Evidence map›Paper›PMID 31092590›Full record

ArticleGut2019

International Cancer Microbiome Consortium consensus statement on the role of the human microbiome in carcinogenesis.

Alasdair J Scott, James L Alexander, Claire A Merrifield, David Cunningham, Christian Jobin, Robert Brown, John Alverdy, Stephen J O'Keefe, H Rex Gaskins, Julian Teare and 8 more

Abstract readConsensus Statement
In one paragraph

Article in Gut, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 165 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
165citing papers in PubMed, 3 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

165 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Effect ofFrontiers in cellular and infection microbiology · 2022
    Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Review
  8. Review
  9. Detection ofInternational journal of molecular sciences · 2026
    Article
  10. Article
  11. Review
  12. Review
  13. Review
  14. Article
  15. ISME communications · 2026
    Article
  16. Article
  17. Review
  18. Article
  19. The role of gut microbiota and its metabolites in preventing oncogenesis.Frontiers in cell and developmental biology · 2026
    Review
  20. Review

105 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

18 authors.

Alasdair J ScottDepartment of Surgery and Cancer, Imperial College London, London, UK.ORCID 0000-0003-4621-9756
James L AlexanderDepartment of Surgery and Cancer, Imperial College London, London, UK.
Claire A MerrifieldDepartment of Surgery and Cancer, Imperial College London, London, UK.
David CunninghamGastrointestinal Unit, Royal Marsden Hospital, London, UK.
Christian JobinDivision of Gastroenterology, Hepatology andNutrition, University of Florida College of Medicine, Gainesville, Florida, USA.
Robert BrownDepartment of Surgery and Cancer, Imperial College London, London, UK.
John AlverdyDepartment of Surgery, University of Chicago, Chicago, Illinois, USA.
Stephen J O'KeefeDivision of Gastroenterology, Hepatology andNutrition, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
H Rex GaskinsCarl R. Woese Institute for Genomic Biology,Cancer Center at Illinois, University of Illinois at Urbana-Champaign, Urbana, Illinois, USA.
Julian TeareDepartment of Surgery and Cancer, Imperial College London, London, UK.
Jun YuDepartment of Medicine and Therapeutics, StateKey Laboratory of Digestive Diseases, Li Ka Shing Institute of Health Sciences, The Chinese University of Hong Kong, Hong Kong, China.ORCID 0000-0001-9239-2416
David J HughesCancer Biology and Therapeutics Group (CBT), Conway Institute, School of Biomolecular andBiomedical Science (SBBS), University College Dublin, Dublin, Ireland.
Hans VerstraelenDepartment of Obstetrics and Gynaecology,Vulvovaginal Disease Clinic, Ghent University Hospital, Belgium.
Jeremy BurtonCanadian Centre for Human Microbiome and Probiotics Research, Lawson Health Research Institute, London, Ontario, Canada.
Paul W O'TooleSchool of Microbiology & APC MicrobiomeIreland, University College Cork, Cork, Ireland.
Daniel W RosenbergCenter for Molecular Oncology, University of Connecticut School of Medicine, Farmington, Connecticut, USA.
Julian R MarchesiDepartment of Surgery and Cancer, Imperial College London, London, UK.
James M KinrossDepartment of Surgery and Cancer, Imperial College London, London, UK.

Funding

Randomized Controlled Trial of Resistant Starch to Reduce Colon Cancer Risk in Alaska Native PeopleR01CA204403 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI O'KEEFE, STEPHEN J.D., THOMAS, TIMOTHY K · 2017 to 2021
$2.8M
Diet and Gastrointestinal Cancer Risk in African Americans and Rural AfricansR01CA135379 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI O'KEEFE, STEPHEN J.D. · 2009 to 2012
$2.1M
Cancer Research UK C42378/A25637Department of HealthNCI NIH HHS R01 CA135379NCI NIH HHS R01 CA204403
6 · The paper itself

Abstract

objectiveIn this consensus statement, an international panel of experts deliver their opinions on key questions regarding the contribution of the human microbiome to carcinogenesis.

designInternational experts in oncology and/or microbiome research were approached by personal communication to form a panel. A structured, iterative, methodology based around a 1-day roundtable discussion was employed to derive expert consensus on key questions in microbiome-oncology research.

resultsSome 18 experts convened for the roundtable discussion and five key questions were identified regarding: (1) the relevance of dysbiosis/an altered gut microbiome to carcinogenesis; (2) potential mechanisms of microbiota-induced carcinogenesis; (3) conceptual frameworks describing how the human microbiome may drive carcinogenesis; (4) causation versus association; and (5) future directions for research in the field.The panel considered that, despite mechanistic and supporting evidence from animal and human studies, there is currently no direct evidence that the human commensal microbiome is a key determinant in the aetiopathogenesis of cancer. The panel cited the lack of large longitudinal, cohort studies as a principal deciding factor and agreed that this should be a future research priority. However, while acknowledging gaps in the evidence, expert opinion was that the microbiome, alongside environmental factors and an epigenetically/genetically vulnerable host, represents one apex of a tripartite, multidirectional interactome that drives carcinogenesis.

conclusionData from longitudinal cohort studies are needed to confirm the role of the human microbiome as a key driver in the aetiopathogenesis of cancer.

Indexed as

CarcinogenesisMicrobiotaAnimalsBiomedical ResearchColorectal NeoplasmsDNA DamageDysbiosisGastrointestinal MicrobiomeHumansInflammationNeoplasmsmicrobiome, cancer, colorectal, oncology, consensus

Identifiers

PMID31092590
PMCPMC6709773

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.