Evidence map›Paper›PMID 28060743›Full record

ReviewOncotarget2017

2017 update on the relationship between diabetes and colorectal cancer: epidemiology, potential molecular mechanisms and therapeutic implications.

Nieves González, Isabel Prieto, Laura Del Puerto-Nevado, Sergio Portal-Nuñez, Juan Antonio Ardura, Marta Corton, Beatriz Fernández-Fernández, Oscar Aguilera, Carmen Gomez-Guerrero, Sebastián Mas and 13 more

Abstract readReview
In one paragraph

Review in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 96 papers.

0numbers the graph read from it
0cells of the map it votes in
96citing papers in PubMed
–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

96 citing papers in PubMed.

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36 more citing papers are in PubMed but not listed here.

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

23 authors.

Nieves GonzálezRenal, Vascular and Diabetes Research Laboratory, IIS-Fundacion Jimenez Diaz-UAM, Spanish Biomedical Research Network in Diabetes and Associated Metabolic Disorders (CIBERDEM), Madrid, Spain.
Isabel PrietoRadiation Oncology, Oncohealth Institute, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Laura Del Puerto-NevadoTranslational Oncology Division, Oncohealth Institute, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Sergio Portal-NuñezBone and Mineral Metabolism laboratory, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Juan Antonio ArduraBone and Mineral Metabolism laboratory, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Marta CortonGenetics, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Beatriz Fernández-FernándezNephrology, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Oscar AguileraTranslational Oncology Division, Oncohealth Institute, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Carmen Gomez-GuerreroNephrology, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Sebastián MasNephrology, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Juan Antonio MorenoNephrology, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Marta Ruiz-OrtegaNephrology, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Ana Belen SanzNephrology, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Maria Dolores Sanchez-NiñoNephrology, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Federico RojoPathology, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Fernando VivancoImmunology, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Pedro EsbritBone and Mineral Metabolism laboratory, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Carmen AyusoGenetics, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Gloria Alvarez-LlamasREDINREN, Madrid, Spain.
Jesús EgidoRenal, Vascular and Diabetes Research Laboratory, IIS-Fundacion Jimenez Diaz-UAM, Spanish Biomedical Research Network in Diabetes and Associated Metabolic Disorders (CIBERDEM), Madrid, Spain.
Jesús García-FoncillasTranslational Oncology Division, Oncohealth Institute, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
Alberto OrtizNephrology, IIS-Fundacion Jimenez Diaz-UAM, Madrid, Spain.
DiabetesCancerConnect Consortium

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Worldwide deaths from diabetes mellitus (DM) and colorectal cancer increased by 90% and 57%, respectively, over the past 20 years. The risk of colorectal cancer was estimated to be 27% higher in patients with type 2 DM than in non-diabetic controls. However, there are potential confounders, information from lower income countries is scarce, across the globe there is no correlation between DM prevalence and colorectal cancer incidence and the association has evolved over time, suggesting the impact of additional environmental factors. The clinical relevance of these associations depends on understanding the mechanism involved. Although evidence is limited, insulin use has been associated with increased and metformin with decreased incidence of colorectal cancer. In addition, colorectal cancer shares some cellular and molecular pathways with diabetes target organ damage, exemplified by diabetic kidney disease. These include epithelial cell injury, activation of inflammation and Wnt/β-catenin pathways and iron homeostasis defects, among others. Indeed, some drugs have undergone clinical trials for both cancer and diabetic kidney disease. Genome-wide association studies have identified diabetes-associated genes (e.g. TCF7L2) that may also contribute to colorectal cancer. We review the epidemiological evidence, potential pathophysiological mechanisms and therapeutic implications of the association between DM and colorectal cancer. Further studies should clarify the worldwide association between DM and colorectal cancer, strengthen the biological plausibility of a cause-and-effect relationship through characterization of the molecular pathways involved, search for specific molecular signatures of colorectal cancer under diabetic conditions, and eventually explore DM-specific strategies to prevent or treat colorectal cancer.

Indexed as

Antineoplastic AgentsColorectal NeoplasmsDiabetes Mellitus, Type 2HumansHypoglycemic AgentsAntineoplastic AgentsHypoglycemic Agentscolon cancerdiabetes mellitusdiabetic kidney diseasehyperglycemiainflammation

Identifiers

PMID28060743
PMCPMC5392343

What OpenQuestion holds

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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.