Patent Publication Number: US-2022221462-A1

Title: Marker for diagnosing colorectal cancer and method for providing information required for diagnosis of colorectal cancer

Description:
TECHNICAL FIELD 
     This application claims priority to and the benefit of Korean Patent Application No. 10-2019-0052556 filed in the Korean Intellectual Property Office on 3 May 2019, the disclosure of which is incorporated herein by reference. 
     The present disclosure relates to a marker for diagnosing colorectal cancer, a method for providing information required for the diagnosis of colorectal cancer by using the same, and a method for providing information for monitoring a therapeutic response of colorectal cancer by using the same. 
     BACKGROUND ART 
     Typically, a colonoscopy is mainly performed to examine for the presence or absence of colorectal cancer. However, a bowel emptying procedure was needed to perform the colonoscopy. Accordingly, though a colonoscopy has been recommended for colorectal cancer screening, only some subjects get examined due to the above inconvenience in the procedure. Moreover, a colonoscopy may cause some serious side effects, such as bowel perforation or bowel bleeding. A stool occult blood test has also been used as a screening test, but has a disadvantage of low sensitivity. 
     A diagnostic marker capable of identifying the presence or absence of colorectal cancer through a blood test is known to detect CEA protein in blood. However, the sensitivity changes depending on the stage of disease, for example, about 30% at stages 1 and 2 and 75% or more at stages 3 and 4, and thus such a diagnostic marker is less useful for a screening test. Except for these, nothing has been well established so far. Recently, with the development of molecular genetic techniques, blood-based cancer diagnosis methods using circulating tumor DNA (ctDNA) and exosomes are being actively studied. However, these methods can provide increased usability and optimized performance only when specific targets are defined. 
     Therefore, there is a need for an examination that has few side effects, is easily performed by simple blood collection or the like, and has high diagnostic sensitivity. Signal transducer and activator of transcription (STAT) proteins are subordinate transcription factors of the JAK signaling system, and are known to be STAT 1, 2, 3, 4, 5A, 5B, and 6. Each STAT protein is activated through phosphorylation by specific cytokine stimulation and the reaction between receptors thereof to induce cytokine secretion through signaling to nuclei, and is involved in the differentiation, survival, and activity of cells, especially, immune cells. As a method for examining the STAT phosphorylation response to cytokine stimulation in blood immune cells through phospho-flow analysis, an examination is performed by simple blood collection and the results thereof can be obtained within one day. In addition, the phosphorylation levels of several STAT proteins in various immune cells are identified using the advantages of flow cytometry, thereby providing immunological and clinical significances. 
     SUMMARY 
     Technical Problem 
     Accordingly, an aspect of the present disclosure is to provide a marker for diagnosing colorectal cancer. 
     Another aspect of the present disclosure is to provide information required for the diagnosis of colorectal cancer. 
     Still another aspect of the present disclosure is to provide a method for providing information for monitoring a therapeutic response of colorectal cancer. 
     Solution to Problem 
     The present disclosure relates to a marker for diagnosing colorectal cancer, a method for providing information required for the diagnosis of colorectal cancer by using the same, and a method for providing information for monitoring a therapeutic response of colorectal cancer by using the same. 
     Hereinafter, the present disclosure will be described in more detail. 
     An aspect of the present disclosure is directed to a method for providing information required for the diagnosis of colorectal cancer, the method including: 
     measuring the level of STAT3 phosphorylation in Th cells contained in a first sample; and 
     measuring the level of STAT3 phosphorylation in Tc cells contained in a second sample. 
     In the present disclosure, the first sample may be obtained from organs, tissues, and cells of a subject. The first sample may include lymphocytes, and for example, may include peripheral blood, but is not limited thereto. 
     In the present disclosure, the first sample may be prepared by the following steps: 
     a mononuclear cells isolation step of isolating mononuclear cells contained in blood; 
     a cytokine treatment step of treating the isolated mononuclear cells with a cytokine; and 
     a phosphorylation staining step of performing phosphorylation staining. 
     In the present disclosure, the cytokine with which the first sample is treated may be IL-10. 
     In the present disclosure, the concentration of the IL-10 may be 9.0 to 11.0 ng/ml, 9.0 to 10.8 ng/ml, 9.0 to 10.6 ng/ml, 9.0 to 10.4 ng/ml, 9.0 to 10.2 ng/ml, 9.2 to 11.0 ng/ml, 9.2 to 10.8 ng/ml, 9.2 to 10.6 ng/ml, 9.2 to 10.4 ng/ml, 9.2 to 10.2 ng/ml, 9.4 to 11.0 ng/ml, 9.4 to 10.8 ng/ml, 9.4 to 10.6 ng/ml, 9.4 to 10.4 ng/ml, 9.4 to 10.2 ng/ml, 9.6 to 11.0 ng/ml, 9.6 to 10.8 ng/ml, 9.6 to 10.6 ng/ml, 9.6 to 10.4 ng/ml, 9.6 to 10.2 ng/ml, 9.8 to 11.0 ng/ml, 9.8 to 10.8 ng/ml, 9.8 to 10.6 ng/ml, 9.8 to 10.4 ng/ml, or 9.8 to 10.2 ng/ml, and for example, 10.0 ng/ml. 
     In the present disclosure, the second sample may be obtained from organs, tissues, and cells of a subject. The second sample may include lymphocytes, and for example, may include peripheral blood, but are not limited thereto. 
     In the present disclosure, the second sample may be prepared by the following steps: 
     a mononuclear cell isolation step of isolating mononuclear cells contained in blood; 
     a cytokine treatment step of treating the isolated mononuclear cells with a cytokine; and 
     a phosphorylation staining step of performing phosphorylation staining. 
     In the present disclosure, the cytokine with which the second sample is treated may be IL-6. 
     In the present disclosure, the concentration of the IL-6 may be 19.0 to 21.0 ng/ml, 19.0 to 20.8 ng/ml, 19.0 to 20.6 ng/ml, 19.0 to 20.4 ng/ml, 19.0 to 20.2 ng/ml, 19.2 to 21.0 ng/ml, 19.2 to 20.8 ng/ml, 19.2 to 20.6 ng/ml, 19.2 to 20.4 ng/ml, 19.2 to 20.2 ng/ml, 19.4 to 21.0 ng/ml, 19.4 to 20.8 ng/ml, 19.4 to 20.6 ng/ml, 19.4 to 20.4 ng/ml, 19.4 to 20.2 ng/ml, 19.6 to 21.0 ng/ml, 19.6 to 20.8 ng/ml, 19.6 to 20.6 ng/ml, 19.6 to 20.4 ng/ml, 19.6 to 20.2 ng/ml, 19.8 to 21.0 ng/ml, 19.8 to 20.8 ng/ml, 19.8 to 20.6 ng/ml, 19.8 to 20.4 ng/ml, or 19.8 to 20.2 ng/ml, and for example, 20.0 ng/ml, but is not limited thereto. 
     In the present disclosure, the measuring of the level of STAT3 phosphorylation is performed using flow cytometry, but is not limited thereto. 
     Another aspect of the present disclosure is directed to a method for providing information for monitoring a therapeutic response of colorectal cancer, the method including: 
     measuring the level of STAT3 phosphorylation in Th cells contained in a first sample; and 
     measuring the level of STAT3 phosphorylation in Tc cells contained in a second sample. 
     In the present disclosure, the first sample may be obtained from organs, tissues, and cells of a subject. The first sample may include lymphocytes, and for example, may include peripheral blood, but are not limited thereto. 
     In the present disclosure, the first sample may be prepared by the following steps: 
     a mononuclear cell isolation step of isolating mononuclear cells contained in blood; 
     a cytokine treatment step of treating the isolated mononuclear cells with a cytokine; and 
     a phosphorylation staining step of performing phosphorylation staining. 
     In the present disclosure, the cytokine with which the first sample is treated may be IL-10. 
     In the present disclosure, the concentration of the IL-10 may be 9.0 to 11.0 ng/ml, 9.0 to 10.8 ng/ml, 9.0 to 10.6 ng/ml, 9.0 to 10.4 ng/ml, 9.0 to 10.2 ng/ml, 9.2 to 11.0 ng/ml, 9.2 to 10.8 ng/ml, 9.2 to 10.6 ng/ml, 9.2 to 10.4 ng/ml, 9.2 to 10.2 ng/ml, 9.4 to 11.0 ng/ml, 9.4 to 10.8 ng/ml, 9.4 to 10.6 ng/ml, 9.4 to 10.4 ng/ml, 9.4 to 10.2 ng/ml, 9.6 to 11.0 ng/ml, 9.6 to 10.8 ng/ml, 9.6 to 10.6 ng/ml, 9.6 to 10.4 ng/ml, 9.6 to 10.2 ng/ml, 9.8 to 11.0 ng/ml, 9.8 to 10.8 ng/ml, 9.8 to 10.6 ng/ml, 9.8 to 10.4 ng/ml, or 9.8 to 10.2 ng/ml, and for example, 10.0 ng/ml, but is not limited thereto. 
     In the present disclosure, the second sample may be obtained from organs, tissues, and cells of a subject. The second sample may include lymphocytes, and for example, may include peripheral blood, but are not limited thereto. 
     In the present disclosure, the second sample may be prepared by the following steps: 
     a mononuclear cell isolation step of isolating mononuclear cells contained in blood; 
     a cytokine treatment step of treating the isolated mononuclear cells with a cytokine; and 
     a phosphorylation staining step of performing phosphorylation staining. 
     In the present disclosure, the cytokine with which the second sample is treated may be IL-6. 
     In the present disclosure, the concentration of the IL-6 may be 19.0 to 21.0 ng/ml, 19.0 to 20.8 ng/ml, 19.0 to 20.6 ng/ml, 19.0 to 20.4 ng/ml, 19.0 to 20.2 ng/ml, 19.2 to 21.0 ng/ml, 19.2 to 20.8 ng/ml, 19.2 to 20.6 ng/ml, 19.2 to 20.4 ng/ml, 19.2 to 20.2 ng/ml, 19.4 to 21.0 ng/ml, 19.4 to 20.8 ng/ml, 19.4 to 20.6 ng/ml, 19.4 to 20.4 ng/ml, 19.4 to 20.2 ng/ml, 19.6 to 21.0 ng/ml, 19.6 to 20.8 ng/ml, 19.6 to 20.6 ng/ml, 19.6 to 20.4 ng/ml, 19.6 to 20.2 ng/ml, 19.8 to 21.0 ng/ml, 19.8 to 20.8 ng/ml, 19.8 to 20.6 ng/ml, 19.8 to 20.4 ng/ml, or 19.8 to 20.2 ng/ml, and for example, 20.0 ng/ml, but is not limited thereto. 
     In the present disclosure, the subject may be a patient who is being treated for colorectal cancer, for example, a patient who has undergone colorectal cancer surgery. The method for providing information for monitoring of the present disclosure cannot be employed for patients receiving chemoimmunotherapy or immunotherapy for colorectal cancer treatment. 
     In the present disclosure, the measuring of the level of STAT3 phosphorylation is performed using flow cytometry, but is not limited thereto. 
     In the present disclosure, the “Th cells” refers to helper T cells, also known as CD4+ cells or CD4-positive cells, which are cells playing an important role in the action of the immune system and are a kind of lymphocyte. Th cells usually do not have cytotoxic activity and cannot directly kill infected (somatic) cells or antigens. The helper T cells (Th cells) serve to activate and direct other immune cells, and especially play a very important role in the immune system. The helper T cells are essential for antibody production by B cells, activation of cytotoxic T cells, promotion of antibacterial activity of phagocytes including macrophages, and the like. The naming of helper T cells or assisting T cells is also due to the fact that they help a lot in the activities of other cells. 
     In the present disclosure, the term “Tc cells” refers to cytotoxic T cells (CD8+, Tc), which are a kind of lymphocyte and can destroy somatic or tumor cells infected with viruses. Cytotoxic T cells eliminate the cells infected with antigens such as viruses, damaged or malfunctioning cells, and the like. Most cytotoxic T cells have T cell receptors (TCRs) and thus can recognize specific antigenic peptides attached to the type I MHC molecules located on the surface of all cells. In addition, a glycoprotein called CD8 is located on the surface of cytotoxic T cells to bind to a constant region of the type I MHC molecule. The binding between CD8 and the MHC molecule further enhances the binding between cytotoxic T cells (TC) and target cells. CD8+ T cells appear to usually perform predetermined cytotoxic activity in the immune system. 
     Advantageous Effects of Invention 
     The present disclosure relates to a marker for diagnosing colorectal cancer, a method for providing information required for the diagnosis of colorectal cancer by using the same, and a method for providing information for monitoring a therapeutic response of colorectal cancer by using the same, wherein the marker and the methods have effects of significantly improving diagnostic sensitivity and specificity. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         FIG. 1  is a graph showing the results that there were differences in STAT1 phosphorylation by IL-6 stimulation in the blood immune cells of healthy persons and the blood immune cells and tumor immune cells of cancer patients according to an embodiment of the present disclosure. 
         FIG. 2  is a graph showing the results that there was a difference in STAT3 phosphorylation by IL-6 stimulation in the blood immune cells of healthy person and the blood immune cells and tumor immune cells of cancer patients. 
         FIG. 3  is a graph showing the results that there was a difference in STAT3 phosphorylation by IL-10 stimulation in the blood immune cells of healthy person and the blood immune cells and tumor immune cells of cancer patients. 
         FIG. 4  is a graph showing the results that there was a difference in STAT5 phosphorylation by IL-2 stimulation in the blood immune cells of healthy person and the blood immune cells and tumor immune cells of cancer patients. 
         FIG. 5  is a schematic diagram showing changes in values in the blood immune cells and tumor immune cells of cancer patients by using the values in the blood immune cells of healthy persons as base values, from the results in  FIGS. 1 to 4  according to an embodiment of the present disclosure. 
         FIG. 6  shows the results of experimenting the change of phosphorylation of each STAT to each cytokine after co-culture of blood immune cells of healthy persons and a colorectal cell line at various ratios according to an embodiment of the present disclosure. On the whole, statistically significant decrease patterns were shown in the immune cells (B, C, and D) co-cultured with the colorectal cell line compared with the base values (A). (A: PBMC only, B: direct culture of PBMC+HCT116 (1:1), C: direct culture of PBMC+HCT116 (1:10), D: indirect culture of PBMC+HCT116 (1:10)) 
         FIG. 7  shows that cluster analysis was performed with the levels of phosphorylation of each STAT to each cytokine according to an embodiment of the present disclosure, and resultantly, there were two groups wherein colorectal patients were mainly distributed in one group and healthy persons were mainly distributed in the other group. 
         FIG. 8  shows that principal component analysis (PCA) was performed with the phosphorylation levels of each STAT to each cytokine according to an embodiment of the present disclosure and that the colorectal cancer patients (red dots) and healthy persons (green dots) were discriminated from each other. 
         FIG. 9  is a schematic diagram of the distributions of colorectal cancer patients (red dots) and healthy persons (green dots) by using, as axes, respective items from cytokine and STAT combinations with largest differences (IL-6/pSTAT3 and IL-10/pSTAT3) found in the colorectal cancer patients and the healthy persons according to an embodiment of the present disclosure. 
         FIG. 10  is a schematic diagram showing a procedure wherein a statistical model was made by finding useful features for distinguishing between cancer patients and normal persons in training cohort and then validating the performance of the model through the use of validation cohort according to an embodiment of the present invention. 
         FIG. 11  shows the ROC analysis result depicting the performance of a statistical model using two features (IL-6/pSTAT3 and IL-10/pSTAT3) presented in this study in a training cohort according to an embodiment of the present invention. 
         FIG. 12  shows the ROC analysis result depicting the performance of a statistical model using two features (IL-6/pSTAT3 and IL-10/pSTAT3) presented in this study in a validation cohort according to an embodiment of the present invention. 
         FIG. 13  shows the ROC analysis result depicting the performance of a statistical model using the two features (IL-6/pSTAT3 and IL-10/pSTAT3) presented in this study in training and validation cohorts (black line) and the ROC analysis result depicting the performance of a statistical model simultaneously employing the two features (IL-6/pSTAT3 and IL-10/pSTAT3) presented in this study in training and validation cohorts (red line) and a colorectal cancer marker (CEA) according to an embodiment of the present disclosure. 
     
