Evidence map›Paper›PMID 34944982›Full record

ArticleCancers2021

Blood Bacterial DNA Load and Profiling Differ in Colorectal Cancer Patients Compared to Tumor-Free Controls.

Massimiliano Mutignani, Roberto Penagini, Giorgio Gargari, Simone Guglielmetti, Marcello Cintolo, Aldo Airoldi, Pierfrancesco Leone, Pietro Carnevali, Clorinda Ciafardini, Giulio Petrocelli and 23 more

Abstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
–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

23 citing papers in PubMed.

  1. Review
  2. Sleep duration, selected circulating biomarkers, and colorectal cancer risk.European journal of cancer prevention : the official journal of the European Cancer Prevention Organisation (ECP) · 2026
    Article
  3. Review
  4. Article
  5. Article
  6. Review
  7. Differences in cell-associated and cell-free microbial DNA in blood.bioRxiv : the preprint server for biology · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Review
  17. Article
  18. Article
  19. Article
  20. Genetic heterogeneity of colorectal cancer and the microbiome.World journal of gastrointestinal oncology · 2023
    Review
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

33 authors.

Massimiliano MutignaniDigestive and Interventional Endoscopy Unit, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.
Roberto PenaginiGastroenterology and Endoscopy Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.ORCID 0000-0001-6918-9479
Giorgio GargariDepartment of Food, Environmental and Nutritional Sciences (DeFENS), University of Milan, 20133 Milan, Italy.ORCID 0000-0001-9077-6328
Simone GuglielmettiDepartment of Food, Environmental and Nutritional Sciences (DeFENS), University of Milan, 20133 Milan, Italy.ORCID 0000-0002-8673-8190
Marcello CintoloDigestive and Interventional Endoscopy Unit, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.
Aldo AiroldiHepatology and Gastroenterology Unit, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.
Pierfrancesco LeoneGeneral Surgery Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Pietro CarnevaliDivision of Minimally-Invasive Surgical Oncology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.
Clorinda CiafardiniGastroenterology and Endoscopy Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Giulio PetrocelliDigestive and Interventional Endoscopy Unit, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.
Federica MascarettiGastroenterology and Endoscopy Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Barbara OreggiaGeneral Surgery Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Lorenzo DioscoridiDigestive and Interventional Endoscopy Unit, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.
Federica CavalcoliDiagnostic and Therapeutic Endoscopy Unit, Fondazione IRCCS Istituto Nazionale Tumori, 20133 Milan, Italy.
Massimo PrimignaniDivision of Gastroenterology and Hepatology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.ORCID 0000-0003-1588-2643
Francesco PuglieseDigestive and Interventional Endoscopy Unit, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.
Paola BertuccioDepartment of Clinical Science and Community Health, University of Milan, 20133 Milan, Italy.
Pietro SoruDivision of Endoscopy, IRCCS Istituto Europeo di Oncologia, 20141 Milan, Italy.
Carmelo MagistroDivision of Minimally-Invasive Surgical Oncology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.
Giovanni FerrariDivision of Minimally-Invasive Surgical Oncology, Niguarda Cancer Center, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.
Michela C SpecianiDepartment of Clinical Science and Community Health, University of Milan, 20133 Milan, Italy.ORCID 0000-0002-7631-612X
Giulia BonatoDigestive and Interventional Endoscopy Unit, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.
Marta BiniDigestive and Interventional Endoscopy Unit, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.
Paolo CantùGastroenterology and Endoscopy Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Flavio CaprioliGastroenterology and Endoscopy Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Marcello VangeliHepatology and Gastroenterology Unit, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.
Edoardo FortiDigestive and Interventional Endoscopy Unit, ASST Grande Ospedale Metropolitano Niguarda, 20162 Milan, Italy.ORCID 0000-0002-7400-2979
Stefano MazzaGastroenterology and Endoscopy Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.ORCID 0000-0002-9068-3209
Giulia TosettiDivision of Gastroenterology and Hepatology, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Rossella BonziDepartment of Clinical Science and Community Health, University of Milan, 20133 Milan, Italy.
Maurizio VecchiGastroenterology and Endoscopy Unit, Foundation IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Carlo La VecchiaDepartment of Clinical Science and Community Health, University of Milan, 20133 Milan, Italy.ORCID 0000-0003-1441-897X
Marta RossiDepartment of Clinical Science and Community Health, University of Milan, 20133 Milan, Italy.ORCID 0000-0002-3822-9279

Funding

Italian Association for Cancer Research 17070
6 · The paper itself

Abstract

Inflammation and immunity are linked to intestinal adenoma (IA) and colorectal cancer (CRC) development. The gut microbiota is associated with CRC risk. Epithelial barrier dysfunction can occur, possibly leading to increased intestinal permeability in CRC patients. We conducted a case-control study including 100 incident histologically confirmed CRC cases, and 100 IA and 100 healthy subjects, matched to cases by center, sex and age. We performed 16S rRNA gene analysis of blood and applied conditional logistic regression. Further analyses were based on negative binomial distribution normalization and Random Forest algorithm. We found an overrepresentation of blood 16S rRNA gene copies in colon cancer as compared to tumor-free controls. For high levels of gene copies, community diversity was higher in colon cancer cases than controls. Bacterial taxa and operational taxonomic unit abundances were different between groups and were able to predict CRC with an accuracy of 0.70. Our data support the hypothesis of a higher passage of bacteria from gastrointestinal tract to bloodstream in colon cancer. This result can be applied on non-invasive diagnostic tests for colon cancer control.

Indexed as

bacterial 16S rRNA genebacterial translocationcase-control studycolon cancer diagnosesmicrobiome

Identifiers

PMID34944982
PMCPMC8699505

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Registered trials

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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.