Evidence map›Paper›PMID 30376889›Full record

ArticleGenome medicine2018

Distinct microbes, metabolites, and ecologies define the microbiome in deficient and proficient mismatch repair colorectal cancers.

Vanessa L Hale, Patricio Jeraldo, Jun Chen, Michael Mundy, Janet Yao, Sambhawa Priya, Gary Keeney, Kelly Lyke, Jason Ridlon, Bryan A White and 13 more

Open access · goldAbstract read
In one paragraph

Article in Genome medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 4 pooled it
6.3field-weighted citation impact, top 2% 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

81 citing papers in PubMed, 4 syntheses or guidelines pooled it, 126 citations in OpenAlex.

  1. Pooled it
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  4. The Human Microbiome in Relation to Cancer Risk: A Systematic Review of Epidemiologic Studies.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2020
    Pooled it
  5. Pilot Clinical Trial of Perioperative Durvalumab and Tremelimumab in the Treatment of Resectable Colorectal Cancer Liver Metastases.Clinical cancer research : an official journal of the American Association for Cancer Research · 2021
    Trial
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  13. The relationship between the gastric cancer microbiome and clinicopathological factors: a metagenomic investigation from the 100,000 genomes project and The Cancer Genome Atlas.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2025
    Article
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  15. Intratumoural pksEBioMedicine · 2025
    Article
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  19. Frontiers in immunology · 2025
    Article
  20. Review

21 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 at 5 institutions in 2 countries.

Vanessa L HaleDepartment of Veterinary Preventive Medicine, The Ohio State University College of Veterinary Medicine, Columbus, OH, USA.
Patricio JeraldoMicrobiome Program, Center for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Jun ChenMicrobiome Program, Center for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Michael MundyCenter for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Janet YaoMicrobiome Program, Center for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Sambhawa PriyaDepartment of Genetics, Cell Biology, and Development, University of Minnesota, Minneapolis, MN, USA.
Gary KeeneyDivision of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Kelly LykeDivision of Surgical Research, Department of Surgery, Mayo Clinic, Rochester, MN, USA.
Jason RidlonCarl R. Woese Institute for Genomic Biology, Department of Animal Sciences, Division of Nutritional Sciences, University of Illinois, Urbana-Champaign, IL, USA.
Bryan A WhiteCarl R. Woese Institute for Genomic Biology, Department of Animal Sciences, Division of Nutritional Sciences, University of Illinois, Urbana-Champaign, IL, USA.
Amy J FrenchDivision of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Stephen N ThibodeauDivision of Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN, USA.
Christian DienerHuman Systems Biology Laboratory, National Institute of Genomic Medicine, Mexico City, Mexico.
Osbaldo Resendis-AntonioHuman Systems Biology Laboratory, National Institute of Genomic Medicine, Mexico City, Mexico.
Jaime GranseeMayo Clinic Metabolomics Core Laboratory, Mayo Clinic, Rochester, MN, USA.
Tumpa DuttaMayo Clinic Metabolomics Core Laboratory, Mayo Clinic, Rochester, MN, USA.
Xuan-Mai PettersonMayo Clinic Metabolomics Core Laboratory, Mayo Clinic, Rochester, MN, USA.
Jaeyun SungMicrobiome Program, Center for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Ran BlekhmanDepartment of Genetics, Cell Biology, and Development, University of Minnesota, Minneapolis, MN, USA.
Lisa BoardmanDivision of Gastroenterology and Hepatology, Mayo Clinic, Rochester, MN, USA.
David LarsonDivision of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic, Rochester, MN, USA.
Heidi NelsonMicrobiome Program, Center for Individualized Medicine, Mayo Clinic, Rochester, MN, USA.
Nicholas ChiaMicrobiome Program, Center for Individualized Medicine, Mayo Clinic, Rochester, MN, USA. chia.nicholas@mayo.edu.ORCID 0000-0001-9652-691X
Mayo Clinic · USMayo Clinic in Arizona · USNational Institute of Genomic Medicine · MXUniversity of Illinois Urbana-Champaign · USUniversity of Minnesota · US

Funding

PILOT AND FEASIBILTY PROGRAMP30DK084567 · NIDDK · MAYO CLINIC ROCHESTER · PI Nicholas F. LaRusso · 2009 to 2026
$22.2M
TECHNOLOGY NMR SPECTROSCOPYU24DK100469 · NIDDK · MAYO CLINIC ROCHESTER · PI NAIR, K SREEKUMARAN · 2013 to 2017
$9.0M
Time lapse to cancer: defining transition from polyp to colorectal cancer (PQ14)R01CA170357 · NCI · MAYO CLINIC ROCHESTER · PI BOARDMAN, LISA ALLYN · 2012 to 2016
$2.5M
Microbial Metabolic Toxicity Drives Colon CancerR01CA179243 · NCI · MAYO CLINIC ROCHESTER · PI CHIA, NICHOLAS · 2014 to 2018
$2.0M
Mayo Clinic Metabolomics Resource Core U24DK100469NCI NIH HHS R01 CA170357NCI NIH HHS R01 CA179243NIDDK NIH HHS P30 DK084567NIDDK NIH HHS P30DK084567NIDDK NIH HHS U24 DK100469NIH HHS R01CA170357NIH HHS R01CA179243
6 · The paper itself

Abstract

backgroundLinks between colorectal cancer (CRC) and the gut microbiome have been established, but the specific microbial species and their role in carcinogenesis remain an active area of inquiry. Our understanding would be enhanced by better accounting for tumor subtype, microbial community interactions, metabolism, and ecology.

methodsWe collected paired colon tumor and normal-adjacent tissue and mucosa samples from 83 individuals who underwent partial or total colectomies for CRC. Mismatch repair (MMR) status was determined in each tumor sample and classified as either deficient MMR (dMMR) or proficient MMR (pMMR) tumor subtypes. Samples underwent 16S rRNA gene sequencing and a subset of samples from 50 individuals were submitted for targeted metabolomic analysis to quantify amino acids and short-chain fatty acids. A PERMANOVA was used to identify the biological variables that explained variance within the microbial communities. dMMR and pMMR microbial communities were then analyzed separately using a generalized linear mixed effects model that accounted for MMR status, sample location, intra-subject variability, and read depth. Genome-scale metabolic models were then used to generate microbial interaction networks for dMMR and pMMR microbial communities. We assessed global network properties as well as the metabolic influence of each microbe within the dMMR and pMMR networks.

resultsWe demonstrate distinct roles for microbes in dMMR and pMMR CRC. Bacteroides fragilis and sulfidogenic Fusobacterium nucleatum were significantly enriched in dMMR CRC, but not pMMR CRC. These findings were further supported by metabolic modeling and metabolomics indicating suppression of B. fragilis in pMMR CRC and increased production of amino acid proxies for hydrogen sulfide in dMMR CRC.

conclusionsIntegrating tumor biology and microbial ecology highlighted distinct microbial, metabolic, and ecological properties unique to dMMR and pMMR CRC. This approach could critically improve our ability to define, predict, prevent, and treat colorectal cancers.

Indexed as

DNA Mismatch RepairMetabolomeMicrobiotaAdultAgedAged, 80 and overBacteroidesColorectal NeoplasmsFemaleHumansHydrogen SulfideMaleMiddle AgedYoung AdultHydrogen Sulfide

Identifiers

PMID30376889
PMCPMC6208080
OpenAlexW2951879163

What OpenQuestion holds

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LicenceCC BY
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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.