
Gerrit A. Meijer
Remond J.A. Fijneman
Janneke N. Samsom
author_facet Sandrine Nugteren
Jeroen A.C.M. Goos
Pien M. Delis-van Diemen
Ytje Simons-Oosterhuis
Dicky J. Lindenbergh-Kortleve
Daniëlle H. van Haaften
Joyce Sanders
Gerrit A. Meijer
Remond J.A. Fijneman
Janneke N. Samsom
author_sort Sandrine Nugteren
collection DOAJ
description Secretory leukocyte protease inhibitor (SLPI), a pleiotropic protein expressed by healthy intestinal epithelial cells, functions as an inhibitor of NF-κB and neutrophil proteases and exerts antimicrobial activity. We previously showed SLPI suppresses intestinal epithelial chemokine production in response to microbial contact. Increased SLPI expression was recently detected in various types of carcinoma. In addition, accumulating evidence indicates SLPI expression is favorable for tumor cells. In view of these findings and the abundance of SLPI in the colonic epithelium, we hypothesized SLPI promotes colorectal cancer (CRC) growth and metastasis. Here, we aimed to establish whether SLPI expression in CRC is related to clinical outcome. Using a cohort of 507 patients with CRC who underwent resection of liver metastases, we show that high SLPI protein expression in both liver metastases and primary CRC is associated with significantly shorter overall survival after resection of liver metastases. The prognostic value of SLPI in CRC patients with liver metastases implies a role for SLPI in the formation of metastasis of human CRC. Based on the immune regulatory functions of SLPI, we anticipate that expression of SLPI provides tumors with a mechanism to evade infiltration by immune cells.
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spelling doaj.art-fc76574b47aa47609bbe550ae5a8099c2022-12-21T21:25:20ZengTaylor & Francis GroupOncoImmunology2162-402X2020-01-019110.1080/2162402X.2020.18327611832761Expression of the immune modulator secretory leukocyte protease inhibitor (SLPI) in colorectal cancer liver metastases and matched primary tumors is associated with a poorer prognosisSandrine Nugteren0Jeroen A.C.M. Goos1Pien M. Delis-van Diemen2Ytje Simons-Oosterhuis3Dicky J. Lindenbergh-Kortleve4Daniëlle H. van Haaften5Joyce Sanders6Gerrit A. Meijer7Remond J.A. Fijneman8Janneke N. Samsom9Erasmus University Medical CenterKarolinska InstituteThe Netherlands Cancer InstituteErasmus University Medical CenterErasmus University Medical CenterErasmus University Medical CenterThe Netherlands Cancer InstituteThe Netherlands Cancer InstituteThe Netherlands Cancer InstituteErasmus University Medical CenterSecretory leukocyte protease inhibitor (SLPI), a pleiotropic protein expressed by healthy intestinal epithelial cells, functions as an inhibitor of NF-κB and neutrophil proteases and exerts antimicrobial activity. We previously showed SLPI suppresses intestinal epithelial chemokine production in response to microbial contact. Increased SLPI expression was recently detected in various types of carcinoma. In addition, accumulating evidence indicates SLPI expression is favorable for tumor cells. In view of these findings and the abundance of SLPI in the colonic epithelium, we hypothesized SLPI promotes colorectal cancer (CRC) growth and metastasis. Here, we aimed to establish whether SLPI expression in CRC is related to clinical outcome. Using a cohort of 507 patients with CRC who underwent resection of liver metastases, we show that high SLPI protein expression in both liver metastases and primary CRC is associated with significantly shorter overall survival after resection of liver metastases. The prognostic value of SLPI in CRC patients with liver metastases implies a role for SLPI in the formation of metastasis of human CRC. Based on the immune regulatory functions of SLPI, we anticipate that expression of SLPI provides tumors with a mechanism to evade infiltration by immune cells.http://dx.doi.org/10.1080/2162402X.2020.1832761slpicolorectal cancerliver metastasesintestine
spellingShingle Sandrine Nugteren
Jeroen A.C.M. Goos
Pien M. Delis-van Diemen
Ytje Simons-Oosterhuis
Dicky J. Lindenbergh-Kortleve
Daniëlle H. van Haaften
Joyce Sanders
Gerrit A. Meijer
Remond J.A. Fijneman
Janneke N. Samsom
Expression of the immune modulator secretory leukocyte protease inhibitor (SLPI) in colorectal cancer liver metastases and matched primary tumors is associated with a poorer prognosis
OncoImmunology
slpi
colorectal cancer
liver metastases
intestine
title Expression of the immune modulator secretory leukocyte protease inhibitor (SLPI) in colorectal cancer liver metastases and matched primary tumors is associated with a poorer prognosis
title_full Expression of the immune modulator secretory leukocyte protease inhibitor (SLPI) in colorectal cancer liver metastases and matched primary tumors is associated with a poorer prognosis
title_fullStr Expression of the immune modulator secretory leukocyte protease inhibitor (SLPI) in colorectal cancer liver metastases and matched primary tumors is associated with a poorer prognosis
title_full_unstemmed Expression of the immune modulator secretory leukocyte protease inhibitor (SLPI) in colorectal cancer liver metastases and matched primary tumors is associated with a poorer prognosis
title_short Expression of the immune modulator secretory leukocyte protease inhibitor (SLPI) in colorectal cancer liver metastases and matched primary tumors is associated with a poorer prognosis
title_sort expression of the immune modulator secretory leukocyte protease inhibitor slpi in colorectal cancer liver metastases and matched primary tumors is associated with a poorer prognosis
topic slpi
colorectal cancer
liver metastases
intestine
url http://dx.doi.org/10.1080/2162402X.2020.1832761
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