    
    
     BEST MODE FOR CARRYING OUT THE INVENTION 
     A method for providing information required for the diagnosis of colorectal cancer, the method including: measuring the level of STAT3 phosphorylation in Th cells contained in a first sample; and measuring the level of STAT3 phosphorylation in Tc cells contained in a second sample. 
     DETAILED DESCRIPTION 
     Hereinafter, the present disclosure will be described in more detail by the following examples. However, these examples are used only for illustration, and the scope of the present disclosure is not limited by these examples. 
     Experimental Example 1: Subject Collection 
     The subject group included a colorectal cancer group and a healthy group. The colorectal cancer group was composed of patients before surgery and anticancer treatment among patients diagnosed with colorectal cancer in a biopsy during colonoscopy. About 10 ml of fresh peripheral blood was collected prior to surgery, from each of the patients who verbally consented, into a test tube containing heparin as an anti-coagulant. The blood from healthy persons was obtained from an external tissue bank (Korea Gynecology Cancer Back). The blood was promptly delivered to a laboratory of our center on the day of collection. 
     Experimental Example 2: Cell Isolation, Stimulation, and Fixation 
     Mononuclear were isolated from fresh whole blood by using a specific gravity liquid (1.077) such as Ficoll. The isolation method followed a typical method. Briefly, whole blood was diluted with RPMI1640 medium at 1:1, and then Ficoll and the diluted whole blood were placed in a 50-ml test tube at a ratio of 1:1. After centrifugation at 1300 rpm (350 g) for 20 minutes, the mononuclear cell layer separated between Ficoll and plasma was carefully recovered. The isolated mononuclear cells were suspended in RPMI 1640 culture medium containing 10% fetal bovine serum (FBS), at a concentration of 0.5×106 to 1.0×106 cells/ml, and then 1.0 ml was dispensed in each of test tubes prepared under the conditions of test tubes 1 to 4 (test tube 1: no cytokine 1 stimulation (unstimulated, unstim), test tube 2: cytokine 1 stimulated (stimulated, stim), test tube 3: no cytokine 2 stimulation (unstimulated, unstim), and test tube 4: cytokine 2 stimulation (stimulated, stim), and the like) according to the number of cytokines to be identified, and corresponding cytokines were added thereto according to Table 1 below, followed by incubation in a 37° C. incubator for 15 minutes. When the phosphorylated STAT protein (pSTAT) targets to be measured are the same, even different cytokines may share the unstim test tubes. The optimal concentration for each cytokine is shown in Table 1 below. The optimal concentration and reaction time were established through prior experiments. 
     Then, the test tubes were taken out, and quickly treated with 1.5% paraformaldehyde, and then left at room temperature at 25° C. for 10 minutes, and the supernatant was removed by centrifugation at 1000 rpm (300 g) for 10 minutes. Then, the cells were well suspended as single cells by using a mixer (vortex), and 1.0 ml of a cold 100% methanol stock solution, which had been stored at −20° C. or lower, was added to fix the cells. Care is taken to ensure that the cells were sufficiently present as single cells by adding the cells while mixing cells on the mixer, even during addition. Then, the cells were fixed in a −70° C. refrigerator for 1 hour or longer. 
     
