Evidence map›Paper›PMID 31367996›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2019

Fusobacterium nucleatum tumor DNA levels are associated with survival in colorectal cancer patients.

Andrew T Kunzmann, Marcela Alcântara Proença, Haydee Wt Jordao, Katerina Jiraskova, Michaela Schneiderova, Miroslav Levy, Václav Liska, Tomas Buchler, Ludmila Vodickova, Veronika Vymetalkova and 3 more

Open access · hybridAbstract read
In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 9% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. bioRxiv : the preprint server for biology · 2025
    Article
  5. Characteristics of gut microbiota in high-methylated colorectal cancer.International journal of clinical oncology · 2025
    Article
  6. Association ofGut microbiome (Cambridge, England) · 2025
    Review
  7. Bacteriophage FNU1 negatesFrontiers in cellular and infection microbiology · 2025
    Article
  8. Gastro hep advances · 2025
    Article
  9. Review
  10. Review
  11. Potential and application ofFrontiers in microbiology · 2025
    Article
  12. Gut microbiota interplay with autophagy-EMT dynamics in colorectal cancer.Frontiers in cell and developmental biology · 2025
    Review
  13. Review
  14. IntratumoralPathogens (Basel, Switzerland) · 2024
    Review
  15. Article
  16. Article
  17. Microbial genomics · 2024
    Article
  18. Frontiers in cellular and infection microbiology · 2024
    Article
  19. Article
  20. 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

13 authors at 5 institutions in 4 countries.

Andrew T KunzmannCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland. A.Kunzmann@qub.ac.uk.
Marcela Alcântara ProençaDepartment of Biology, São Paulo State University, UNESP, São José do Rio Preto, SP, Brazil.
Haydee Wt JordaoCentre for Public Health, Queen's University Belfast, Belfast, Northern Ireland.
Katerina JiraskovaInstitute of Biology and Medical Genetics, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Michaela SchneiderovaDepartment of Surgery, General University Hospital in Prague, Prague, Czech Republic.
Miroslav LevyDepartment of Surgery, First Faculty of Medicine, Charles University and Thomayer Hospital, Prague, Czech Republic.
Václav LiskaBiomedical Centre, Faculty of Medicine in Pilsen, Charles University, Pilsen, Czech Republic.
Tomas BuchlerDepartment of Oncology, First Faculty of Medicine, Charles University and Thomayer Hospital, Prague, Czech Republic.
Ludmila VodickovaInstitute of Biology and Medical Genetics, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Veronika VymetalkovaInstitute of Biology and Medical Genetics, First Faculty of Medicine, Charles University, Prague, Czech Republic.
Ana Elizabete SilvaDepartment of Biology, São Paulo State University, UNESP, São José do Rio Preto, SP, Brazil.
Pavel VodickaInstitute of Biology and Medical Genetics, First Faculty of Medicine, Charles University, Prague, Czech Republic.
David J HughesCancer Biology and Therapeutics Group, School of Biomolecular and Biomedical Science, UCD Conway Institute, University College Dublin, Dublin, D04 V1W8, Ireland. david.hughes@ucd.ie.ORCID http://orcid.org/0000-0003-1668-8770
Charles University · CZUniversidade Estadual Paulista (Unesp) · BRGeneral University Hospital in Prague · CZQueen's University Belfast · GBUniversity College Dublin · IE

Funding

Health Research Board of Ireland (HRB) HRA-PHS/2015/1142Ministry of Health of the Czech Republic AZV 15-27580A; AZV NV 18-03-00199Science Foundation Ireland 13/ISCA/2843
6 · The paper itself

Abstract

There is increasing evidence indicating a role for Fusobacterium nucleatum (F. nucleatum) in colorectal cancer (CRC) development and prognosis. This study evaluated F. nucleatum as a prognostic biomarker, by assessing its association with post-diagnosis survival from CRC. From September 2008 to April 2012 CRC patients (n = 190) were recruited from three hospitals within the Czech Republic. F. nucleatum DNA copies were measured in adjacent non-malignant and colorectal tumor tissues using quantitative real-time PCR. Cox Proportional Hazards (HR) models were applied to evaluate the association between F. nucleatum DNA and overall survival, adjusting for key confounders. Risk prediction modeling was conducted to evaluate the ability to predict survival based on F. nucleatum status. High, compared with low, levels of F. nucleatum in colorectal tumor tissues were associated with poorer overall survival (adjusted HR 1.68, 95% CI 1.02-2.77), which was slightly attenuated after additional adjustment for microsatellite instability status. However, inclusion of F. nucleatum in risk prediction models did not improve the ability to identify patients who died beyond known prognostic factors such as disease pathology staging. Although the increased presence of F. nucleatum was associated with poorer prognosis in CRC patients, this may have limited clinical relevance as a prognostic biomarker.

Indexed as

AgedAged, 80 and overBiomarkersCohort StudiesColorectal NeoplasmsCzech RepublicDNA, BacterialFemaleFusobacterium InfectionsFusobacterium nucleatumHumansMaleMiddle AgedPrognosisReal-Time Polymerase Chain ReactionRisk AssessmentBiomarkersDNA, BacterialBacterial infectionColorectal cancerColorectal neoplasmDisease survivalFusobacterium nucleatum

Identifiers

PMID31367996
PMCPMC6778531
OpenAlexW2966140584

What OpenQuestion holds

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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.