Evidence map›Paper›PMID 42204264›Full record

ReviewExperimental & molecular medicine2026

From inflammation to fibrosis and cancer: the emerging role of AIEC-derived metabolites in intestinal disease progression.

Ju-Hyun Ahn, Anthony Hazelton, Juliane Nguyen, Janelle C Arthur

Abstract readReview
In one paragraph

Review in Experimental & molecular medicine, 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

4 authors.

Ju-Hyun AhnDepartment of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. juhyun_ahn@med.unc.edu.ORCID http://orcid.org/0009-0003-2057-671X
Anthony HazeltonDivision of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Juliane NguyenDivision of Pharmacoengineering and Molecular Pharmaceutics, Eshelman School of Pharmacy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
Janelle C ArthurDepartment of Microbiology and Immunology, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. janelle_arthur@med.unc.edu.

Funding

Microbiota-mediated fibrotic remodeling in the inflamed intestineR01DK124617 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI ARTHUR, JANELLE C · 2020 to 2024
$1.9M
Targeted Probiotic Yeast for Treating Inflammatory Bowel DiseasesR01DK140954 · NIDDK · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Janelle C Arthur, Juliane Nguyen · 2025 to 2026
$1.6M
Crohn's and Colitis Foundation (Crohn's & Colitis Foundation) 1287804NIDDK NIH HHS R01 DK124617NIDDK NIH HHS R01 DK140954
6 · The paper itself

Abstract

The intestinal microbiota maintains mucosal homeostasis through dynamic host-microbe interactions. When this balance is disrupted, gut dysbiosis drives inappropriate immune activation, leading to dysregulated inflammation that contributes to the pathogenesis of chronic inflammatory diseases, including inflammatory bowel diseases (IBD). Chronic inflammation in patients with IBD increases the risk of intestinal fibrosis and colorectal cancer. However, therapeutic options for patients with IBD with fibrosis or neoplasia remain limited and challenging. Adherent-invasive Escherichia coli (AIEC) have emerged as key metabolic drivers of disease in IBD. We previously demonstrated that the AIEC-derived genotoxin colibactin and the siderophore yersiniabactin (Ybt) promote tumorigenesis through DNA damage and fibrosis via pro-fibrotic macrophage-fibroblast interactions, respectively. Because fibrosis and tumorigenesis involve overlapping pathways such as extracellular matrix remodeling, transforming growth factor-beta signaling, angiogenesis, and epithelial-to-mesenchymal transition, AIEC-derived metabolites may be functionally interconnected and could drive distinct pathological outcomes depending on the context of the disease. This Review highlights how AIEC-derived metabolites amplify inflammation, fibrosis, and neoplasia, outlines potential crosstalk between colibactin and Ybt, and discusses therapeutic opportunities targeting AIEC metabolite production in parallel with host-directed antifibrotic and cancer-prevention strategies.

Indexed as

InflammationInflammatory Bowel DiseasesIntestinal DiseasesNeoplasmsAnimalsDisease ProgressionFibrosisGastrointestinal MicrobiomeHumansPeptidesPolyketidescolibactinPeptidesPolyketides

Identifiers

PMID42204264
PMCPMC13234320

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.