       
         
           
               
               
             
               
                   
                 TABLE 1 
               
             
            
               
                   
                   
               
               
                   
                 Cytokine 
               
            
           
           
               
               
               
               
            
               
                   
                 IL-6 
                 IL-10 
                 IL-2 
               
               
                   
                   
               
            
           
           
               
               
               
               
               
            
               
                   
                 Concentration 
                 20 ng/ml 
                 10 ng/ml 
                 20 ng/ml 
               
               
                   
                   
               
            
           
         
       
     
     Experimental Example 3: Phosphorylation Staining and Flow Cytometry 
     The upper methanol was removed by centrifugation at 1000 rpm (300 g) for 10 minutes, and then the cells were washed three times with phosphate buffered saline (PBS) containing 0.5% bovine serum albumin (BSA) to completely remove the residual liquid. A monoclonal antibody to pSTAT to be identified and a monoclonal antibody cocktail capable of identifying cell fraction were prepared, and then mixed and incubated with the cell suspension to make a final volume of 100 μl. The cells were incubated in a dark place for 30 minutes, washed once with PBS containing 0.5% BSA, and then re-suspended in 300 μl, and thereafter, subjected to acquisition and analysis by using a flow cytometer. 
     The composition of each test tube for cytokine stimulation is shown in Table 2, and the composition of the antibody reagent used for each test tube is shown in Table 3. 
     In addition, helper T cells and cytotoxic T cells were discriminated by a particular monoclonal marker, and then the median value (median MFI) of the pSTAT expression levels (mean fluorescence intensity, MFI) to each cytokine stimulation on histogram was derived under unstim and stim conditions. Finally, the ratio of stim MFI/unstim MFI was expressed and the results are shown in Table 4. 
     
       
         
           
               
               
             
               
                   
                 TABLE 2 
               
             
            
               
                   
                   
               
               
                   
                 Test tube 
               
            
           
           
               
               
               
               
               
               
               
            
               
                   
                 1 
                 2 
                 3 
                 4 
                 5 
                 6 
               
               
                   
                   
               
            
           
           
               
               
               
               
               
               
               
            
               
                 Stimulant 
                 None 
                 None 
                 IL-6 
                 IL-6 
                 IL-10 
                 IL-2 
               
               
                 Concen- 
                 — 
                 — 
                 20 ng/ml 
                 20 ng/ml 
                 10 ng/ml 
                 20 ng/ml 
               
               
                 tration 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
               
               
               
               
               
               
               
             
               
                   
                 TABLE 3 
               
               
                   
                   
               
               
                   
                 Stain antibody/ 
                   
                   
                   
                   
                   
                   
               
               
                   
                 Test tube 
                 1 
                 2 
                 3 
                 4 
                 5 
                 6 
               
               
                   
                   
               
             
            
               
                   
               
            
           
           
               
               
               
               
               
               
               
               
            
               
                   
                 pSTAT1 (FITC) 
                 5 
                 — 
                 5 
                 — 
                 — 
                 — 
               
               
                   
                 pSTAT3 (FITC) 
                 — 
                 5 
                 — 
                 5 
                 5 
                 — 
               
               
                   
                 pSTAT3 (FITC)5 
                 — 
                 — 
                 — 
                 — 
                 — 
                 5 
               
               
                   
                 CD25 (PE) 
                 2 
                 2 
                 2 
                 2 
                 2 
                 2 
               
               
                   
                 CD3 (PercpCY5.5) 
                 10 
                 10 
                 10 
                 10 
                 10 
                 10 
               
               
                   
                 CD4 (PE-CY7) 
                 5 
                 5 
                 5 
                 5 
                 5 
                 5 
               
               
                   
                 CD45(APC-CY7) 
                 5 
                 5 
                 5 
                 5 
                 5 
                 5 
               
               
                   
                   
               
            
           
         
       
     
     Example 1: Levels of STAT Phosphorylation to Cytokines in Immune Cells 
     The levels of phosphorylated STAT proteins (pSTAT) in response to IL-6, IL-10 and IL-2 in the immune cells of the peripheral blood and tumor tissue of the patients and the peripheral blood of the healthy control were observed, and the results are shown in  FIGS. 1 to 5  and Tables 4 to 7 (peripheral blood) and Tables 8 to 11 (tumor site). 
     
       
         
           
               
               
               
               
               
               
               
             
               
                 TABLE 4 
               
               
                   
               
             
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID\CIPS 
                 2_pSTAT5_Th 
                 6_pSTAT1_Th 
                 6_pSTAT3_Th 
                 10_pSTAT3_Th 
                 2_pSTAT5_Treg 
                 6_pSTAT1_Treg 
               
               
                   
               
               
                 CRC_CIPS_01 
                 NA 
                 2.79 
                 1.67 
                 0.95 
                 NA 
                 2.24 
               
               
                 CRC_CIPS_02 
                 NA 
                 1.96 
                 3.35 
                 1.92 
                 NA 
                 2.04 
               
               
                 CRC_CIPS_03 
                 NA 
                 6.59 
                 3.46 
                 2.8 
                 NA 
                 3.94 
               
               
                 CRC_CIPS_04 
                 NA 
                 16.9 
                 3.53 
                 3.3 
                 NA 
                 7.19 
               
               
                 CRC_CIPS_05 
                 NA 
                 9.68 
                 4.1 
                 4.03 
                 NA 
                 5.48 
               
               
                 CRC_CIPS_06 
                 NA 
                 15.7 
                 3.53 
                 3.14 
                 NA 
                 5.51 
               
               
                 CRC_CIPS_07 
                 NA 
                 7.09 
                 4.07 
                 3.37 
                 NA 
                 2.85 
               
               
                 CRC_CIPS_08 
                 NA 
                 6.75 
                 4.66 
                 5.46 
                 NA 
                 3.79 
               
               
                 CRC_CIPS_09 
                 NA 
                 14.4 
                 7.66 
                 8.34 
                 NA 
                 7.99 
               
               
                 CRC_CIPS_10 
                 NA 
                 14 
                 7.81 
                 9.04 
                 NA 
                 7.67 
               
               
                 CRC_CIPS_11 
                 NA 
                 1.59 
                 3.88 
                 3.81 
                 NA 
                 1.68 
               
               
                 CRC_CIPS_12 
                 NA 
                 3 
                 4.4 
                 3.41 
                 NA 
                 1.83 
               
               
                 CRC_CIPS_13 
                 NA 
                 8.23 
                 2.86 
                 1.46 
                 NA 
                 3.1 
               
               
                 CRC_CIPS_14 
                 NA 
                 8.15 
                 6.83 
                 2.55 
                 NA 
                 4.68 
               
               
                 CRC_CIPS_15 
                 NA 
                 3.75 
                 5.26 
                 3 
                 NA 
                 2.04 
               
               
                   
               
            
           
           
               
               
               
               
               
               
               
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID\CIPS 
                 6_pSTAT3_Treg 
                 10_pSTAT3_Treg 
                 2_pSTAT5_Tc 
                 6_pSTAT1_Tc 
                 6_pSTAT3_Tc 
                 10_pSTAT3_Tc 
               
               
                   
               
               
                 CRC_CIPS_01 
                 1.57 
                 1.22 
                 NA 
                 2.52 
                 1.68 
                 0.95 
               
               
                 CRC_CIPS_02 
                 3.53 
                 2.34 
                 NA 
                 0.89 
                 1.3 
                 2.27 
               
               
                 CRC_CIPS_03 
                 3.56 
                 3.43 
                 NA 
                 0.89 
                 0.92 
                 3.47 
               
               
                 CRC_CIPS_04 
                 4.05 
                 4.38 
                 NA 
                 1 
                 1.11 
                 5.91 
               
               
                 CRC_CIPS_05 
                 4.79 
                 5.55 
                 NA 
                 1.04 
                 1.26 
                 7.9 
               
               
                 CRC_CIPS_06 
                 3.28 
                 3.85 
                 NA 
                 1.48 
                 1.23 
                 4.66 
               
               
                 CRC_CIPS_07 
                 4.11 
                 4.03 
                 NA 
                 1.08 
                 1.14 
                 5.21 
               
               
                 CRC_CIPS_08 
                 4.43 
                 5.14 
                 NA 
                 1.37 
                 1.48 
                 6.9 
               
               
                 CRC_CIPS_09 
                 6.59 
                 7.47 
                 NA 
                 1.3 
                 1.57 
                 9.87 
               
               
                 CRC_CIPS_10 
                 6.94 
                 7.91 
                 NA 
                 1.33 
                 1.24 
                 9.86 
               
               
                 CRC_CIPS_11 
                 3.24 
                 3.6 
                 NA 
                 1.14 
                 1.38 
                 4.4 
               
               
                 CRC_CIPS_12 
                 4.26 
                 4.34 
                 NA 
                 1.08 
                 1.59 
                 5.89 
               
               
                 CRC_CIPS_13 
                 3.93 
                 1.95 
                 NA 
                 1.6 
                 1.3 
                 1.86 
               
               
                 CRC_CIPS_14 
                 6.71 
                 3.84 
                 NA 
                 0.97 
                 1.14 
                 3.81 
               
               
                 CRC_CIPS_15 
                 4.57 
                 3.98 
                 NA 
                 1.64 
                 1.14 
                 4 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
               
               
               
               
               
               
             
               
                 TABLE 5 
               
               
                   
               
             
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID\CIPS 
                 2_pSTAT5_Th 
                 6_pSTAT1_Th 
                 6_pSTAT3_Th 
                 10_pSTAT3_Th 
                 2_pSTAT5_Treg 
                 6_pSTAT1_Treg 
               
               
                   
               
               
                 CRC_CIPS_16 
                 NA 
                 0.84 
                 1.22 
                 6.97 
                 NA 
                 2.75 
               
               
                 CRC_CIPS_17 
                 NA 
                 2.13 
                 4.11 
                 3.27 
                 NA 
                 2.09 
               
               
                 CRC_CIPS_18 
                 NA 
                 5 
                 8.99 
                 4.19 
                 NA 
                 2.49 
               
               
                 CRC_CIPS_19 
                 NA 
                 5.13 
                 5.04 
                 3.55 
                 NA 
                 4.52 
               
               
                 CRC_CIPS_20 
                 NA 
                 2.4 
                 6.09 
                 3.24 
                 NA 
                 2.92 
               
               
                 CRC_CIPS_21 
                 NA 
                 9.71 
                 4.11 
                 2.71 
                 NA 
                 17.6 
               
