Evidence map›Paper›PMID 42879037›Full record

ReviewMolecular biomedicine2026

Colitis-associated colorectal carcinogenesis: molecular mechanisms and therapeutic potential.

Yi Lu, Xixi Wang, Cuike Yin, Jiaxuan Wang, Shaoqing Guo, Zihan Wang, Jing Zhou, Mengyuan Cui, Xiaoxia Cheng, Lei Zhang and 1 more

Abstract readReview
PubMed Publisher
In one paragraph

Review in Molecular biomedicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

11 authors.

Yi Lu *Department of General Surgery, The Second Affiliated Hospital of Henan University (Huaihe Hospital), Henan University, Kaifeng, Henan, 475000, China.
Xixi Wang *School of Basic Medical Sciences, Henan University, Kaifeng, Henan, 475004, China.
Cuike Yin *School of Basic Medical Sciences, Henan University, Kaifeng, Henan, 475004, China.
Jiaxuan WangSchool of Basic Medical Sciences, Henan University, Kaifeng, Henan, 475004, China.
Shaoqing GuoDepartment of General Surgery, The Second Affiliated Hospital of Henan University (Huaihe Hospital), Henan University, Kaifeng, Henan, 475000, China.
Zihan WangSchool of Basic Medical Sciences, Henan University, Kaifeng, Henan, 475004, China.
Jing ZhouSchool of Basic Medical Sciences, Henan University, Kaifeng, Henan, 475004, China.
Mengyuan CuiSchool of Basic Medical Sciences, Henan University, Kaifeng, Henan, 475004, China.
Xiaoxia ChengSchool of Basic Medical Sciences, Henan University, Kaifeng, Henan, 475004, China.
Lei ZhangDepartment of General Surgery, The Second Affiliated Hospital of Henan University (Huaihe Hospital), Henan University, Kaifeng, Henan, 475000, China. zhlei@henu.edu.cn.ORCID http://orcid.org/0000-0002-7781-3478
Changjiang QinDepartment of General Surgery, The Second Affiliated Hospital of Henan University (Huaihe Hospital), Henan University, Kaifeng, Henan, 475000, China. hhyyqcj@163.com.

Funding

Henan Provincial Science and Technology Research Project No. 2303010Key R&D 262102310430Medical Education Research Project of Henan Provincial Health Commission WJLX2023094Natural Science Foundation of Henan Province 262300421552Program for Innovative Research Team (in Science and Technology) in University of Henan Province 24IRTSTHN041Promotion Projects in Henan Province 242102311047
6 · The paper itself

Abstract

Chronic colitis is a major risk factor for colorectal cancer (CRC), particularly for colitis-associated colorectal cancer (CAC), where persistent inflammation drives the transition from mucosal injury to malignant transformation. Accumulating evidence indicates that gut microbiota dysbiosis, epithelial barrier disruption, microbial translocation, chronic immune activation, and aberrant inflammatory signaling collectively contribute to CAC initiation and progression. Sustained inflammation promotes oxidative stress, DNA damage, genetic/epigenetic alterations, and tumor microenvironment remodeling, ultimately facilitating tumor development and immune evasion. These processes form an interconnected pathogenic network linking microbial, inflammatory, genetic, immune, and stromal alterations. This review comprehensively summarizes the key drivers and molecular mechanisms of CAC, covering microbiota and barrier dysfunction, inflammatory signaling, oxidative stress and DNA damage, genetic and epigenetic alterations, and tumor microenvironment remodeling and immune dysregulation. We further review recent advances in diagnostic biomarkers, disease monitoring, chemoprevention, targeted therapies, and emerging interventions, including the potential utility of specific chemokine axes as biomarkers and therapeutic targets. Particular emphasis is placed on the translational challenges of linking mechanistic insights to diagnostic and therapeutic advances, including biomarker validation, stage-specific interventions, and patient stratification across disease progression. By integrating these interconnected mechanisms and therapeutic strategies, this review provides a comprehensive framework for understanding CAC pathogenesis and identifies opportunities for precision prevention, early detection, and multimodal treatment.

Indexed as

CarcinogenesisColitisColitis-Associated NeoplasmsColorectal NeoplasmsAnimalsGastrointestinal MicrobiomeHumansOxidative StressTumor MicroenvironmentChemokinesColitis-associated colorectal cancerGut microbiotaImmune dysregulationTargeted therapyTumor microenvironment

Identifiers

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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.