Evidence map›Paper›PMID 35678528›Full record

ArticleCancer discovery2022

Human Colon Cancer-Derived Clostridioides difficile Strains Drive Colonic Tumorigenesis in Mice.

Julia L Drewes, Jie Chen, Nicholas O Markham, Reece J Knippel, Jada C Domingue, Ada J Tam, June L Chan, Lana Kim, Madison McMann, Courtney Stevens and 21 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer discovery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 81 papers.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed
13.7field-weighted citation impact, top 1% 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

81 citing papers in PubMed, 128 citations in OpenAlex.

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  7. Association betweenmedRxiv : the preprint server for health sciences · 2026
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  13. Open forum infectious diseases · 2026
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21 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

31 authors at 5 institutions in 1 country.

Julia L Drewes *Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-5060-0624
Jie Chen *Department of Molecular Microbiology and Immunology, Bloomberg School of Public Health, Baltimore, Maryland.ORCID 0000-0002-5790-1606
Nicholas O Markham *Division of Gastroenterology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0002-1348-1267
Reece J KnippelDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-3129-5468
Jada C DomingueDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-4184-7094
Ada J TamSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0001-6828-5290
June L ChanDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-5435-5558
Lana KimDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0001-9872-6886
Madison McMannDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0003-0438-7217
Courtney StevensDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-8535-5462
Christine M DejeaDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0001-8148-1587
Sarah TomkovichDepartment of Medicine, University of Florida, Gainesville, Florida.ORCID 0000-0003-1638-5307
John MichelSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0003-4456-2630
James R WhiteResphera Biosciences, Baltimore, Maryland.ORCID 0000-0002-7535-9179
Fuad MohammadDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-0589-5216
Victoria L CampodónicoDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-9583-4344
Cody N HeiserEpithelial Biology Center, Vanderbilt University School of Medicine, Nashville, Tennessee.ORCID 0000-0002-1299-1628
Xinqun WuDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0003-4661-799X
Shaoguang WuDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-6724-6764
Hua DingDepartment of Molecular Microbiology and Immunology, Bloomberg School of Public Health, Baltimore, Maryland.ORCID 0000-0003-0289-8224
Patricia SimnerDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0001-6134-151X
Karen CarrollDivision of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0001-8080-5391
Martha J ShrubsoleVanderbilt Ingram Cancer Center, Nashville, Tennessee.ORCID 0000-0002-5591-7575
Robert A AndersDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-2363-9072
Seth T WalkDepartment of Microbiology and Cell Biology, Montana State University, Bozeman, Montana.ORCID 0000-0001-6891-8537
Christian JobinDepartment of Medicine, University of Florida, Gainesville, Florida.ORCID 0000-0002-3733-1001
Fengyi WanDepartment of Oncology, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0001-9216-9767
Robert J CoffeyDivision of Gastroenterology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0002-2180-3844
Franck Housseau *Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0002-7028-3953
Ken S Lau *Epithelial Biology Center, Vanderbilt University School of Medicine, Nashville, Tennessee.ORCID 0000-0001-8438-0319
Cynthia L Sears *Division of Infectious Diseases, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Maryland.ORCID 0000-0003-4059-1661
Johns Hopkins University · USVanderbilt University · USUniversity of Florida · USMontana State University · USMt. Washington Pediatric Hospital · US