               
                 CRC_CIPS_22 
                 NA 
                 7.07 
                 1.53 
                 1.14 
                 NA 
                 4.64 
               
               
                 CRC_CIPS_23 
                 NA 
                 4.61 
                 3.73 
                 1.57 
                 NA 
                 7.29 
               
               
                 CRC_CIPS_24 
                 NA 
                 13.2 
                 6.06 
                 3.97 
                 NA 
                 9.5 
               
               
                 CRC_CIPS_25 
                 5.67 
                 NA 
                 5.57 
                 4.3 
                 12.6 
                 NA 
               
               
                 CRC_CIPS_26 
                 3.6 
                 5.49 
                 5.21 
                 3.75 
                 6.3 
                 3.84 
               
               
                 CRC_CIPS_27 
                 3.08 
                 7.34 
                 3.36 
                 1.75 
                 6.53 
                 6.11 
               
               
                 CRC_CIPS_28 
                 3.97 
                 9.2 
                 5.56 
                 5.42 
                 5.93 
                 10 
               
               
                 CRC_CIPS_29 
                 NA 
                 NA 
                 6.04 
                 5.35 
                 NA 
                 NA 
               
               
                 CRC_CIPS_30 
                 3.18 
                 2.19 
                 4.39 
                 3.61 
                 5.44 
                 2.38 
               
               
                   
               
            
           
           
               
               
               
               
               
               
               
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID\CIPS 
                 6_pSTAT3_Treg 
                 10_pSTAT3_Treg 
                 2_pSTAT5_Tc 
                 6_pSTAT1_Tc 
                 6_pSTAT3_Tc 
                 10_pSTAT3_Tc 
               
               
                   
               
               
                 CRC_CIPS_16 
                 8.7 
                 6.59 
                 NA 
                 0.82 
                 1.16 
                 7.4 
               
               
                 CRC_CIPS_17 
                 4.42 
                 3.81 
                 NA 
                 0.97 
                 1.22 
                 3.8 
               
               
                 CRC_CIPS_18 
                 11.7 
                 7.03 
                 NA 
                 1.08 
                 1.49 
                 5.52 
               
               
                 CRC_CIPS_19 
                 6.08 
                 5.01 
                 NA 
                 1.16 
                 1.27 
                 7.24 
               
               
                 CRC_CIPS_20 
                 7 
                 4.09 
                 NA 
                 1.23 
                 1.14 
                 4.6 
               
               
                 CRC_CIPS_21 
                 8.53 
                 6.33 
                 NA 
                 1.02 
                 1.25 
                 7.21 
               
               
                 CRC_CIPS_22 
                 1.02 
                 1.29 
                 NA 
                 1.1 
                 0.31 
                 1.25 
               
               
                 CRC_CIPS_23 
                 4.46 
                 2.04 
                 NA 
                 1.29 
                 1.09 
                 1.83 
               
               
                 CRC_CIPS_24 
                 9.11 
                 6.95 
                 NA 
                 1.12 
                 1.47 
                 3.97 
               
               
                 CRC_CIPS_25 
                 10.4 
                 9.59 
                 7.16 
                 NA 
                 1.19 
                 6.65 
               
               
                 CRC_CIPS_26 
                 10.5 
                 10.8 
                 4.64 
                 1.33 
                 1.22 
                 5.07 
               
               
                 CRC_CIPS_27 
                 3.07 
                 2.27 
                 2.38 
                 1.25 
                 1.02 
                 1.78 
               
               
                 CRC_CIPS_28 
                 5.49 
                 6.47 
                 3.79 
                 1.05 
                 1.15 
                 5.38 
               
               
                 CRC_CIPS_29 
                 5.69 
                 6.02 
                 NA 
                 NA 
                 1.42 
                 6.02 
               
               
                 CRC_CIPS_30 
                 4.83 
                 4.74 
                 2.58 
                 1.14 
                 1.4 
                 3.56 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
               
               
               
               
               
               
             
               
                 TABLE 6 
               
               
                   
               
             
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID\CIPS 
                 2_pSTAT5_Th 
                 6_pSTAT1_Th 
                 6_pSTAT3_Th 
                 10_pSTAT3_Th 
                 2_pSTAT5_Treg 
                 6_pSTAT1_Treg 
               
               
                   
               
               
                 CRC_CIPS_31 
                 3.67 
                 NA 
                 5.42 
                 NA 
                 7.14 
                 NA 
               
               
                 CRC_CIPS_32 
                 3.36 
                 NA 
                 5.57 
                 NA 
                 6.04 
                 NA 
               
               
                 CRC_CIPS_33 
                 3.27 
                 NA 
                 4.57 
                 NA 
                 5.06 
                 NA 
               
               
                 CRC_CIPS_34 
                 3.26 
                 NA 
                 3 
                 NA 
                 5.03 
                 NA 
               
               
                 CRC_CIPS_35 
                 3.73 
                 7.46 
                 6.41 
                 1.5 
                 7.96 
                 2.04 
               
               
                 CRC_CIPS_36 
                 2.96 
                 11.1 
                 5.82 
                 2.7 
                 5.96 
                 15.1 
               
               
                 CRC_CIPS_37 
                 5.63 
                 NA 
                 5.4 
                 2.25 
                 7.48 
                 NA 
               
               
                 CRC_CIPS_38 
                 6.19 
                 NA 
                 4.74 
                 4.15 
                 13.8 
                 NA 
               
               
                 CRC_CIPS_39 
                 5.09 
                 NA 
                 3.65 
                 2.98 
                 7.18 
                 NA 
               
               
                 CRC_CIPS_40 
                 3.96 
                 NA 
                 3.72 
                 1.72 
                 6.8 
                 NA 
               
               
                   
               
            
           
           
               
               
               
               
               
               
               
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID\CIPS 
                 6_pSTAT3_Treg 
                 10_pSTAT3_Treg 
                 2_pSTAT5_Tc 
                 6_pSTAT1_Tc 
                 6_pSTAT3_Tc 
                 10_pSTAT3_Tc 
               
               
                   
               
               
                 CRC_CIPS_31 
                 4.98 
                 NA 
                 3.32 
                 NA 
                 1.04 
                 NA 
               
               
                 CRC_CIPS_32 
                 7.2 
                 NA 
                 3.37 
                 NA 
                 1.25 
                 NA 
               
               
                 CRC_CIPS_33 
                 5.73 
                 NA 
                 3.19 
                 NA 
                 1.16 
                 NA 
               
               
                 CRC_CIPS_34 
                 4.03 
                 NA 
                 2.53 
                 NA 
                 1.12 
                 NA 
               
               
                 CRC_CIPS_35 
                 5.05 
                 1.93 
                 4.13 
                 1.08 
                 1.26 
                 1.65 
               
               
                 CRC_CIPS_36 
                 5.94 
                 3.91 
                 4 
                 1.12 
                 1.17 
                 2.83 
               
               
                 CRC_CIPS_37 
                 6.59 
                 3.81 
                 4.55 
                 NA 
                 1.09 
                 2.24 
               
               
                 CRC_CIPS_38 
                 7.48 
                 7.14 
                 5.19 
                 NA 
                 1.28 
                 4.38 
               
               
                 CRC_CIPS_39 
                 4.18 
                 4.02 
                 4.43 
                 NA 
                 1.18 
                 3.27 
               
               
                 CRC_CIPS_40 
                 4.76 
                 2.62 
                 2.8 
                 NA 
                 0.95 
                 1.53 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
               
               
               
               
               
               
             
               
                 TABLE 7 
               
               
                   
               
             
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID\CIPS 
                 2_pSTAT5_Th 
                 6_pSTAT1_Th 
                 6_pSTAT3_Th 
                 10_pSTAT3_Th 
                 2_pSTAT5_Treg 
                 6_pSTAT1_Treg 
               
               
                   
               
               
                 CON_CIPS_01 
                 3.7 
                 9.48 
                 4.93 
                 2.27 
                 6.67 
                 6.75 
               
               
                 CON_CIPS_02 
                 3.13 
                 7.39 
                 4.54 
                 2.15 
                 8.86 
                 7.39 
               
               
                 CON_CIPS_03 
                 4.76 
                 15.4 
                 4.67 
                 2.38 
                 12.1 
                 13.4 
               
               
                 CON_CIPS_04 
                 5.22 
                 16 
                 2.71 
                 1.54 
                 12 
                 19.4 
               
               
                 CON_CIPS_05 
                 3.57 
                 15 
                 3.41 
                 1.68 
                 6.85 
                 12.9 
               
               
                 CON_CIPS_06 
                 2.73 
                 13.3 
                 4.63 
                 2.06 
                 5.56 
                 6.72 
               
               
                 CON_CIPS_07 
                 2.77 
                 7.91 
                 4.13 
                 2.06 
                 5.79 
                 4.61 
               
               
                 CON_CIPS_08 
                 2.31 
                 9.55 
                 3.55 
                 2 
                 4.63 
                 7.9 
               
               
                 CON_CIPS_09 
                 8.92 
                 5.95 
                 5.35 
                 2.91 
                 23.8 
                 4.88 
               
               
                 CON_CIPS_10 
                 9.88 
                 3.46 
                 6.47 
                 2.49 
                 22 
                 3.97 
               
               
                 CON_CIPS_11 
                 7.47 
                 3.16 
                 4.93 
                 2.76 
                 19.6 
                 4.55 
               
               
                 CON_CIPS_12 
                 3.42 
                 8.27 
                 3.05 
                 1.63 
                 4.99 
                 6.89 
               
               
                 CON_CIPS_13 
                 2.77 
                 10.5 
                 3.13 
                 1.83 
                 4.21 
                 9.75 
               
               
                 CON_CIPS_14 
                 2.3 
                 10.3 
                 4.09 
                 2.17 
                 4.65 
                 9.03 
               
               
                 CON_CIPS_15 
                 3.91 
                 9.11 
                 4.92 
                 1.49 
                 10.9 
                 5.66 
               
               
                 CON_CIPS_16 
                 4.86 
                 15.4 
                 4.06 
                 1.49 
                 10.4 
                 8.41 
               
