Evidence map›Paper›PMID 41860925›Full record

ArticlePloS one2026

The effect of cold ischemia time on hypoxia, EMT, and apoptosis pathways in normal colon mucosa.

Katarzyna Duzowska, Mikołaj Opiełka, Kinga Drężek-Chyła, Anna Kostecka, Monika Horbacz, Jarosław Skokowski, Olga Rostkowska, Jarosław Kobiela, Leszek Kalinowski, Jan P Dumanski and 3 more

Abstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

13 authors.

Katarzyna Duzowska3P-Medicine Laboratory, Medical University of Gdańsk, Gdańsk, Poland.ORCID https://orcid.org/0000-0001-5344-2417
Mikołaj Opiełka3P-Medicine Laboratory, Medical University of Gdańsk, Gdańsk, Poland.
Kinga Drężek-Chyła3P-Medicine Laboratory, Medical University of Gdańsk, Gdańsk, Poland.
Anna Kostecka3P-Medicine Laboratory, Medical University of Gdańsk, Gdańsk, Poland.
Monika Horbacz3P-Medicine Laboratory, Medical University of Gdańsk, Gdańsk, Poland.
Jarosław SkokowskiAcademy of Applied Medical and Social Science, Elbląg, Poland.
Olga RostkowskaDepartment of Oncological, Transplant and General Surgery, Medical University of Gdańsk, Gdańsk, Poland.
Jarosław KobielaDepartment of Oncological, Transplant and General Surgery, Medical University of Gdańsk, Gdańsk, Poland.
Leszek KalinowskiDepartment of Medical Laboratory Diagnostics, Medical University of Gdańsk, Gdańsk, Poland.
Jan P Dumanski3P-Medicine Laboratory, Medical University of Gdańsk, Gdańsk, Poland.ORCID https://orcid.org/0000-0002-1489-1452
Arkadiusz Piotrowski3P-Medicine Laboratory, Medical University of Gdańsk, Gdańsk, Poland.
Marcin Jąkalski3P-Medicine Laboratory, Medical University of Gdańsk, Gdańsk, Poland.ORCID https://orcid.org/0000-0002-5481-9148
Natalia Filipowicz3P-Medicine Laboratory, Medical University of Gdańsk, Gdańsk, Poland.ORCID https://orcid.org/0000-0002-9673-2649

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cold ischemia time (CIT), the interval between tissue excision and preservation, is a critical preanalytical variable that profoundly impacts gene expression profiles. Variability in CIT can lead to inconsistent transcriptomic results, making study interpretation challenging and undermining reproducibility in biomedical research. Our study aimed to evaluate the impact of CIT on the expression of cancer-related genes, particularly these involved in hypoxia, apoptosis, and epithelial-to-mesenchymal transition (EMT). We performed RNA sequencing on 54 normal colon mucosa samples from nine patients undergoing colorectal cancer surgeries, freezing samples at predefined intervals ranging from 0 to 60 minutes. A total of 44 differentially expressed genes (DEGs) (p < 0.05) were identified when comparing samples frozen immediately (T0) with those frozen after 60 minutes (T5). These DEGs were further analyzed through functional and pathway enrichment analyses and weighted gene co-expression network analysis (WGCNA). The enrichment analysis revealed significant alterations in pathways associated with apoptosis, hypoxia, EMT, and cancer progression, including p53 and HIF-1 signaling. WGCNA highlighted two co-expressed gene modules: ME2, which showed downregulation of apoptosis-related genes, and ME4, linked to apoptosis and cellular metabolism. Our findings highlight CIT as a critical preanalytical variable, showing that prolonged ischemia can induce transcriptomic changes that may mimic malignancy, and potentially confound research outcomes. To minimize such effects, we recommend keeping CIT under 30 minutes.

Indexed as

ApoptosisCold IschemiaColonEpithelial-Mesenchymal TransitionHypoxiaIntestinal MucosaCell HypoxiaFemaleGene Expression ProfilingHumansMaleMiddle AgedSignal TransductionTranscriptome

Identifiers

PMID41860925
PMCPMC13004397

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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.