Funding

Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
Vanderbilt-Ingram Cancer Center SPORE in Gastrointestinal CancerP50CA236733 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Robert J. Coffey · 2019 to 2026
$19.6M
Medical Scientist Training ProgramT32GM136577 · NIGMS · JOHNS HOPKINS UNIVERSITY · PI ANDREA L COX · 2020 to 2026
$13.4M
TRAINING IN AREAS FUNDAMENTAL TO CANCER RESEARCHT32CA009110 · NCI · JOHNS HOPKINS UNIVERSITY · PI MATUNIS, MICHAEL J., WEERARATNA, ASHANI T · 1985 to 2025
$13.1M
Molecular, Cellular and Tissue Characterization UnitU2CCA233291 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI COFFEY, ROBERT J., SHRUBSOLE, MARTHA J. · 2018 to 2023
$12.2M
Translational Research Enhancement CoreP30DK089502 · NIDDK · JOHNS HOPKINS UNIVERSITY · PI ZACHOS, NICHOLAS CONSTANTINE · 2011 to 2020
$12.0M
Integrated approach to study early and late events in colonic neoplasia: mouse to manR35CA197570 · NCI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Robert J. Coffey · 2017 to 2026
$9.4M
The role of klebsiella pneumonia-derived colibactin in colitis-associated colon cancerR01DK073338 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI JOBIN, CHRISTIAN · 2007 to 2023
$5.4M
Tuft cell heterogeneity in function, lineage, and structure in ileal inflammatory diseaseR01DK103831 · NIDDK · VANDERBILT UNIVERSITY · PI LAU, KEN S · 2016 to 2024
$4.4M
Biofilm Epidemiology and Mechanisms in Colon CancerR01CA196845 · NCI · JOHNS HOPKINS UNIVERSITY · PI GIARDIELLO, FRANCIS M, SEARS, CYNTHIA · 2016 to 2020
$4.3M
Correlates of antitumor immunity in colorectal cancers and anti PD1 therapyR01CA203891 · NCI · JOHNS HOPKINS UNIVERSITY · PI HOUSSEAU, FRANCK · 2016 to 2020
$1.9M
Characterization of microbial and host requirements for colonic biofilm assembly and biofilm-mediated colon tumorigenesisR00CA230192 · NCI · JOHNS HOPKINS UNIVERSITY · PI DREWES, JULIA L · 2020 to 2022
$747k
BLRD VA IK2 BX005699Cancer Research UK 27140NCI NIH HHS P50 CA236733NCI NIH HHS R00 CA230192NCI NIH HHS R01 CA196845NCI NIH HHS R01 CA203891NCI NIH HHS R35 CA197570NCI NIH HHS T32 CA009110NCI NIH HHS U2C CA233291NIDDK NIH HHS P30 DK058404NIDDK NIH HHS P30 DK089502NIDDK NIH HHS R01 DK073338NIDDK NIH HHS R01 DK103831NIGMS NIH HHS T32 GM136577NIH HHS S10 OD016374
6 · The paper itself

Abstract

Defining the complex role of the microbiome in colorectal cancer and the discovery of novel, protumorigenic microbes are areas of active investigation. In the present study, culturing and reassociation experiments revealed that toxigenic strains of Clostridioides difficile drove the tumorigenic phenotype of a subset of colorectal cancer patient-derived mucosal slurries in germ-free ApcMin/+ mice. Tumorigenesis was dependent on the C. difficile toxin TcdB and was associated with induction of Wnt signaling, reactive oxygen species, and protumorigenic mucosal immune responses marked by the infiltration of activated myeloid cells and IL17-producing lymphoid and innate lymphoid cell subsets. These findings suggest that chronic colonization with toxigenic C. difficile is a potential driver of colorectal cancer in patients. SIGNIFICANCE: Colorectal cancer is a leading cause of cancer and cancer-related deaths worldwide, with a multifactorial etiology that likely includes procarcinogenic bacteria. Using human colon cancer specimens, culturing, and murine models, we demonstrate that chronic infection with the enteric pathogen C. difficile is a previously unrecognized contributor to colonic tumorigenesis. See related commentary by Jain and Dudeja, p. 1838. This article is highlighted in the In This Issue feature, p. 1825.

Indexed as

Bacterial ToxinsClostridioides difficileColonic NeoplasmsColorectal NeoplasmsAnimalsCarcinogenesisClostridioidesHumansImmunity, InnateLymphocytesMiceBacterial Toxins

Identifiers

PMID35678528
PMCPMC9357196
OpenAlexW4282928588

What OpenQuestion holds

Textmetadata
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.