Blood Test May Help Detect Colorectal Cancer Risk Early in Lynch Syndrome

Researchers are studying how colorectal cancer begins before tumors develop. Using Lynch syndrome, an inherited condition that can raise colorectal cancer risk to as high as 80%, they explored how the immune system responds to early cancer-related changes.

In a study published in the journal Nature Communications, scientists analyzed blood samples from 277 participants and examined their T-cell receptors, which help the immune system recognize abnormal cells. They found that people with Lynch syndrome had unique T-cell patterns that could be identified through a simple blood test.

The researchers also compared immune cells found in blood with those present in tissue samples. Up to 41% of the most common T-cell receptors found in tumors and 28% found in precancerous polyps were already detectable in the bloodstream. This suggests the immune system recognizes abnormal growths long before cancer develops.

The findings provide early evidence that blood-based immune biomarkers could one day help doctors monitor cancer risk, detect early tumor growth, and evaluate the effectiveness of preventive cancer vaccines.

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