Evidence map›Paper›PMID 42012708›Full record

Trial reportEuropean journal of nutrition2026

Alcohol consumption and colorectal carcinogenesis: an exploration of the gut microbial pathway as a potential mediator.

Ane Sørlie Kværner, Einar Birkeland, Ekaterina Avershina, Edoardo Botteri, Cecilie Bucher-Johannessen, Markus Dines Knudsen, Anette Hjartåker, Christian M Page, Johannes R Hov, Mingyang Song and 4 more

Abstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in European journal of nutrition, 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. Article
  2. 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

14 authors.

Ane Sørlie KværnerDepartment of colorectal cancer screening, Cancer Registry of Norway, National Institute of Public Health, Oslo, Norway, 5313 Majorstuen, 0304. a.s.kvarner@medisin.uio.no.ORCID http://orcid.org/0000-0001-6247-7304
Einar BirkelandDepartment of Pharmacy, University of Oslo, Oslo, Norway.
Ekaterina AvershinaDepartment of Pharmacy, University of Oslo, Oslo, Norway.
Edoardo BotteriDepartment of colorectal cancer screening, Cancer Registry of Norway, National Institute of Public Health, Oslo, Norway, 5313 Majorstuen, 0304.
Cecilie Bucher-JohannessenDepartment of Informatics, University of Oslo, Oslo, Norway.
Markus Dines KnudsenDepartment of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.
Anette HjartåkerDepartment of Nutrition, Institute of Basic Medical Sciences, University of Oslo, Oslo, Norway.
Christian M PageCentre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway.
Johannes R HovDepartment of Transplantation Medicine, Division of Surgery and Specialized Medicine, Norwegian PSC Research Center, Oslo University Hospital, Oslo, Norway.
Mingyang SongDepartment of Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA, USA.
Kristin Ranheim RandelDepartment of colorectal cancer screening, Cancer Registry of Norway, National Institute of Public Health, Oslo, Norway, 5313 Majorstuen, 0304.
Geir HoffDepartment of colorectal cancer screening, Cancer Registry of Norway, National Institute of Public Health, Oslo, Norway, 5313 Majorstuen, 0304.
Trine B RoungeDepartment of Pharmacy, University of Oslo, Oslo, Norway.
Paula BerstadDepartment of colorectal cancer screening, Cancer Registry of Norway, National Institute of Public Health, Oslo, Norway, 5313 Majorstuen, 0304. paula.marianna.berstad@fhi.no.ORCID http://orcid.org/0000-0002-9025-4455

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlcohol consumption is one of the major risk factors of colorectal cancer (CRC), yet the mechanisms underlying this relationship, particularly the role of gut microbes, are not fully understood.

objectiveTo study associations of alcohol intake with the gut microbiome and colorectal lesions among CRC screening participants. Of particular interest was the potential role of gut microbes in mediating the association between alcohol intake and colorectal lesions.

methodsScreening participants with a positive faecal immunochemical test at ages 55–77 were eligible for the CRCbiome study. Alcohol intake was assessed using a validated, semi-quantitative food frequency questionnaire and linked with shotgun metagenome based gut microbial profiles to study associations with screen-detected colorectal lesions. The potential role of alcohol-associated gut microbes in mediating the association between alcohol intake and colorectal lesions was examined using causal mediation analysis.

resultsOf 1468 participants with dietary data, 414 were diagnosed with advanced lesions. Alcohol intake was positively associated with advanced lesions in a dose-dependent manner (ptrend = 0.008), with odds ratio of 1.09 (95% confidence interval, 1.00, 1.19) per 10 g/day increase. Compared to non-consumers, those consuming alcohol were characterized by a distinct microbial profile, manifested as modest, but consistent, shifts in α- and β-diversity, and differentially abundant bacteria. A causal mediation analysis showed that 12% of the association between alcohol intake and advanced lesions was mediated by alcohol-associated gut bacteria.

conclusionAlcohol consumption was associated with a distinct microbial profile, which partly explained the association between alcohol intake and advanced colorectal lesions. Trial registration: The BCSN is registered at clinicaltrials.gov (National clinical trial (NCT) no. 01538550).

Indexed as

Alcohol DrinkingCarcinogenesisColorectal NeoplasmsGastrointestinal MicrobiomeAgedFecesFemaleHumansMaleMiddle AgedRisk FactorsAlcoholBowel cancer screeningCausal mediation analysisColorectal carcinogenesisFood frequency questionnaireGut microbiome

Identifiers

PMID42012708
PMCPMC13099788

What OpenQuestion holds

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LicenceCC BY
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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.