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August 23, 2026Cancer Prevention Research

The Immunological Landscape of Colorectal Pre-Cancers: A Systematic Review

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Authors

GCGabriel del CarmenGDGregory DeebNDNan Deng

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Overview

Systematic review demonstrates complex immune infiltration and cytokine signaling in colorectal pre-cancers, highlighting pathways for early prevention.

Key Points

  • Synthesize existing literature on immune cell infiltration, cytokine profiles, and immune surveillance across the adenoma-to-carcinoma sequence in colorectal pre-cancers.
  • Conducted a systematic review searching Medline, Embase, and the Cochrane Library databases for literature published from October 1974 to July 2021.
  • Identified and evaluated studies analyzing adaptive immune cell dynamics, innate immune cell roles, cytokine networks, and microenvironmental changes in pre-malignant colorectal lesions.
  • Adaptive immune cells demonstrated dynamic infiltration patterns across the adenoma-carcinoma sequence, with distinct lymphocyte subsets either protecting against malignancy or facilitating progression via immunosuppression.
  • Innate immune cells exhibited context-dependent behaviors in lesion progression, while cytokine networks—predominantly IL-6, IL-8, and IL-17—actively modulated the pre-cancerous microenvironment.

Cite This Study

Carmen et al. (2026) studied this question.

synapsesocial.com/papers/6a8aad977677a34114445d97https://doi.org/10.1158/1940-6207.capr-26-0037
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