               
                   
               
            
           
           
               
               
               
               
               
               
               
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID\CIPS 
                 6_pSTAT3_Treg 
                 10_pSTAT3_Treg 
                 2_pSTAT5_Tc 
                 6_pSTAT1_Tc 
                 6_pSTAT3_Tc 
                 10_pSTAT3_Tc 
               
               
                   
               
               
                 CON_CIPS_01 
                 5.43 
                 3.8 
                 2.42 
                 7.69 
                 3.85 
                 2.22 
               
               
                 CON_CIPS_02 
                 5.15 
                 3.42 
                 2.98 
                 1.17 
                 1.36 
                 2.62 
               
               
                 CON_CIPS_03 
                 6 
                 4.14 
                 6.17 
                 1.71 
                 1.8 
                 3.25 
               
               
                 CON_CIPS_04 
                 3.55 
                 2.45 
                 5.55 
                 15.5 
                 2.67 
                 1.83 
               
               
                 CON_CIPS_05 
                 3.57 
                 2.46 
                 3.46 
                 2.92 
                 2.33 
                 1.75 
               
               
                 CON_CIPS_06 
                 4.46 
                 3.06 
                 2.87 
                 1.34 
                 1.48 
                 2.61 
               
               
                 CON_CIPS_07 
                 4.26 
                 2.92 
                 2.45 
                 1.63 
                 1.91 
                 2.21 
               
               
                 CON_CIPS_08 
                 4.07 
                 2.78 
                 1.92 
                 2.88 
                 2.17 
                 1.95 
               
               
                 CON_CIPS_09 
                 10.3 
                 8.5 
                 8.67 
                 1.4 
                 1.33 
                 4.14 
               
               
                 CON_CIPS_10 
                 8.91 
                 5.3 
                 7.39 
                 0.92 
                 1.07 
                 3.3 
               
               
                 CON_CIPS_11 
                 6.25 
                 4.72 
                 4.99 
                 1.1 
                 1.28 
                 3.36 
               
               
                 CON_CIPS_12 
                 2.84 
                 1.84 
                 2.93 
                 1.53 
                 1.39 
                 1.68 
               
               
                 CON_CIPS_13 
                 2.68 
                 2.14 
                 3.19 
                 1.33 
                 1.42 
                 2.03 
               
               
                 CON_CIPS_14 
                 3.72 
                 2.67 
                 2.78 
                 1.53 
                 1.59 
                 2.36 
               
               
                 CON_CIPS_15 
                 5.17 
                 2.23 
                 3.29 
                 1.67 
                 1.74 
                 1.75 
               
               
                 CON_CIPS_16 
                 4.04 
                 2.4 
                 4.51 
                 2.4 
                 2.32 
                 1.54 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
               
               
               
               
               
               
             
               
                 TABLE 8 
               
               
                   
               
             
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID/CIPS 
                 2_pSTAT5_Th 
                 6_pSTAT1_Th 
                 6_pSTAT3_Th 
                 10_pSTAT3_Th 
                 2_pSTAT5_Treg 
                 6_pSTAT1_Treg 
               
               
                   
               
               
                 CRC_CIPS_01 
                 NA 
                 1 
                 0.72 
                   
                 NA 
                 1.25 
               
               
                 CRC_CIPS_02 
                 NA 
                 2.05 
                 1.77 
                 1.39 
                 NA 
                 2.2 
               
               
                 CRC_CIPS_03 
                 NA 
                 1.56 
                 1.98 
                 1.09 
                 NA 
                 1.48 
               
               
                 CRC_CIPS_04 
                 NA 
                 1.34 
                 1.16 
                 1.51 
                 NA 
                 1.49 
               
               
                 CRC_CIPS_05 
                 NA 
                 1.01 
                 0.84 
                 1.61 
                 NA 
                 1.11 
               
               
                 CRC_CIPS_06 
                 NA 
                 1.35 
                 0.91 
                 2.28 
                 NA 
                 1.67 
               
               
                 CRC_CIPS_07 
                 NA 
                 1.03 
                 1.2 
                 2.02 
                 NA 
                 1.15 
               
               
                 CRC_CIPS_08 
                 NA 
                 1.6 
                 1.46 
                 3.37 
                 NA 
                 1.8 
               
               
                 CRC_CIPS_09 
                 NA 
                 0.94 
                 1.13 
                 2.42 
                 NA 
                 0.84 
               
               
                 CRC_CIPS_10 
                 NA 
                 0.94 
                 1.3 
                 2.58 
                 NA 
                 1 
               
               
                 CRC_CIPS_11 
                 NA 
                 1.12 
                 1.26 
                 1.46 
                 NA 
                 1.1 
               
               
                 CRC_CIPS_12 
                 NA 
                 1.04 
                 1.14 
                 2.01 
                 NA 
                 1.08 
               
               
                 CRC_CIPS_13 
                 NA 
                 0.59 
                 1.18 
                 1.37 
                 NA 
                 0.59 
               
               
                 CRC_CIPS_14 
                 NA 
                 1.13 
                 1.92 
                 2.01 
                 NA 
                 1.45 
               
               
                 CRC_CIPS_15 
                 NA 
                 1.24 
                 1.01 
                 2 
                 NA 
                 1.17 
               
               
                   
               
            
           
           
               
               
               
               
               
               
               
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID/CIPS 
                 6_pSTAT3_Treg 
                 10_pSTAT3_Treg 
                 2_pSTAT5_Tc 
                 6_pSTAT1_Tc 
                 6_pSTAT3_Tc 
                 10_pSTAT3_Tc 
               
               
                   
               
               
                 CRC_CIPS_01 
                 0.65 
                   
                 NA 
                 0.97 
                 0.87 
               
               
                 CRC_CIPS_02 
                 1.7 
                 1.48 
                 NA 
                 1.29 
                 1.13 
                 1.48 
               
               
                 CRC_CIPS_03 
                 2.06 
                 1.14 
                 NA 
                 0.94 
                 1.26 
                 1.17 
               
               
                 CRC_CIPS_04 
                 1.47 
                 1.61 
                 NA 
                 1.04 
                 0.97 
                 1.78 
               
               
                 CRC_CIPS_05 
                 0.96 
                 2.04 
                 NA 
                 1.05 
                 0.93 
                 2.16 
               
               
                 CRC_CIPS_06 
                 1.44 
                 3 
                 NA 
                 1.23 
                 1.06 
                 4.3 
               
               
                 CRC_CIPS_07 
                 1.27 
                 2.37 
                 NA 
                 1.02 
                 1.03 
                 2.43 
               
               
                 CRC_CIPS_08 
                 1.7 
                 3.5 
                 NA 
                 1.11 
                 1.27 
                 6.12 
               
               
                 CRC_CIPS_09 
                 0.96 
                 2.22 
                 NA 
                 1.06 
                 1.01 
                 3.49 
               
               
                 CRC_CIPS_10 
                 1.38 
                 2.75 
                 NA 
                 0.85 
                 1.23 
                 4.65 
               
               
                 CRC_CIPS_11 
                 1.46 
                 0.55 
                 NA 
                 1.42 
                 1.46 
                 3.43 
               
               
                 CRC_CIPS_12 
                 1.14 
                 2.13 
                 NA 
                 1.42 
                 1.01 
                 2.07 
               
               
                 CRC_CIPS_13 
                 1.46 
                 1.55 
                 NA 
                 0.48 
                 0.98 
                 1.49 
               
               
                 CRC_CIPS_14 
                 2.91 
                 3.1 
                 NA 
                 0.8 
                 1.12 
                 2.22 
               
               
                 CRC_CIPS_15 
                 1.34 
                 2.56 
                 NA 
                 1.12 
                 1.07 
                 2.85 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
               
               
               
               
               
               
             
               
                 TABLE 9 
               
               
                   
               
             
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID/CIPS 
                 2_pSTAT5_Th 
                 6_pSTAT1_Th 
                 6_pSTAT3_Th 
                 10_pSTAT3_Th 
                 2_pSTAT5_Treg 
                 6_pSTAT1_Treg 
               
               
                   
               
               
                 CRC_CIPS_16 
                 NA 
                 1.85 
                 2.41 
                 1.9 
                 NA 
                 2.45 
               
               
                 CRC_CIPS_17 
                 NA 
                 0.89 
                 1.12 
                 1.52 
                 NA 
                 0.92 
               
               
                 CRC_CIPS_18 
                 NA 
                 0.94 
                 1.46 
                 2.28 
                 NA 
                 0.82 
               
               
                 CRC_CIPS_19 
                 NA 
                 0.99 
                 1.26 
                 2.33 
                 NA 
                 1.28 
               
               
                 CRC_CIPS_20 
                 NA 
                 1.73 
                 3.32 
                 1.87 
                 NA 
                 3.22 
               
               
                 CRC_CIPS_21 
                 NA 
                 1.39 
                 1.81 
                 2.2 
                 NA 
                 8.27 
               
               
                 CRC_CIPS_22 
                 NA 
                 1.65 
                 2.32 
                 1.93 
                 NA 
                 2.24 
               
               
                 CRC_CIPS_23 
                 NA 
                 0.94 
                 1.06 
                 3.72 
                 NA 
                 2 
               
               
                 CRC_CIPS_24 
                 NA 
                 1.53 
                 1.73 
                 2.35 
                 NA 
                 1.68 
               
               
                 CRC_CIPS_25 
                 3.33 
                 NA 
                 1.86 
                 1.68 
                 12.7 
                 NA 
               
               
                 CRC_CIPS_26 
                 3.79 
                 1.39 
                 1.42 
                 2.53 
                 9.69 
                 1.71 
               
               
                 CRC_CIPS_27 
                 3 
                 1.05 
                 1.26 
                 1.4 
                 5.93 
                 1.04 
               
               
                 CRC_CIPS_28 
                 2.84 
                 1.2 
                 1.2 
                 2.8 
                 5.21 
                 2.23 
               
               
                 CRC_CIPS_29 
                 4.43 
                 1.17 
                 1.15 
                 1.95 
                 6.08 
                 1.96 
               
