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Younger colon cancer patients show higher rates of colibactin-related DNA damage, new global study finds

Newswise Apr 29, 2025

A groundbreaking new study published in Nature yesterday sheds light on the alarming rise of colorectal cancer in younger adults. Researchers sequenced the DNA of colorectal cancer tumours from 981 patients across 11 countries and discovered a significant link between colibactin-producing bacteria and early-onset disease. The study found that DNA mutations associated with colibactin, a genotoxic compound produced by certain strains of E. coli, were 3.3 times more prevalent in patients under 40 compared to those over 70.

Colorectal cancer rates have been steadily increasing in younger populations, baffling researchers and clinicians alike. While lifestyle factors like diet and exercise play a role, they don't fully explain this concerning trend. This new research points to a potential bacterial culprit, offering a crucial piece of the puzzle.

"This study provides compelling evidence for the role of colibactin in the development of early-onset colorectal cancer," says Dr. Rosario Ligresti, chief of Gastroenterology at Hackensack University Medical Centre.

"The significantly higher prevalence of colibactin-related DNA damage in younger patients suggests that exposure to these bacteria may be a critical factor driving this alarming trend. This discovery opens up exciting new avenues for research into prevention and treatment strategies, potentially including targeted therapies or even vaccines."

The international scope of the study, encompassing patients from diverse backgrounds, strengthens the findings and highlights the global nature of this issue. Further research is needed to understand the precise mechanisms by which colibactin contributes to cancer development and to identify individuals at higher risk. This discovery, however, represents a significant step forward in the fight against colorectal cancer, particularly in younger populations.

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