Evidence map›Paper›PMID 26448021›Full record

Observational studyMedicine2015

Previous Exposure to the Fish Parasite Anisakis as a Potential Risk Factor for Gastric or Colon Adenocarcinoma.

Juan Carlos Garcia-Perez, Rosa Rodríguez-Perez, Araceli Ballestero, Jaime Zuloaga, Belen Fernandez-Puntero, Javier Arias-Díaz, María Luisa Caballero

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 2 pooled it
4.1field-weighted citation impact, top 7% of its field
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

30 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.

  1. Pooled it
  2. Is Toxoplasma Gondii Infection a Risk Factor for Leukemia? An Evidence-Based Meta-Analysis.Medical science monitor : international medical journal of experimental and clinical research · 2016
    Pooled it
  3. Experimental pathogenicity ofFood and waterborne parasitology · 2026
    Article
  4. Anisakiasis: A Decade of Molecular and Diagnostic Advancements (2015-2026).International journal of molecular sciences · 2026
    Review
  5. Article
  6. Article
  7. Anisakidae and Anisakidosis: A Public Health Perspective.Pathogens (Basel, Switzerland) · 2025
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Inflammatory Response in Caco-2 Cells Stimulated withPathogens (Basel, Switzerland) · 2022
    Article
  16. Article
  17. Review
  18. Article
  19. Intestinal Nematode Infection Affects Metastasis of EL4 Lymphoma Cells.Archivum immunologiae et therapiae experimentalis · 2020
    Article
  20. Occurrence and molecular identification ofJournal of parasitic diseases : official organ of the Indian Society for Parasitology · 2020
    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 at 1 institution in 1 country.

Juan Carlos Garcia-PerezFrom the Department of Surgery, Hospital Ramón y Cajal (JCG-P, AB), La Paz University Hospital Institute for Health Research (IdiPAZ) (RR-P), Department of Surgery, Complutense University, Hospital Clínico San Carlos (JZ, JA-D), Department of Clinical Laboratory, La Paz University Hospital (BF-P); and Department of Allergy, La Paz University Hospital, Institute for Health Research (IdiPAZ), Madrid, Spain (MLC).
Rosa Rodríguez-Perez
Araceli Ballestero
Jaime Zuloaga
Belen Fernandez-Puntero
Javier Arias-Díaz
María Luisa Caballero
Malama Learning Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Anisakiasis is a global disease caused by consumption of raw or lightly cooked fish contaminated with L3 Anisakis spp. larvae. High rates of parasitization of fish worldwide make Anisakis a serious health hazard. In fact, anisakiasis is a growing disease in countries such as Spain, Italy, and Japan, where consumption of raw/marinated fish is high. Some parasitic infections have been recognized as a causative factor for human cancer. Suggested mechanisms include chronic inflammation elicited by the parasite, and a possible tumorigenic effect from certain parasitic secretions. Anisakis can produce persistent local inflammation and granuloma, and larvae have been incidentally found in gastrointestinal (GI) tumors. Our aim was to discover possible differences in the prevalence of unnoticed or asymptomatic previous Anisakis infection in GI cancer patients compared with healthy individuals. Serum levels of specific antibodies against Anisakis antigens were used as a reliable marker of previous contact with their larvae. Ninety-four participants without a previous history of Anisakis infection were prospectively allocated into 1 of 2 groups: 47 patients with GI cancer and 47 controls. Specific IgE, IgA1, and IgG1 against the Anisakis recombinant antigens Ani s 1, Ani s 5, Ani s 9, and Ani s 10 were determined by an ELISA assay. The ratio of positivity to sIgA1, rAni s 1, or rAni s 5 was significantly higher in the cancer patients than in the controls (38.30% vs 6.38%, P < 0.001) and (42.55% vs 10.64%, P < 0.001, respectively). When disaggregated by type of tumor, the patients with gastric cancer showed a higher proportion of positive results for sIgA1 to rAni s 1 (P < 0.001), whereas a higher proportion of colon cancer patients were shown to be positive for sIgA1 to both rAni s 1 (P < 0.05) and rAni s 5 (P < 0.01). Earlier Anisakis infection might be a risk factor for the development of stomach or colon cancer.

Indexed as

AnisakisAdenocarcinomaAdultAgedAged, 80 and overAnimalsAnisakiasisAntibodies, HelminthBiomarkers, TumorColonic NeoplasmsFemaleHumansImmunoglobulin AImmunoglobulin EImmunoglobulin GMaleAntibodies, HelminthBiomarkers, TumorImmunoglobulin AImmunoglobulin EImmunoglobulin G

Identifiers

PMID26448021
PMCPMC4616760
OpenAlexW2319167126

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.