               
                 CRC_CIPS_30 
                 2.53 
                 NA 
                 NA 
                 NA 
                 4.52 
                 NA 
               
               
                   
               
            
           
           
               
               
               
               
               
               
               
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID/CIPS 
                 6_pSTAT3_Treg 
                 10_pSTAT3_Treg 
                 2_pSTAT5_Tc 
                 6_pSTAT1_Tc 
                 6_pSTAT3_Tc 
                 10_pSTAT3_Tc 
               
               
                   
               
               
                 CRC_CIPS_16 
                 3.05 
                 2.6 
                 NA 
                 1.08 
                 1.05 
                 2.66 
               
               
                 CRC_CIPS_17 
                 1.37 
                 2.04 
                 NA 
                 0.77 
                 0.92 
                 1.4 
               
               
                 CRC_CIPS_18 
                 1.49 
                 2.92 
                 NA 
                 0.89 
                 1.25 
                 2.78 
               
               
                 CRC_CIPS_19 
                 2.12 
                 4.12 
                 NA 
                 0.89 
                 1.08 
                 2.19 
               
               
                 CRC_CIPS_20 
                 4.96 
                 2.6 
                 NA 
                 1.08 
                 1.21 
                 1.87 
               
               
                 CRC_CIPS_21 
                 8.36 
                 7.86 
                 NA 
                 1.1 
                 1.22 
                 3.74 
               
               
                 CRC_CIPS_22 
                 3 
                 3.22 
                 NA 
                 0.7 
                 0.98 
                 1.9 
               
               
                 CRC_CIPS_23 
                 0.93 
                 7.33 
                 NA 
                 1 
                 1.11 
                 4.56 
               
               
                 CRC_CIPS_24 
                 2.58 
                 3.96 
                 NA 
                 1.21 
                 1.2 
                 2.34 
               
               
                 CRC_CIPS_25 
                 4.61 
                 5.56 
                 4.69 
                 NA 
                 1.12 
                 2.27 
               
               
                 CRC_CIPS_26 
                 4.89 
                 10.6 
                 4.08 
                 1.07 
                 1.06 
                 3 
               
               
                 CRC_CIPS_27 
                 1.3 
                 1.68 
                 2.4  
                 0.92 
                 1.04 
                 1.45 
               
               
                 CRC_CIPS_28 
                 2.56 
                 4.44 
                 3.04 
                 1.04 
                 1.05 
                 2.98 
               
               
                 CRC_CIPS_29 
                 1.78 
                 2.54 
                 4.71 
                 1.12 
                 1.13 
                 2.57 
               
               
                 CRC_CIPS_30 
                 NA 
                 NA 
                 2.3  
                 NA 
                 NA 
                 NA 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
               
               
               
               
               
               
             
               
                 TABLE 10 
               
               
                   
               
             
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID/CIPS 
                 2_pSTAT5_Th 
                 6_pSTAT1_Th 
                 6_pSTAT3_Th 
                 10_pSTAT3_Th 
                 2_pSTAT5_Treg 
                 6_pSTAT1_Treg 
               
               
                   
               
               
                 CRC_CIPS_31 
                 2.1 
                 NA 
                 1.06 
                 NA 
                 4.93 
                 NA 
               
               
                 CRC_CIPS_32 
                 2.89 
                 NA 
                 1.08 
                 NA 
                 6.79 
                 NA 
               
               
                 CRC_CIPS_33 
                 3.04 
                 NA 
                 1.06 
                 NA 
                 9.39 
                 NA 
               
               
                 CRC_CIPS_34 
                 3.1 
                 NA 
                 NA 
                 NA 
                 8.61 
                 NA 
               
               
                 CRC_CIPS_35 
                 1.28 
                 NA 
                 NA 
                 NA 
                 1.89 
                 NA 
               
               
                 CRC_CIPS_36 
                 2.35 
                 NA 
                 1.21 
                 1.05 
                 4.21 
                 NA 
               
               
                 CRC_CIPS_37 
                 3.57 
                 NA 
                 1.22 
                 1.62 
                 7.72 
                 NA 
               
               
                 CRC_CIPS_38 
                 1.85 
                 NA 
                 1.32 
                 1.34 
                 7.82 
                 NA 
               
               
                 CRC_CIPS_39 
                 1.86 
                 NA 
                 1.17 
                 1.27 
                 4.45 
                 NA 
               
               
                 CRC_CIPS_40 
                 2.97 
                 0.99 
                 1.15 
                 1.31 
                 6.14 
                 1.41 
               
               
                   
               
            
           
           
               
               
               
               
               
               
               
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID/CIPS 
                 6_pSTAT3_Treg 
                 10_pSTAT3_Treg 
                 2_pSTAT5_Tc 
                 6_pSTAT1_Tc 
                 6_pSTAT3_Tc 
                 10_pSTAT3_Tc 
               
               
                   
               
               
                 CRC_CIPS_31 
                 2.1 
                 NA 
                 2.66 
                 NA 
                 0.92 
                 NA 
               
               
                 CRC_CIPS_32 
                 1.28 
                 NA 
                 3.07 
                 NA 
                 1.09 
                 NA 
               
               
                 CRC_CIPS_33 
                 1.1 
                 NA 
                 2.62 
                 NA 
                 1.09 
                 NA 
               
               
                 CRC_CIPS_34 
                 NA 
                 NA 
                 2.59 
                 NA 
                 NA 
                 NA 
               
               
                 CRC_CIPS_35 
                 NA 
                 NA 
                 1.34 
                 NA 
                 NA 
                 NA 
               
               
                 CRC_CIPS_36 
                 1.71 
                 NA 
                 2.04 
                 NA 
                 1.11 
                 1.15 
               
               
                 CRC_CIPS_37 
                 1.68 
                 2.53 
                 3.02 
                 NA 
                 1.13 
                 1.61 
               
               
                 CRC_CIPS_38 
                 2.11 
                 2.32 
                 1.84 
                 NA 
                 1.38 
                 1.49 
               
               
                 CRC_CIPS_39 
                 1.2 
                 1.65 
                 2.08 
                 NA 
                 1.09 
                 1.38 
               
               
                 CRC_CIPS_40 
                 1.67 
                 1.49 
                 3.14 
                 1.01 
                 1.08 
                 1.26 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
               
               
               
               
               
               
             
               
                 TABLE 11 
               
               
                   
               
             
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID/CIPS 
                 2_pSTAT5_Th 
                 6_pSTAT1_Th 
                 6_pSTAT3_Th 
                 10_pSTAT3_Th 
                 2_pSTAT5_Treg 
                 6_pSTAT1_Treg 
               
               
                   
               
               
                 CON_CIPS_01 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_02 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_03 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_04 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_05 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_06 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_07 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_08 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_09 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_10 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_11 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_12 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_13 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_14 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_15 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_16 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                   
               
            
           
           
               
               
               
               
               
               
               
            
               
                   
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
                 IL- 
               
               
                 ID/CIPS 
                 6_pSTAT3_Treg 
                 10_pSTAT3_Treg 
                 2_pSTAT5_Tc 
                 6_pSTAT1_Tc 
                 6_pSTAT3_Tc 
                 10_pSTAT3_Tc 
               
               
                   
               
               
                 CON_CIPS_01 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_02 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_03 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_04 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_05 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_06 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_07 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_08 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_09 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_10 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_11 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_12 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_13 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_14 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_15 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                 CON_CIPS_16 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
                 NA 
               
               
                   
               
            
           
         
       
     
     As can be seen in  FIGS. 1 to 5  and Tables 4 to 11, IL-6-induced pSTAT1 and pSTAT3 were significantly decreased in tumor infiltrating lymphocytes (TILs). It was also identified that the cytokine-induced phosphorylated STAT signature (CIPS signature) of the peripheral blood lymphocytes reflected the CIPS signature of TILs. 
     Such similar phenomenon was observed in IL-6-induced pSTAT1 of Helper T cells, regulatory T cells, and cytotoxic T cells, as well as in pSTAT3 of Tc cells. However, unusually, IL-10-induced pSTAT3 was similar in both TILs and healthy control cells, but significantly increased in the peripheral blood lymphocytes of the patients. 
     Overall, it was identified that the levels of intracellular STAT protein phosphorylation (pSTAT) by IL-6 and IL-10 were statistically very different between the immune cells derived from tumor tissue of colorectal cancer patients and the immune cells derived from the blood of normal persons and that there was phosphorylation at the medium levels therebetween in the immune cells derived from the blood of the colorectal cancer patients. 
     Example 2: In-Vitro Co-Culture Experiment Using Cancer Cell Lines 
     In order to investigate whether the findings observed in the patient-derived immune cells were caused by tumor cells, HCT116 (American Type Culture Collection, ATCC CCL-247), which is a colorectal cancer cell line, and mononuclear cells of the peripheral blood of normal persons were co-cultured in vitro. The cell mixing conditions and the number of cells in the in-vitro co-culture experiment are shown in Table 6. The levels of STAT protein phosphorylation for each cytokine were measured, the results are shown in  FIG. 6  and Tables 13 to 15. (Table 13: Th, Table 14: Treg, and Table 15: Tc) 
     Co-culturing was performed under two conditions. That is, while the ratios of tumor cells and mononuclear cells of normal persons were 1:1 and 1:10, the first condition was that the two kinds of cells were directly mixed and co-cultured in one experimental well (direct), and the second condition was that, in an experimental well with a septum (transwell), the tumor cells were placed in the upper layer of the septum and the mononuclear cells of normal persons were placed in the lower layer and co-cultured (indirect). 
     
