Evidence map›Paper›PMID 40788706›Full record

ArticleGut microbes2025

Atovaquone-proguanil and reduced digestive cancer risk: a

Ariel Israel, Sarah Israel, Abraham Weizman, Shai Ashkenazi, Shlomo Vinker, Eli Magen, Eugene Merzon

Abstract read
In one paragraph

Article in Gut microbes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Delayed Pathogenicity inMicroorganisms · 2026
    Article
  2. Review
  3. 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

7 authors.

Ariel IsraelLeumit Research Institute, Leumit Health Services, Tel Aviv, Israel.ORCID 0000-0003-4389-8896
Sarah IsraelDepartment of Clinical Microbiology and Infectious Diseases, Hadassah-Hebrew University Medical Center, Jerusalem, Israel.ORCID 0000-0001-5646-0071
Abraham WeizmanResearch Unit, Geha Mental Health Center, Felsenstein Medical Research Center, and Sagol School of Neurosciences, Faculty of Medical & Health Sciences, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-9765-8938
Shai AshkenaziAdelson School of Medicine, Ariel University, Ariel, Israel.ORCID 0000-0001-7244-0679
Shlomo VinkerLeumit Research Institute, Leumit Health Services, Tel Aviv, Israel.ORCID 0000-0001-9804-7103
Eli MagenMedicine A Department, Assuta Ashdod University Medical Center, Ben Gurion University of the Negev, Ashdod, Israel.ORCID 0000-0002-7713-423X
Eugene MerzonLeumit Research Institute, Leumit Health Services, Tel Aviv, Israel.ORCID 0000-0001-5469-0236

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerging evidence suggests microbial pathogens contribute to digestive cancer risk. Atovaquone - proguanil (A-P), an antimalarial with antiparasitic activity, has been associated with a reduced risk of colorectal cancer (CRC). We conducted a retrospective cohort study using the TriNetX US Collaborative Network, including over 100,000 individuals aged 40-69 years who received A-P, matched 1:1 to controls who received other medications. Incident digestive cancers were analyzed using Cox proportional hazards models. Additionally, we performed a metagenomic analysis of 1,044 fecal samples from 156 individuals to assess the abundance of

Indexed as

AtovaquoneColorectal NeoplasmsProguanilToxoplasmaAdultAgedDrug CombinationsFecesFemaleGastrointestinal MicrobiomeHumansIncidenceMaleMetagenomicsMiddle AgedRetrospective StudiesAtovaquoneatovaquone, proguanil drug combinationDrug CombinationsProguanilatovaquonecancer preventionColorectal cancerelectronic health recordsmetagenomicsmicrobiotapancreatic cancerToxoplasma gondii

Identifiers

PMID40788706
PMCPMC12341048

What OpenQuestion holds

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LicenceCC BY-NC
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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.