Repetitive non-typhoidal Salmonella exposure is an environmental risk factor for colon cancer and tumor growth

  • Daphne M van Elsland
  • , Janneke W Duijster
  • , Jilei Zhang
  • , Virginie Stévenin
  • , Yongguo Zhang
  • , Lang Zha
  • , Yinglin Xia
  • , Eelco Franz
  • , Jun Sun*
  • , Lapo Mughini-Gras*
  • , Jacques Neefjes*
  • *Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

During infection, Salmonella hijacks essential host signaling pathways. These molecular manipulations disrupt cellular integrity and may induce oncogenic transformation. Systemic S. Typhi infections are linked to gallbladder cancer, whereas severe non-typhoidal Salmonella (NTS) infections are associated with colon cancer (CC). These diagnosed infections, however, represent only a small fraction of all NTS infections as many infections are mild and go unnoticed. To assess the overall impact of NTS infections, we performed a retrospective serological study on NTS exposure in patients with CC. The magnitude of exposure to NTS, as measured by serum antibody titer, is significantly positively associated with CC. Repetitively infecting mice with low NTS exposure showed similar accelerated tumor growth to that observed after high NTS exposure. At the cellular level, NTS preferably infects (pre-)transformed cells, and each infection round exponentially increases the rate of transformed cells. Thus, repetitive exposure to NTS associates with CC risk and accelerates tumor growth.

Original languageEnglish
Article number100852
Pages (from-to)1-18
JournalCell reports. Medicine
Volume3
Issue number12
DOIs
Publication statusPublished - 20 Dec 2022

Bibliographical note

Funding Information:
We would like to thank Rong Lu and Shari Garrett for helping with the animal studies, Karen A. Krogfelt for help with the epidemiological study, and Marlieke Jongsma for help with the graphical abstract. This work was supported by KWF grant “Bacterial food poisoning and colon cancer; a cell biological and epidemiological study” (2017-1-11001) (to J.N. and L.M.-G.), an ERC Advanced grant ERCOPE (to J.N.), and the Netherlands Organisation for Health Research and Development ( ZonMw ) (to J.N. and L.M.-G.) (grant number 522004001 ). Mouse experiments were supported by the Oncode program from Oncode member J.N. and the UIC Cancer Center Fund for J.S. V.S. was supported by the LUMC MSCA-IF Seal of Excellence program.

Publisher Copyright:
© 2022 The Author(s)

Keywords

  • Salmonella
  • colon cancer
  • environmental risk factor
  • seroincidence

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