Evidence map›Paper›PMID 41687743›Full record

ArticleGastroenterology2026

Quorum-Sensing Molecules Are Elevated in Long-Standing Ulcerative Colitis and Are Linked to the Development of Colitis-Associated Cancer.

Gregory O'Connor, Hajar Hazime, Juan F Burgueño, Irina Fernández, Ana M Santander, Nivis Brito, Katerina M Faust, Yuguang Ban, Maria A Quintero, Sapna K Deo and 2 more

Abstract read
In one paragraph

Article in Gastroenterology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

12 authors.

Gregory O'ConnorDepartment of Biochemistry and Molecular Biology, University of Miami School of Medicine, Miami, Florida.
Hajar HazimeUHealth Crohn's & Colitis Center, Department of Medicine, University of Miami School of Medicine, Miami, Florida; F. Widjaja Inflammatory Bowel Disease Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Juan F BurgueñoUHealth Crohn's & Colitis Center, Department of Medicine, University of Miami School of Medicine, Miami, Florida.
Irina FernándezUHealth Crohn's & Colitis Center, Department of Medicine, University of Miami School of Medicine, Miami, Florida; F. Widjaja Inflammatory Bowel Disease Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Ana M SantanderUHealth Crohn's & Colitis Center, Department of Medicine, University of Miami School of Medicine, Miami, Florida.
Nivis BritoUHealth Crohn's & Colitis Center, Department of Medicine, University of Miami School of Medicine, Miami, Florida.
Katerina M FaustUHealth Crohn's & Colitis Center, Department of Medicine, University of Miami School of Medicine, Miami, Florida; F. Widjaja Inflammatory Bowel Disease Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Yuguang BanBiostatistics and Bioinformatics Shared Resource, Sylvester Comprehensive Cancer Center, University of Miami-Miller School of Medicine, Miami, Florida.
Maria A QuinteroUHealth Crohn's & Colitis Center, Department of Medicine, University of Miami School of Medicine, Miami, Florida; F. Widjaja Inflammatory Bowel Disease Institute, Cedars-Sinai Medical Center, Los Angeles, California.
Sapna K DeoDepartment of Biochemistry and Molecular Biology, University of Miami School of Medicine, Miami, Florida.
Maria T AbreuUHealth Crohn's & Colitis Center, Department of Medicine, University of Miami School of Medicine, Miami, Florida; F. Widjaja Inflammatory Bowel Disease Institute, Cedars-Sinai Medical Center, Los Angeles, California. Electronic address: maria.abreu@cshs.org.
Sylvia DaunertDepartment of Biochemistry and Molecular Biology, University of Miami School of Medicine, Miami, Florida. Electronic address: sdaunert@med.miami.edu.

Funding

Role of TLR4 in Colitis Associated NeoplasiaR01DK099076 · NIDDK · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI Maria Teresa Abreu · 2014 to 2026
$4.7M
Portable, Rapid, Multiplexed Flow strip Test for BacteriaR01GM127706 · NIGMS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI DAUNERT, SYLVIA, DEO, SAPNA K · 2018 to 2021
$1.2M
NIDDK NIH HHS R01 DK099076NIGMS NIH HHS R01 GM127706
6 · The paper itself

Abstract

BACKGROUND &

aimsChronic colonic inflammation can lead to colitis-associated cancer (CAC) in ulcerative colitis (UC) patients. The host-microbiome interface plays a critical role in CAC development. Quorum-sensing molecules (QSMs) are bacterial products that regulate bacterial processes. We investigated whether QSMs are related to risk factors for CAC in UC patients and drive CAC development in mouse models.

methodsBlood samples from UC patients and mouse models of CAC (azoxymethane-dextran sodium sulfate) were analyzed for 3 bacterial QSM classes: short-chain n-acyl homoserine lactones (scAHLs) and long-chain n-acyl homoserine lactones and autoinducer-2. CAC mouse models (specific pathogen-free and germ-free) were challenged with C6-scAHL. QSM levels, colitis-associated tumor development, microbiome composition, and metabolome profiles were examined. Murine and human colonic organoid cultures were used to examine C6-scAHL-driven cytokine production.

resultsSerum scAHL levels were higher in UC patients than in healthy controls. UC patients with inflammation and ≥10 years of disease had elevated autoinducer-2 levels. Systemic C6-scAHL administration to a CAC mouse model increased tumor number and size and was associated with microbiome and metabolome changes similar to those in inflammatory settings. C6-scAHL administration also promoted tumor development in germ-free mice. In colonoids derived from mice and UC patients, C6-scAHL increased tumorigenic and proinflammatory cytokine production.

conclusionsThe bacterial QSM C6-scAHL is elevated in UC patients with CAC risk factors. C6-scAHL promotes colon tumor development in mice and drives proinflammatory and protumorigenic cytokine production in vitro. Our findings highlight a previously unexplored pathogenetic pathway linking the microbiome to CAC development and suggest targets to modify CAC risk.

Indexed as

Colitis-Associated NeoplasmsColitis, UlcerativeColonQuorum SensingAdultAnimalsCase-Control StudiesCytokinesDextran SulfateDisease Models, AnimalFemaleGastrointestinal MicrobiomeHumansMaleMiceMice, Inbred C57BLCytokinesDextran SulfateColitis-Associated CancerMetabolomeMicrobiomeQuorum-Sensing Molecules

Identifiers

PMID41687743
PMCPMC13399128

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Registered trials

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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.