Geographical variation in the incidence of colorectal cancer and urinary tract cancer is associated with population exposure to colibactin-producing Escherichia coli
Open accessAbstract
Biomedical research has implicated the bacterial metabolite colibactin as a causal risk factor for several cancer types, in particular, colorectal cancer. Colibactin has been known to drive tumorigenesis by inducing double-strand breaks in the DNA of epithelial cells exposed to colibactin-producing bacteria. Some phylogroup B2 Escherichia coli secrete colibactin during interbacterial warfare, concomitantly exposing the host to an increasing risk of DNA damage. This Personal View reviews the current knowledge about the cancer-colibactin interface and summarises metagenomics-based and population-genomics-based surveys to show that the prevalence of dominant colibactin-producing lineages of E coli varies considerably across geographical regions. The prevalence is further strongly associated with the age-standardised incidences of colorectal cancer, bladder cancer, and prostate cancer, suggesting that the degree of colibactin exposure in a population might contribute to the geographical variation of these cancers. Our observations provide a strong impetus for further research and the development of novel interventions to reduce the risks for colibactin-related cancers.
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ST73 was the most prevalent sequence type identified in Nissle 1917 and was not present in strains 5C and 8C.
“with ST73 [40] being the most prevalent sequence types (STs) identified in Nissle 1917 and not present in strains 5C and 8C.”
From Selection, Comparative Genomics, and Potential Probiotic Features of Escherichia coli 5C, a pks-Negative Strain Isolated from Healthy Infant Donor Feces (2026) · cites this paper as [40]
Prevalence of dominant colibactin-producing lineages of E. coli varies geographically, being higher in countries with high human development index (HDI) like UK and USA and lower in countries with low HDI like Pakistan and Bangladesh.
“very recent metagenomics-based and population-genomics-based surveys have shown that the prevalence of dominant colibactin-producing lineages of E. coli varies considerably across geographical regions, being higher in countries with a high human development index (HDI) like UK and USA and lower in countries with low HDI, like Pakistan and Bangladesh.”
From Selection, Comparative Genomics, and Potential Probiotic Features of Escherichia coli 5C, a pks-Negative Strain Isolated from Healthy Infant Donor Feces (2026) · cites this paper as [40]
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- Authors
- Mäklin, T., Taira, A., Arredondo-Alonso, S., Shao, Y., Stratton, M. R., Lawley, T. D., Aaltonen, L. A., & Corander, J.
- Affiliations
- University of Helsinki (FI)
- University of Oslo (NO)
- Wellcome Sanger Institute (GB)
- Corresponding author
- Corander, Jukka
- ORCID
- Venue
- The Lancet Microbe
- Publisher
- Elsevier BV
- Published
- 2025-05
- Volume
- 6
- Issue
- 5
- Pages
- 101015
- ISSN
- 2666-5247 (ISSN-L)
- OpenAlex
- W4405008105
- Cited by
- 22
- References
- 42
- Citations by year
- 2026: 13 · 2025: 9
- FWCI
- 1.25
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- The Lancet Microbe (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Työväentutkimus Vuosikirja (submittedVersion)
- Funders
- Research Council of Finland (352814, 319083, 320149)
- Syöpäsäätiö (66-6746)
- Wellcome Trust (220540/Z/20/A)
- Research Council of Norway (299941)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Endocrinology › Escherichia coli research studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biotechnology › Cancer Research and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Bacterial Genetics and Biotechnology
- Keywords
- colibactin, colorectal cancer, bladder cancer, prostate cancer, urinary tract cancer, geographical variation in cancer incidence, phylogroup B2, DNA double-strand breaks, carcinogenesis, bacterial metabolites, population genomics, metagenomics, cancer risk factors
- MeSH terms
- Urinary Bladder Neoplasms, Escherichia coli, Escherichia coli Infections, Humans, Male, Peptides, Prostatic Neoplasms, Colorectal Neoplasms, Incidence, Polyketides
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