Evidence map›Paper›PMID 40781551›Full record

ReviewNature reviews. Endocrinology2025

Early-onset colorectal cancer as an emerging disease of metabolic dysregulation.

Mengxi Du, David A Drew, Marcus D Goncalves, Yin Cao, Andrew T Chan

Abstract readReview
In one paragraph

Review in Nature reviews. Endocrinology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–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

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

5 authors.

Mengxi DuDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.ORCID http://orcid.org/0000-0002-6406-7250
David A DrewClinical and Translational Epidemiology Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
Marcus D GoncalvesNew York University Langone Health, New York, NY, USA.ORCID http://orcid.org/0000-0002-0784-9248
Yin CaoDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, USA.ORCID http://orcid.org/0000-0001-9835-7662
Andrew T ChanClinical and Translational Epidemiology Unit, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. achan@mgh.harvard.edu.ORCID http://orcid.org/0000-0001-7284-6767

Funding

ROLE OF DIETARY CONSTITUENTS ON GENE EXPRESSION IN INTESTINAL EPITHELIUMP30DK040561 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI Elizabeth Austen Lawson, Takara Leah Stanley · 1994 to 2026
$31.6M
Precision Prevention Research ProgramR35CA253185 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Andrew T Chan · 2020 to 2026
$6.9M
Obesity, sedentary behaviors, and diet quality for prevention and early detection of early-onset colorectal neoplasiaR37CA246175 · NCI · WASHINGTON UNIVERSITY · PI Yin Cao · 2020 to 2026
$3.9M
PROSPECT-Global Consortium and Risk Factor DiscoveryOT2CA297576 · NCI · WASHINGTON UNIVERSITY · PI Yin Cao · 2024 to 2026
$3.2M
Molecular Mechanisms of Fructose-induced Colorectal Cancer Cell SurvivalR01CA258697 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI Marcus DaSilva Goncalves · 2022 to 2026
$2.9M
MGH- PROSPECT: Pathways, Risk factors, and mOleculeS to Prevent Early-onset Colorectal TumorsOT2CA297680 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Andrew T Chan · 2024 to 2026
$2.7M
The role of PKM2 in dietary lipid absorption and fructose-induced obesityR01DK132427 · NIDDK · WEILL MEDICAL COLL OF CORNELL UNIV · PI Marcus DaSilva Goncalves · 2022 to 2026
$2.7M
Impact of Aspirin on the Gut Microbiome and Mucosal MicroenvironmentK01DK120742 · NIDDK · MASSACHUSETTS GENERAL HOSPITAL · PI DREW, DAVID A · 2020 to 2024
$793k
Integrated Epidemiologic Study of Ultra-processed Foods and Colorectal Cancer SurvivalK00CA274714 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI DU, MENGXI · 2023 to 2024
$195k
Integrating a Multi-Omics Cohort Study with a Medically Tailored Meal Intervention to Target Ultra-Processed Foods for Colorectal Cancer Prevention and ControlK99CA297022 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI DU, MENGXI · 2025 to 2025
$142k
NCI NIH HHS K00 CA274714NCI NIH HHS K99 CA297022NCI NIH HHS OT2 CA297576NCI NIH HHS OT2 CA297680NCI NIH HHS R01 CA258697NCI NIH HHS R35 CA253185NCI NIH HHS R37 CA246175NIDDK NIH HHS K01 DK120742NIDDK NIH HHS P30 DK040561NIDDK NIH HHS R01 DK132427
6 · The paper itself

Abstract

Colorectal cancer (CRC) is one of the most common malignancies and the second leading cause of cancer-related death worldwide. Early-onset CRC (EOCRC), diagnosed in adults under the age of 50 years, has emerged as a pressing public health concern owing to its alarming rise in incidence since the 1990s. This trend, observed in the USA and at least eight other high-income countries, starkly contrasts with the declining incidence rates of late-onset CRC (age 50 years and above), largely attributed to early disease detection and lifestyle changes. Concurrent with the rising number of cases of EOCRC, the burden of metabolic diseases, particularly obesity and type 2 diabetes mellitus (T2DM), has surged among young populations. Despite well-documented links between metabolic dysfunction and late-onset CRC, understanding the precise role of obesity and T2DM in the pathogenesis of EOCRC remains in its infancy. This narrative Review synthesizes evidence on the relationship of obesity and T2DM with EOCRC, focusing on pathophysiological mechanisms and the mediating roles of diet and lifestyle factors. It also discusses potential clinical and public health strategies to address obesity and T2DM for EOCRC prevention, highlighting knowledge gaps and future research directions.

Indexed as

Colorectal NeoplasmsDiabetes Mellitus, Type 2Metabolic DiseasesObesityAge of OnsetHumansIncidenceLife StyleRisk Factors

Identifiers

PMID40781551
PMCPMC12707992

What OpenQuestion holds

Textmetadata
LicenceTDM
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.