       
         
           
               
               
               
               
             
               
                   
                 TABLE 12 
               
               
                   
                   
               
               
                   
                   
                   
                 Number of mononuclear 
               
               
                   
                 Ratio 
                 Number of tumor cells 
                 cells of normal persons 
               
               
                   
                   
               
             
            
               
                   
                 1:1 
                 3 × 10 6   
                 3 × 10 6   
               
               
                   
                 1:10 
                 3 × 10 5   
                 3 × 10 6   
               
               
                   
                   
               
            
           
         
       
     
     
       
         
           
               
               
               
               
               
             
               
                 TABLE 13 
               
               
                   
               
               
                 ID/CIPS 
                 IL-2_pSTAT5_Th 
                 IL-6_pSTAT1_Th 
                 IL-6_pSTAT3_Th 
                 IL-10_pSTAT3_Th 
               
               
                   
               
             
            
               
                   
               
            
           
           
               
               
               
               
               
            
               
                 PBMC_01 
                   
                 11.72 
                 5.98 
                   
               
               
                 PBMC_02 
                 2.31 
                 2.94 
                 1.96 
                 1.02 
               
               
                 PBMC_03 
                 3.86 
                 1.97 
                 1.62 
                 1.08 
               
               
                 PBMC_04 
                 3.92 
                 1.88 
                 1.72 
                 0.87 
               
               
                 PBMC_05 
                 5.51 
                 5.62 
                 3.07 
                 1.55 
               
               
                 PBMC_06 
                 6.32 
                 7.68 
                 2.49 
                 1.32 
               
               
                 PBMC_07 
                 6.88 
                 2.03 
                 2.76 
                 1.41 
               
               
                 PBMC_08 
                 3.68 
                 5.31 
                 3.80 
                 1.91 
               
               
                 PBMC_09 
                 8.03 
                 3.10 
                 2.34 
                 1.67 
               
               
                 PBMC_10 
                 7.00 
                 1.82 
                 1.45 
                 1.37 
               
               
                 PBMC_11 
                 8.11 
                 1.05 
                 1.58 
                 1.38 
               
               
                 PBMC_12 
                 4.55 
                 2.99 
                 1.46 
                 1.36 
               
               
                 PBMC_13 
                 4.04 
                 5.49 
                 2.29 
                 1.57 
               
               
                 PBMC_14 
                 7.41 
                 7.54 
                 2.55 
                 1.68 
               
               
                 PBMC_HCT116_R1_Direct_01 
                 3.50 
                 0.09 
                 0.69 
                 1.15 
               
               
                 PBMC_HCT116_R1_Direct_02 
                 2.23 
                 1.47 
                 1.12 
                 1.15 
               
               
                 PBMC_HCT116_R1_Direct_03 
                 2.69 
                 1.17 
                 1.20 
                 0.95 
               
               
                 PBMC_HCT116_R1_Direct_04 
                 2.39 
                 1.20 
                 1.11 
                 1.12 
               
               
                 PBMC_HCT116_R1_Direct_05 
                 2.71 
                 1.28 
                 1.18 
                 1.41 
               
               
                 PBMC_HCT116_R1_Direct_06 
                 5.29 
                 1.26 
                 1.24 
                 1.28 
               
               
                 PBMC_HCT116_R1_Direct_07 
                 3.07 
                 1.58 
                 1.34 
                 1.22 
               
               
                 PBMC_HCT116_R1_Direct_08 
                 4.76 
                 1.30 
                 0.90 
                 0.88 
               
               
                 PBMC_HCT116_R10_Direct_01 
                 2.80 
                 0.27 
                 0.68 
                 0.91 
               
               
                 PBMC_HCT116_R10_Direct_02 
                 1.70 
                 1.12 
                 1.28 
                 1.02 
               
               
                 PBMC_HCT116_R10_Direct_03 
                 2.47 
                 1.68 
                 1.43 
                 1.09 
               
               
                 PBMC_HCT116_R10_Direct_04 
                 2.53 
                 1.90 
                 1.56 
                 1.22 
               
               
                 PBMC_HCT116_R10_Direct_05 
                 1.71 
                 1.70 
                 1.21 
                 1.39 
               
               
                 PBMC_HCT116_R10_Direct_06 
                 4.16 
                 1.38 
                 1.36 
                 1.16 
               
               
                 PBMC_HCT116_R10_Direct_07 
                 2.49 
                 1.55 
                 1.16 
                 1.30 
               
               
                 PBMC_HCT116_R10_Direct_08 
                 3.80 
                 0.97 
                 1.21 
                 1.53 
               
               
                 PBMC_HCT116_R10_Direct_09 
                 5.46 
                 1.08 
                 1.22 
                 1.14 
               
               
                 PBMC_HCT116_R10_Direct_10 
                 3.29 
                 0.87 
                 0.99 
                 1.28 
               
               
                 PBMC_HCT116_R10_Direct_11 
                 2.71 
                 0.95 
                 1.05 
                 1.12 
               
               
                 PBMC_HCT116_R10_Direct_12 
                 4.00 
                 0.86 
                 1.15 
                 1.12 
               
               
                 PBMC_HCT116_R10_Indirect_01 
                 7.26 
                 1.09 
                 1.30 
                 1.07 
               
               
                 PBMC_HCT116_R10_Indirect_02 
                 7.16 
                 1.14 
                 1.30 
                 1.28 
               
               
                 PBMC_HCT116_R10_Indirect_03 
                 2.63 
                 1.04 
                 0.97 
                 1.14 
               
               
                 PBMC_HCT116_R10_Indirect_04 
                 5.34 
                 1.01 
                 1.16 
                 1.30 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
               
               
               
               
             
               
                 TABLE 14 
               
               
                   
               
               
                 ID/CIPS 
                 IL-2_pSTAT5_Treg 
                 IL-6_pSTAT1_Treg 
                 IL-6_pSTAT3_Treg 
                 IL-10_pSTAT3_Treg 
               
               
                   
               
             
            
               
                   
               
            
           
           
               
               
               
               
               
            
               
                 PBMC_01 
                   
                 30.51 
                 6.61 
                   
               
               
                 PBMC_02 
                 4.01 
                 2.29 
                 1.75 
                 1.48 
               
               
                 PBMC_03 
                 3.25 
                 1.98 
                 5.70 
                 2.10 
               
               
                 PBMC_04 
                 10.92 
                 9.03 
                 1.43 
                 0.90 
               
               
                 PBMC_05 
                 13.47 
                 3.28 
                 3.02 
                 1.80 
               
               
                 PBMC_06 
                 10.96 
                 10.74 
                 3.28 
                 2.57 
               
               
                 PBMC_07 
                 11.54 
                 3.29 
                 2.44 
                 1.79 
               
               
                 PBMC_08 
                 6.27 
                 4.53 
                 2.80 
                 2.28 
               
               
                 PBMC_09 
                 7.68 
                 4.75 
                 3.22 
                 2.10 
               
               
                 PBMC_10 
                 11.00 
                 1.63 
                 1.35 
                 1.41 
               
               
                 PBMC_11 
                 8.19 
                 0.97 
                 1.52 
                 1.63 
               
               
                 PBMC_12 
                 4.82 
                 1.63 
                 1.52 
                 1.50 
               
               
                 PBMC_13 
                 1.74 
                 6.84 
                 2.98 
                 2.56 
               
               
                 PBMC_14 
                 6.36 
                 7.70 
                 2.94 
                 2.06 
               
               
                 PBMC_HCT116_R1_Direct_01 
                 4.98 
                 −0.12 
                 0.52 
                 1.78 
               
               
                 PBMC_HCT116_R1_Direct_02 
                 2.72 
                 1.15 
                 1.69 
                 1.77 
               
               
                 PBMC_HCT116_R1_Direct_03 
                 1.73 
                 0.96 
                 1.45 
                 1.28 
               
               
                 PBMC_HCT116_R1_Direct_04 
                 12.00 
                 1.15 
                 1.17 
                 1.38 
               
               
                 PBMC_HCT116_R1_Direct_05 
                 10.88 
                 2.14 
                 1.27 
                 2.15 
               
               
                 PBMC_HCT116_R1_Direct_06 
                 7.77 
                 1.72 
                 0.98 
                 1.15 
               
               
                 PBMC_HCT116_R1_Direct_07 
                 8.14 
                 1.65 
                 1.33 
                 1.36 
               
               
                 PBMC_HCT116_R1_Direct_08 
                 14.60 
                 1.31 
                 0.94 
                 1.02 
               
               
                 PBMC_HCT116_R10_Direct_01 
                 4.94 
                 0.11 
                 0.51 
                 1.47 
               
               
                 PBMC_HCT116_R10_Direct_02 
                 1.61 
                 1.15 
                 1.45 
                 1.24 
               
               
                 PBMC_HCT116_R10_Direct_03 
                 1.16 
                 2.26 
                 1.93 
                 1.34 
               
               
                 PBMC_HCT116_R10_Direct_04 
                 8.56 
                 3.58 
                 1.62 
                 1.26 
               
               
                 PBMC_HCT116_R10_Direct_05 
                 4.27 
                 1.45 
                 1.16 
                 1.68 
               
               
                 PBMC_HCT116_R10_Direct_06 
                 6.02 
                 3.75 
                 1.37 
                 1.29 
               
               
                 PBMC_HCT116_R10_Direct_07 
                 5.20 
                 1.89 
                 1.27 
                 1.74 
               
               
                 PBMC_HCT116_R10_Direct_08 
                 7.94 
                 0.87 
                 1.24 
                 1.54 
               
               
                 PBMC_HCT116_R10_Direct_09 
                 6.89 
                 0.96 
                 0.96 
                 1.31 
               
               
                 PBMC_HCT116_R10_Direct_10 
                 6.72 
                 0.80 
                 1.21 
                 1.37 
               
               
                 PBMC_HCT116_R10_Direct_11 
                 2.27 
                 0.95 
                 1.02 
                 1.25 
               
               
                 PBMC_HCT116_R10_Direct_12 
                 3.92 
                 1.01 
                 1.15 
                 1.26 
               
               
                 PBMC_HCT116_R10_Indirect_01 
                 8.50 
                 0.93 
                 1.24 
                 1.04 
               
               
                 PBMC_HCT116_R10_Indirect_02 
                 3.20 
                 1.36 
                 1.42 
                 1.59 
               
               
                 PBMC_HCT116_R10_Indirect_03 
                 1.26 
                 1.05 
                 0.94 
                 1.24 
               
