Evidence map›Paper›PMID 23807509›Full record

ReviewInternational journal of molecular sciences2013

Colorectal carcinogenesis: a cellular response to sustained risk environment.

Kim Y C Fung, Cheng Cheng Ooi, Michelle H Zucker, Trevor Lockett, Desmond B Williams, Leah J Cosgrove, David L Topping

Abstract readReview
In one paragraph

Review in International journal of molecular sciences, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. The GenusFrontiers in immunology · 2020
    Review
  11. Article
  12. Review
  13. Article
  14. Frontiers in microbiology · 2017
    Article
  15. Article
  16. Colorectal carcinogenesis--update and perspectives.World journal of gastroenterology · 2014
    Review
  17. Article
  18. Intake ofEuroasian journal of hepato-gastroenterology
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kim Y C FungCSIRO Preventative Health National Research Flagship, P.O. Box 10041, Adelaide, SA 5001, Australia. kim.fung@csiro.au.
Cheng Cheng Ooi
Michelle H Zucker
Trevor Lockett
Desmond B Williams
Leah J Cosgrove
David L Topping

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The current models for colorectal cancer (CRC) are essentially linear in nature with a sequential progression from adenoma through to carcinoma. However, these views of CRC development do not explain the full body of published knowledge and tend to discount environmental influences. This paper proposes that CRC is a cellular response to prolonged exposure to cytotoxic agents (e.g., free ammonia) as key events within a sustained high-risk colonic luminal environment. This environment is low in substrate for the colonocytes (short chain fatty acids, SCFA) and consequently of higher pH with higher levels of free ammonia and decreased mucosal oxygen supply as a result of lower visceral blood flow. All of these lead to greater and prolonged exposure of the colonic epithelium to a cytotoxic agent with diminished aerobic energy availability. Normal colonocytes faced with this unfavourable environment can transform into CRC cells for survival through epigenetic reprogramming to express genes which increase mobility to allow migration and proliferation. Recent data with high protein diets confirm that genetic damage can be increased, consistent with greater CRC risk. However, this damage can be reversed by increasing SCFA supply by feeding fermentable fibre as resistant starch or arabinoxylan. High protein, low carbohydrate diets have been shown to alter the colonic environment with lower butyrate levels and apparently greater mucosal exposure to ammonia, consistent with our hypothesis. Evidence is drawn from in vivo and in vitro genomic and biochemical studies to frame experiments to test this proposition.

Indexed as

AmmoniaCell Transformation, NeoplasticCellular MicroenvironmentColorectal NeoplasmsDietary CarbohydratesDietary ProteinsHumansHydrogen-Ion ConcentrationIntestinal MucosaOxygenRisk FactorsAmmoniaDietary CarbohydratesDietary ProteinsOxygen

Identifiers

PMID23807509
PMCPMC3742201

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.