Evidence map›Paper›PMID 34063506›Full record

ReviewInternational journal of molecular sciences2021

Heterogeneity of Colorectal Cancer Progression: Molecular Gas and Brakes.

Federica Gaiani, Federica Marchesi, Francesca Negri, Luana Greco, Alberto Malesci, Gian Luigi de'Angelis, Luigi Laghi

Open access · goldAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.0field-weighted citation impact, top 26% 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

18 citing papers in PubMed, 19 citations in OpenAlex.

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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 4 institutions in 1 country.

Federica GaianiDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0000-0001-9615-0086
Federica MarchesiIRCCS Humanitas Research Hospital, via Manzoni 56, 20089 Rozzano, Italy.
Francesca NegriMedical Oncology Unit, University Hospital of Parma, 43126 Parma, Italy.ORCID 0000-0002-5847-3623
Luana GrecoLaboratory of Molecular Gastroenterology, IRCCS Humanitas Research Hospital, via Manzoni 56, 20089 Rozzano, Italy.
Alberto MalesciIRCCS Humanitas Research Hospital, via Manzoni 56, 20089 Rozzano, Italy.
Gian Luigi de'AngelisDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.
Luigi LaghiDepartment of Medicine and Surgery, University of Parma, 43126 Parma, Italy.ORCID 0000-0003-4187-1059
University of Parma · ITHumanitas University · ITIRCCS Humanitas Research Hospital · ITUniversity of Milan · IT

Funding

Associazione Italiana Ricerca sul Cancro: AIRC IG 2014 Id.16092
6 · The paper itself

Abstract

The review begins with molecular genetics, which hit the field unveiling the involvement of oncogenes and tumor suppressor genes in the pathogenesis of colorectal cancer (CRC) and uncovering genetic predispositions. Then the notion of molecular phenotypes with different clinical behaviors was introduced and translated in the clinical arena, paving the way to next-generation sequencing that captured previously unrecognized heterogeneity. Among other molecular regulators of CRC progression, the extent of host immune response within the tumor micro-environment has a critical position. Translational sciences deeply investigated the field, accelerating the pace toward clinical transition, due to its strong association with outcomes. While the perturbation of gut homeostasis occurring in inflammatory bowel diseases can fuel carcinogenesis, micronutrients like vitamin D and calcium can act as brakes, and we discuss underlying molecular mechanisms. Among the components of gut microbiota, Fusobacterium nucleatum is over-represented in CRC, and may worsen patient outcome. However, any translational knowledge tracing the multifaceted evolution of CRC should be interpreted according to the prognostic and predictive frame of the TNM-staging system in a perspective of clinical actionability. Eventually, we examine challenges and promises of pharmacological interventions aimed to restrain disease progression at different disease stages.

Indexed as

Anticarcinogenic AgentsBiomarkers, TumorColorectal NeoplasmsDNA MethylationDrug Resistance, NeoplasmFusobacterium nucleatumGastrointestinal MicrobiomeHigh-Throughput Nucleotide SequencingHumansInflammatory Bowel DiseasesMicronutrientsTumor MicroenvironmentAnticarcinogenic AgentsBiomarkers, TumorMicronutrientscolorectal cancerheterogeneityprogression

Identifiers

PMID34063506
PMCPMC8156342
OpenAlexW3163865264

What OpenQuestion holds

Textmetadata
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.