Evidence map›Paper›PMID 41654659›Full record

ArticleCommunications medicine2026

Distinct prophage infections in colorectal cancer-associated Bacteroides fragilis.

Flemming Damgaard, Magnus G Jespersen, Jens K Møller, John E Coia, Ram B Dessau, Thomas V Sydenham, Mikael L Strube, Jakob Møller-Jensen, Ulrik S Justesen

Abstract read
In one paragraph

Article in Communications medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
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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

9 authors.

Flemming DamgaardDepartment of Clinical Microbiology, Odense University Hospital, Odense, Denmark. flemming.damgaard.nielsen@rsyd.dk.ORCID http://orcid.org/0000-0002-7667-8673
Magnus G JespersenDepartment of Microbiology and Immunology, The University of Melbourne, The Peter Doherty Institute for Infection and Immunity, Melbourne, Australia.ORCID http://orcid.org/0000-0001-9751-9877
Jens K MøllerDepartment of Clinical Microbiology, Vejle Hospital, University Hospital of Southern Denmark, Vejle, Denmark.ORCID http://orcid.org/0000-0002-5547-5498
John E CoiaDepartment of Regional Health Research, University of Southern Denmark, Region of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0002-4966-8453
Ram B DessauDepartment of Regional Health Research, University of Southern Denmark, Region of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0002-1497-6309
Thomas V SydenhamDepartment of Clinical Microbiology, Odense University Hospital, Odense, Denmark.
Mikael L StrubeDepartment of Biotechnology and Biomedicine, Technical University of Denmark, Kongens Lyngby, Denmark.ORCID http://orcid.org/0000-0003-0905-5705
Jakob Møller-JensenDepartment of Biochemistry and Molecular Biology, University of Southern Denmark, Odense, Denmark.ORCID http://orcid.org/0000-0002-6008-3771
Ulrik S JustesenDepartment of Clinical Microbiology, Odense University Hospital, Odense, Denmark.ORCID http://orcid.org/0000-0002-6130-1902

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) patients exhibit distinct gut microbiota disruption, known as dysbiosis, which is believed to play a causative role in CRC. One of the key bacterial species implicated in CRC dysbiosis is Bacteroides fragilis, which presents a paradox as it is also present in most healthy individuals. This discrepancy underscores the need for analysis beyond species-level associations and to investigate intraspecies variation within B. fragilis.

methodsFrom a highly specific collection of B. fragilis isolates from CRC patients and controls, a pangenome-wide association study was conducted, identifying intraspecies genetic variations associated with CRC. The CRC association of these genetic variations were then validated in a metagenome sequencing cohort of faecal samples from 877 individuals, with and without CRC. To test group differences a mixed effects logistic regression with cohort as a random effect was performed for each genetic variation.

resultsHere we show that CRC-associated B. fragilis isolates are infected with specific Caudoviricetes prophages, significantly more often than negative controls. The initial discovery was made in our highly specific isolate collection and then validated in an independent metagenome sequencing cohort, finding that CRC patients were twice as likely to have detectable levels of these phages (OR = 2.05, p = 2.522E-7, SE = 0.139).

conclusionsTo our knowledge, these findings mark the first link between one of the most implicated driver bacteria and phages in CRC and suggest a more complex role of phages in CRC dysbiosis than current models suggest and highlights the potential of phages as CRC biomarkers.

Identifiers

PMID41654659
PMCPMC12992544

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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.