Evidence map›Paper›PMID 32602070›Full record

ArticleFolia microbiologica2020

Candida albicans culture from a rectal swab can be associated with newly diagnosed colorectal cancer.

Lubomír Starý, Kristýna Mezerová, Kamil Vysloužil, Pavel Zbořil, Pavel Skalický, Martin Stašek, Vladislav Raclavský

Abstract read
PubMed Publisher
In one paragraph

Article in Folia microbiologica, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.0field-weighted citation impact, top 25% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Mycobiome: an underexplored kingdom in cancer.Microbiology and molecular biology reviews : MMBR · 2025
    Review
  6. Microbiota and cancer: Elucidating the role ofWorld journal of clinical oncology · 2025
    Review
  7. World journal of clinical oncology · 2025
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. A Putative Role ofMicroorganisms · 2023
    Review
  13. Review
  14. Mass spectrometry in research laboratories and clinical diagnostic: a new era in medical mycology.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2022
    Review
  15. Review
  16. 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 3 institutions in 1 country.

Lubomír StarýDepartment of Surgery I, University Hospital Olomouc, I. P. Pavlova 6, 779 00, Olomouc, Czech Republic.ORCID https://orcid.org/0000-0003-4088-8801
Kristýna MezerováDepartment of Microbiology, Faculty of Medicine & Dentistry, Palacký University Olomouc, Hněvotínská 3, Olomouc, Czech Republic.ORCID https://orcid.org/0000-0002-6715-3162
Kamil VysloužilDepartment of Surgery I, University Hospital Olomouc, I. P. Pavlova 6, 779 00, Olomouc, Czech Republic.
Pavel ZbořilDepartment of Surgery I, University Hospital Olomouc, I. P. Pavlova 6, 779 00, Olomouc, Czech Republic.
Pavel SkalickýDepartment of Surgery I, University Hospital Olomouc, I. P. Pavlova 6, 779 00, Olomouc, Czech Republic.
Martin StašekDepartment of Surgery I, University Hospital Olomouc, I. P. Pavlova 6, 779 00, Olomouc, Czech Republic.
Vladislav RaclavskýDepartment of Microbiology, Faculty of Medicine & Dentistry, Palacký University Olomouc, Hněvotínská 3, Olomouc, Czech Republic. vladislav.raclavsky@upol.cz.ORCID https://orcid.org/0000-0003-1715-9862
University Hospital Olomouc · CZInstitute of Molecular and Translational Medicine · CZPalacký University Olomouc · CZ

Funding

Ministerstvo Školství, Mládeže a Tělovýchovy 61989592Ministerstvo Zdravotnictví Ceské Republiky FNOl 00098892Ministerstvo Zdravotnictví Ceské Republiky NV19-03-00069Univerzita Palackého v Olomouci IGA_LF_2020_021
6 · The paper itself

Abstract

Plenty of metagenomic studies have suggested possible associations between microbiome composition and colorectal cancer (CRC). However, these techniques are not economic enough for routine use so far. Therefore, we explored the possibility to detect species associated with colorectal cancer by conventional culture from rectal swab. Fifty-two patients newly diagnosed for adenoma/CRC and 52 age-matched controls were recruited and sampled. Rectal swabs were inoculated on several types of plates and incubated appropriately under both aerobic and anaerobic conditions. All colonial morphotypes were subcultured and identified using MALDI-ToF MS. Although no bacterial species was significantly associated with CRC in our study, we surprisingly observed a strong and significant overrepresentation of the yeast Candida albicans in cases (P = 0.0066, odds ratio 5.444 [95% CI 1.449-20.462]). Potential confounding factors were associated neither with CRC (history of CRC in first-degree relatives, a personal history of appendectomy and cholecystectomy, increased BMI (body mass index), and the percentage of males) nor with C. albicans presence (preexisting diabetes and PPI medication) in our cohort. A growing body of evidence supports the view that C. albicans does cause cancer in humans. We hypothesize that presence of C. albicans in the gut may induce or facilitate some part of the sporadic CRC cases. Our observation should be a strong incentive to verify the potential usefulness of the easily culturable C. albicans yeast as a screening marker for patients at risk of CRC or those suffering an early asymptomatic stage of CRC.

Indexed as

Candida albicansAdenomaBacteriaColorectal NeoplasmsFemaleHumansMaleMicrobiotaMiddle AgedRisk Factors

Identifiers

PMID32602070
OpenAlexW3038766216

What OpenQuestion holds

Textmetadata
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.