               
                 PBMC_HCT116_R10_Indirect_04 
                 2.68 
                 1.27 
                 1.27 
                 1.46 
               
               
                   
               
            
           
         
       
     
     
       
         
           
               
               
               
               
               
             
               
                 TABLE 15 
               
               
                   
               
               
                 ID/CIPS 
                 IL-2_pSTAT5_Tc 
                 IL-6_pSTAT1_Tc 
                 IL-6_pSTAT3_Tc 
                 IL-10 pSTAT3_Tc 
               
               
                   
               
             
            
               
                   
               
            
           
           
               
               
               
               
               
            
               
                 PBMC_01 
                   
                 1.63 
                 1.76 
                   
               
               
                 PBMC_02 
                 3.32 
                 0.36 
                 0.12 
                 1.25 
               
               
                 PBMC_03 
                 6.04 
                 1.22 
                 1.06 
                 1.27 
               
               
                 PBMC_04 
                 0.83 
                 1.14 
                 1.09 
                 1.13 
               
               
                 PBMC_05 
                 6.93 
                 1.37 
                 1.44 
                 1.65 
               
               
                 PBMC_06 
                 6.63 
                 1.66 
                 1.98 
                 1.61 
               
               
                 PBMC_07 
                 7.88 
                 0.94 
                 1.00 
                 1.70 
               
               
                 PBMC_08 
                 3.51 
                 1.48 
                 1.78 
                 1.92 
               
               
                 PBMC_09 
                 4.58 
                 1.27 
                 1.41 
                 2.13 
               
               
                 PBMC_10 
                 6.48 
                 1.21 
                 1.00 
                 1.76 
               
               
                 PBMC_11 
                 7.95 
                 0.95 
                 1.11 
                 1.70 
               
               
                 PBMC_12 
                 4.86 
                 1.12 
                 1.05 
                 2.39 
               
               
                 PBMC_13 
                 4.50 
                 2.06 
                 1.98 
                 1.82 
               
               
                 PBMC_14 
                 5.40 
                 1.53 
                 1.44 
                 2.00 
               
               
                 PBMC_HCT116_R1_Direct_01 
                 4.15 
                 −0.18 
                 0.06 
                 1.81 
               
               
                 PBMC_HCT116_R1_Direct_02 
                 4.22 
                 1.24 
                 1.00 
                 1.39 
               
               
                 PBMC_HCT116_R1_Direct_03 
                 0.55 
                 0.98 
                 1.05 
                 1.42 
               
               
                 PBMC_HCT116_R1_Direct_04 
                 5.71 
                 1.00 
                 1.01 
                 1.57 
               
               
                 PBMC_HCT116_R1_Direct_05 
                 5.53 
                 1.00 
                 1.00 
                 1.92 
               
               
                 PBMC_HCT116_R1_Direct_06 
                 5.64 
                 1.07 
                 1.04 
                 1.52 
               
               
                 PBMC_HCT116_R1_Direct_07 
                 3.64 
                 1.25 
                 1.11 
                 1.38 
               
               
                 PBMC_HCT116_R1_Direct_08 
                 9.34 
                 1.21 
                 0.89 
                 1.21 
               
               
                 PBMC_HCT116_R10_Direct_01 
                 4.06 
                 −0.06 
                 0.03 
                 1.52 
               
               
                 PBMC_HCT116_R10_Direct_02 
                 3.92 
                 0.99 
                 1.09 
                 1.28 
               
               
                 PBMC_HCT116_R10_Direct_03 
                 1.94 
                 1.18 
                 1.10 
                 1.53 
               
               
                 PBMC_HCT116_R10_Direct_04 
                 5.05 
                 1.19 
                 1.29 
                 1.54 
               
               
                 PBMC_HCT116_R10_Direct_05 
                 2.59 
                 1.39 
                 1.06 
                 1.57 
               
               
                 PBMC_HCT116_R10_Direct_06 
                 4.36 
                 1.14 
                 0.90 
                 1.57 
               
               
                 PBMC_HCT116_R10_Direct_07 
                 2.56 
                 1.30 
                 1.16 
                 1.53 
               
               
                 PBMC_HCT116_R10_Direct_08 
                 3.64 
                 0.90 
                 1.09 
                 1.88 
               
               
                 PBMC_HCT116_R10_Direct_09 
                 5.91 
                 1.01 
                 1.01 
                 1.17 
               
               
                 PBMC_HCT116_R10_Direct_10 
                 7.27 
                 0.79 
                 0.96 
                 1.35 
               
               
                 PBMC_HCT116_R10_Direct_11 
                 4.39 
                 0.98 
                 0.98 
                 1.22 
               
               
                 PBMC_HCT116_R10_Direct_12 
                 4.22 
                 1.00 
                 1.03 
                 1.32 
               
               
                 PBMC_HCT116_R10_Indirect_01 
                 7.69 
                 1.11 
                 1.21 
                 1.17 
               
               
                 PBMC_HCT116_R10_Indirect_02 
                 7.38 
                 1.00 
                 1.13 
                 1.68 
               
               
                 PBMC_HCT116_R10_Indirect_03 
                 3.39 
                 1.04 
                 0.98 
                 1.35 
               
               
                 PBMC_HCT116_R10_Indirect_04 
                 5.23 
                 0.93 
                 1.05 
                 1.56 
               
               
                   
               
            
           
         
       
     
     As can be seen from  FIG. 6  and Tables 13 to 15, it was observed that in both cases of direct contact culture or indirect culture with tumor cells, abnormality was induced in cytokine signaling in peripheral lymphocytes of normal persons similar to T cells of the tumor infiltrating environment. In addition, this was not affected by the ratio of normal cells and tumor cell lines in co-culture or the manner of direct or indirect culture (1:1 and 1:10). However, the IL-2-induced pSTAT5 signatures were not observed to show significant decreases in all of Th cells, Tc cells, and Treg cells. Especially, almost similar levels of phosphorylation in Treg cells, suggesting that no functional abnormality occurred in response to IL-2 in the STAT signaling system even in the tumor environment. Overall, similar to the results in actual patients, the levels of pSTAT by IL-6 and IL-10 were statistically significantly different, and mainly decreased in the immune T cells cultured with tumor cells. 
     Test Example: Cluster Analysis 
     CIPS signatures of 30 CRC patients and 15 healthy persons were subjected to cluster analysis. Specifically, the distances between sample results were analyzed by the hierarchical clustering method using R language, and in order to schematize the distances, a heatmap was drawn using the gplot R package. The results are shown in  FIG. 7 . 
     As can be seen in  FIG. 7 , between the two groups, there were distinct differences in the IL-10-induced pSTAT3 signatures on Th, Treg, and Tc cells. 
     Test Example: Principle Component Aanalysis 
     Analysis was performed using the principal component analysis package embedded in software through the R language, and the results are shown in  FIGS. 8 and 9 . 
     As can be seen from  FIG. 8 , there was different types of clustering between the colorectal cancer patient group and the normal person group. Especially, as confirmed in  FIG. 9 ., the colorectal cancer patient group and the normal person group can be well distinguished by only the numerical values of IL-6-induced pSTAT3 on Tc cells and IL-10-induced pSTAT3 on Th cells. 
     Test Example: Statistical Method and Leave-One-Out Cross Validation (LOOCV) 
     Two CIPS patterns were identified through a statistical method and leave-one-out cross validation. Specifically, two features with the highest mean decrease Gini (MDG) value were selected among several CIPS features by using the random Forest package of R language, and a model was established using the logistic regression function embedded in R language. LOOCV was performed through R coding, and the ROCR package was utilized to plot an ROC curve. The results are shown in  FIGS. 10 to 11 . 
     As can be confirmed from  FIGS. 10 and 11 , the use of IL-6-induced pSTAT3 on Tc cells and IL-10-induced pSTAT3 on Th cells can discriminate the tumor group and the normal group, and the AUC was 0.88. This was reproduced in the validation cohort with 15 CRC patients and 17 healthy persons (AUC 0.941). When training cohort and validation cohort were synthetically analyzed, the AUC was 0.938. 
     The discrimination between groups was analyzed by applying the carcinoembryonic antigen (CEA) protein marker, known as an existing CRC tumor marker, to both the two CIPS patterns, that is, IL-6-induced pSTAT3 on Tc cells and IL-10-induced pSTAT3 on Th cells. Specifically, it was predicted whether each patient was a cancer patient with a probability of 50% or more by using the previously established model, and the results were compared with the actually labeled (cancer patient vs. healthy person) values. The tumor patients were essentially tested for CEA, and thus the previously obtained test value and two markers derived in this experiment were analyzed by the same manner and model, and the results are shown in  FIG. 13  and Table 16. 
     
       
         
           
               
               
               
             
               
                   
                 TABLE 16 
               
               
                   
                   
               
               
                   
                 CRC patients 
                 Health controls 
               
               
                   
                   
               
             
            
               
                   
               
            
           
           
               
               
               
               
            
               
                   
                 Positive predicted 
                 41 
                 4 
               
               
                   
                 Negative predicted 
                 4 
                 29 
               
               
                   
                   
               
            
           
         
       
     
     As can be seen from  FIG. 13  and Table 16, the AUC was identified to be excellent, 0.958, proving that the diagnostic use of the two markers in combination can maximize the utility thereof. The positive and negative predictive values were shown as 91% and 88%, respectively. 
     Review 
     Combining the above results, it was confirmed that the measurement values of STAT phosphorylation by interleukin in immune T cells derived from blood were different between normal persons and colorectal cancer patients, and the combination of these values enables a technique capable of diagnosing a colorectal patient through the blood. Even the use of two markers in combination showed excellent performance with sensitivity of 91% and specificity of 88%, and the use thereof in combination with existing known colorectal cancer markers can further improve the diagnostic sensitivity and specificity thereof. 
     INDUSTRIAL APPLICABILITY 
     The present disclosure relates to a marker for diagnosing colorectal cancer, a method for providing information required for diagnosis of colorectal cancer by using the same, and a method for providing information for monitoring a therapeutic response of colorectal cancer by using the same.