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Causes Of Colorectal Cancer

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Discussion
Colorectal cancer is still a critical issue and threatening society’s health (36,37). Tumors have developed different mechanisms for deceiving, counteracting, and onslaught the immune defense (38). Tumor cells secret different soluble factors, cytokines, chemokines (16,38,39), and exosomes (40) that recruit different heterogeneous supporting inflammatory cells such as B-cells, T-cells, mast cells, fibroblasts, myofibroblasts, mononuclear cells (MNCs), macrophages and MDSCs in the TME. The TME infiltrate with the recruited different cells by secreted factors from tumors (39,41). These recruited cells secrets various soluble factors, such as tumor-promoting, inhibitory, inflammatory (e.g., IL-6, IL-12b, TNF-α, IFN-ɣ), …show more content…

5, 6). These enhancement and decline in secreted cytokines level are probably are due to the autocrine and paracrine impact of secreted soluble factors, exosomes, and cytokines releasing from tumour cells. Secreted factors from tumor cells recruited monocytes from peripheral blood toward TME. Hence, the level of secreted inflammatory cytokines related with inflammatory monocytes and M1 macrophages increased (Table. II). Whereas, the level of secreted anti-inflammatory cytokines related with anti-inflammatory monocytes and M2 macrophages decreased (Table. II).
This study, with consideration of inflammatory and anti-inflammatory genes associated with inflammatory and anti-inflammatory monocytes, indicated that mononuclear cells were differentiated towards inflammatory monocytes. Hence, we hypothesized that colorectal cancer conditioned media (HT-29, and Caco-2) have an impact on the differentiation of monocytes isolated from PBMCs towards inflammatory phenotype. Additionally, inflammatory monocytes secreted more inflammatory cytokines.
Moreover, inflammatory and anti-inflammatory monocytes and M1/M2 macrophages ratio were increased through increasing inflammatory cytokines panel. Suggesting that M1/M2 ratio was higher in CRC and infiltrating inflammatory monocytes and M1 macrophages might be dominating and correlated with good

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