Cited by 158Infective Endocarditis Diagnosis and ManagementStreptococcal Infections and TreatmentsGut microbiota and health

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The itinerary of Streptococcus gallolyticus infection in patients with colonic malignant disease

Boleij, Annemarie, Tjalsma, Harold·2013·The Lancet Infectious Diseases

DOI 10.1016/s1473-3099(13)70107-5

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Abstract

Bacteria constitute about 90% of all cells in the human body. The densest and most complex bacterial community is in the large intestine. This population is quite stable in healthy intestines, but intestinal disease distorts the ecological balance and induces dysbiosis. Results of studies have indicated that the epithelial and metabolic changes that occur with colorectal cancer provide a competitive advantage to a subset of intestinal bacteria. Strikingly, however, Streptococcus gallolyticus gallolyticus (previously known as Streptococcus bovis biotype I) is one of the very few opportunistic pathogens that has been clinically linked to colonic malignant diseases. In this Personal View we describe how S. gallolyticus gallolyticus exploits its unique range of virulence features to cause infections in patients with colorectal cancer. We postulate that distinct virulence factors on one hand enable this bacterium to establish a symptomatic infection in susceptible individuals, and on the other hand make its ability to do this dependent on pre-existing colonic abnormalities. We believe that our current reconstruction of this route of infection aids understanding of how S. gallolyticus gallolyticus infections can be best exploited for early detection of colorectal cancer.

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Authors: Boleij, A., & Tjalsma, H.
Affiliations: Johns Hopkins University (US)
Radboud University Nijmegen (NL)
ORCID: Boleij, Annemarie
Venue: The Lancet Infectious Diseases
Publisher: Elsevier BV
Published: 2013-08
Volume: 13
Issue: 8
Pages: 719-724
ISSN: 1473-3099 (ISSN-L)
DOI: 10.1016/s1473-3099(13)70107-5
OpenAlex: W2109510012
Cited by: 158
References: 78
Citations by year: 2026: 9 · 2025: 9 · 2024: 12 · 2023: 16 · 2022: 14 · 2021: 9 · 2020: 13 · 2019: 15 · 2018: 9 · 2017: 16 · 2016: 11 · 2015: 10 · 2014: 14 · 2013: 1
FWCI: 8.71
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: The Lancet Infectious Diseases (publishedVersion)
PubMed (publishedVersion)
Radboud Repository (Radboud University) (submittedVersion)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Infective Endocarditis Diagnosis and Management
Health Sciences › Medicine › Infectious Diseases › Streptococcal Infections and Treatments
Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
Keywords: colorectal cancer, opportunistic infections, virulence factors, gut dysbiosis, gut microbiota, colorectal cancer detection, infection route, host-pathogen interaction
MeSH terms: Adenoma, Carcinoma, Endocarditis, Humans, Streptococcal Infections, Colorectal Neoplasms, Streptococcus bovis, Bacterial Translocation, Virulence Factors, Early Detection of Cancer

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