Evidence map›Paper›PMID 38238650›Full record

ArticleBMC cancer2024

Enrichment of colibactin-associated mutational signatures in unexplained colorectal polyposis patients.

Diantha Terlouw, Arnoud Boot, Quinten R Ducarmon, Sam Nooij, Manon Suerink, Monique E van Leerdam, Demi van Egmond, Carli M Tops, Romy D Zwittink, Dina Ruano and 4 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 6% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Frontiers in microbiology · 2026
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Intratumoural pksEBioMedicine · 2025
    Article
  10. 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

14 authors at 2 institutions in 2 countries.

Diantha TerlouwDepartment of Pathology, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands.
Arnoud BootDepartment of Cancer and Stem Cell Biology, Duke-NUS Medical School, Singapore, Singapore.
Quinten R DucarmonDepartment of Medical Microbiology, Leiden University Medical Center, Leiden, The Netherlands.
Sam NooijDepartment of Medical Microbiology, Leiden University Medical Center, Leiden, The Netherlands.
Manon SuerinkDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Monique E van LeerdamDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, The Netherlands.
Demi van EgmondDepartment of Pathology, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands.
Carli M TopsDepartment of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Romy D ZwittinkDepartment of Medical Microbiology, Leiden University Medical Center, Leiden, The Netherlands.
Dina RuanoDepartment of Pathology, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands.
Alexandra M J LangersDepartment of Gastroenterology and Hepatology, Leiden University Medical Center, Leiden, The Netherlands.
Maartje Nielsen *Department of Clinical Genetics, Leiden University Medical Center, Leiden, The Netherlands.
Tom van Wezel *Department of Pathology, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands.
Hans Morreau *Department of Pathology, Leiden University Medical Center, Albinusdreef 2, Leiden, 2333 ZA, The Netherlands. j.morreau@lumc.nl.
Leiden University Medical Center · NLDuke-NUS Medical School · SG

Funding

KWF Kankerbestrijding 11292
6 · The paper itself

Abstract

backgroundColibactin, a genotoxin produced by polyketide synthase harboring (pks

methodsIn this study, we explore the presence of colibactin-associated signatures and fecal pks in an unexplained polyposis cohort. Somatic targeted Next-Generation Sequencing (NGS) was performed for 379 patients. Additionally, for a subset of 29 patients, metagenomics was performed on feces and mutational signature analyses using Whole-Genome Sequencing (WGS) on Formalin-Fixed Paraffin Embedded (FFPE) colorectal tissue blocks.

resultsNGS showed somatic APC variants fitting SBS88 or ID18 in at least one colorectal adenoma or carcinoma in 29% of patients. Fecal metagenomic analyses revealed enriched presence of pks genes in patients with somatic variants fitting colibactin-associated signatures compared to patients without variants fitting colibactin-associated signatures. Also, mutational signature analyses showed enrichment of SBS88 and ID18 in patients with variants fitting these signatures in NGS compared to patients without.

conclusionsThese findings further support colibactins ability to mutagenize colorectal mucosa and contribute to the development of colorectal adenomas and carcinomas explaining a relevant part of patients with unexplained polyposis.

Indexed as

AdenomaCarcinomaColorectal NeoplasmsPolyketidesEscherichia coliHumansMutationPeptidescolibactinPeptidesPolyketidesBacterial pathogenesisColorectal adenomasIntestinal microbiologyPolyposis

Identifiers

PMID38238650
PMCPMC10797792
OpenAlexW4390974659

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.