Evidence map›Paper›PMID 37635357›Full record

ArticleGut microbes2023

Multimodal metagenomic analysis reveals microbial single nucleotide variants as superior biomarkers for early detection of colorectal cancer.

Wenxing Gao, Xiang Gao, Lixin Zhu, Sheng Gao, Ruicong Sun, Zhongsheng Feng, Dingfeng Wu, Zhanju Liu, Ruixin Zhu, Na Jiao

Open access · goldAbstract read
In one paragraph

Article in Gut microbes, 2023. 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
4.9field-weighted citation impact, top 4% 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

23 citing papers in PubMed, 30 citations in OpenAlex.

  1. Gut Microbial Topology and Metabolic Signatures Associated With Colorectal Neoplasia.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  2. Review
  3. Review
  4. Review
  5. Article
  6. Review
  7. Review
  8. Article
  9. Intestinal dysbiosis and colorectal cancer.Chinese medical journal · 2025
    Review
  10. Article
  11. Review
  12. Review
  13. Article
  14. Distinct Effects ofMicroorganisms · 2025
    Article
  15. Article
  16. Review
  17. Application ofWorld journal of gastrointestinal oncology · 2024
    Article
  18. Co-evolution of vaginal microbiome and cervical cancer.Journal of translational medicine · 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

10 authors at 3 institutions in 1 country.

Wenxing GaoDepartment of Gastroenterology, the Shanghai Tenth People's Hospital, School of Medicine, School of Life Sciences and Technology, Tongji University, Shanghai, P. R. China.ORCID 0000-0002-1740-8227
Xiang GaoDepartment of Gastroenterology, the Shanghai Tenth People's Hospital, School of Medicine, School of Life Sciences and Technology, Tongji University, Shanghai, P. R. China.
Lixin ZhuGuangdong Institute of Gastroenterology; Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases; Biomedical Innovation Center, Sun Yat-Sen University, Guangzhou, P. R. China.ORCID 0000-0001-7904-1769
Sheng GaoDepartment of Gastroenterology, the Shanghai Tenth People's Hospital, School of Medicine, School of Life Sciences and Technology, Tongji University, Shanghai, P. R. China.ORCID 0000-0002-4383-2849
Ruicong SunDepartment of Gastroenterology, the Shanghai Tenth People's Hospital, School of Medicine, School of Life Sciences and Technology, Tongji University, Shanghai, P. R. China.
Zhongsheng FengDepartment of Gastroenterology, the Shanghai Tenth People's Hospital, School of Medicine, School of Life Sciences and Technology, Tongji University, Shanghai, P. R. China.
Dingfeng WuNational Clinical Research Center for Child Health, the Children's Hospital, Zhejiang University School of Medicine, Hangzhou, P. R. China.
Zhanju LiuCenter for IBD Research, Department of Gastroenterology, the Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, P. R. China.
Ruixin ZhuDepartment of Gastroenterology, the Shanghai Tenth People's Hospital, School of Medicine, School of Life Sciences and Technology, Tongji University, Shanghai, P. R. China.ORCID 0000-0002-5070-6453
Na JiaoNational Clinical Research Center for Child Health, the Children's Hospital, Zhejiang University School of Medicine, Hangzhou, P. R. China.ORCID 0000-0003-3976-6313
Tongji University · CNChildren's Hospital of Zhejiang University · CNSun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Microbial signatures show remarkable potentials in predicting colorectal cancer (CRC). This study aimed to evaluate the diagnostic powers of multimodal microbial signatures, multi-kingdom species, genes, and single-nucleotide variants (SNVs) for detecting precancerous adenomas. We performed cross-cohort analyses on whole metagenome sequencing data of 750 samples via xMarkerFinder to identify adenoma-associated microbial multimodal signatures. Our data revealed that fungal species outperformed species from other kingdoms with an area under the ROC curve (AUC) of 0.71 in distinguishing adenomas from controls. The microbial SNVs, including dark SNVs with synonymous mutations, displayed the strongest diagnostic capability with an AUC value of 0.89, sensitivity of 0.79, specificity of 0.85, and Matthews correlation coefficient (MCC) of 0.74. SNV biomarkers also exhibited outstanding performances in three independent validation cohorts (AUCs = 0.83, 0.82, 0.76; sensitivity = 1.0, 0.72, 0.93; specificity = 0.67, 0.81, 0.67, MCCs = 0.69, 0.83, 0.72) with high disease specificity for adenoma. In further support of the above results, functional analyses revealed more frequent inter-kingdom associations between bacteria and fungi, and abnormalities in quorum sensing, purine and butanoate metabolism in adenoma, which were validated in a newly recruited cohort via qRT-PCR. Therefore, these data extend our understanding of adenoma-associated multimodal alterations in the gut microbiome and provide a rationale of microbial SNVs for the early detection of CRC.

Indexed as

AdenomaColorectal NeoplasmsEarly Detection of CancerGastrointestinal MicrobiomePolymorphism, Single NucleotidePrecancerous ConditionsArchaeaBacteriaCohort StudiesFecesFungiGenetic MarkersHumansMetagenomeMetagenomicsVirusesGenetic MarkersColorectal cancerearly detectionmicrobial multimodal biomarkersnoninvasiveprecancerous adenomasingle-nucleotide variantsynonymous mutation

Identifiers

PMID37635357
PMCPMC10464540
OpenAlexW4386209329

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.