2017
DOI: 10.1007/s40495-017-0088-z
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Environmental Influences in the Etiology of Colorectal Cancer: the Premise of Metabolomics

Abstract: Purpose of Review In this review we discuss how environmental exposures predominate the etiology of colorectal cancer (CRC). With CRC being a personalized disease influenced by genes and environment, our goal was to explore the role metabolomics can play in identifying exposures, assessing the interplay between co-exposures, and the development of personalized therapeutic interventions. Recent Findings Approximately 10 % of CRC cases can be explained by germ-line mutations, whereas the prevailing majority ar… Show more

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Cited by 58 publications
(41 citation statements)
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“…It is vital that a more comprehensive understanding of how these environmental exposures affect biology at the systems level to determine cause, effect, and susceptibilities. In doing so, a compound specific “exposotype” can be developed that accounts for the totality of the multileveled downstream biological changes that an individual exposure event produces [ 18 ]. To better understand these effects, metabolomics can be used to develop not only metabolic biomarkers of exposure but can also be used to build metabolic models that identify upstream genetic and enzymatic changes.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…It is vital that a more comprehensive understanding of how these environmental exposures affect biology at the systems level to determine cause, effect, and susceptibilities. In doing so, a compound specific “exposotype” can be developed that accounts for the totality of the multileveled downstream biological changes that an individual exposure event produces [ 18 ]. To better understand these effects, metabolomics can be used to develop not only metabolic biomarkers of exposure but can also be used to build metabolic models that identify upstream genetic and enzymatic changes.…”
Section: Discussionmentioning
confidence: 99%
“…Multi-omics approaches using combined data from genomics, proteomics, and metabolomics techniques can identify downstream chemical alterations contributing to the development of an exposotype, the exposure phenotype (Fig. 1 ), that describes the accrued biological changes within a system that has undergone a specific exposure event [ 18 ] . Combining information from all levels of protein synthesis and subsequent enzymatic action on metabolite production is an essential step to start comprehending the complex global modulating effect that an exposure event has on an individual phenotype.…”
Section: Application Of High-dimensional Biology To the Environmentalmentioning
confidence: 99%
“…There are increased evidences that environmental factors such as lifestyle and diet alterations have effect in CRC incidence [30]. This effect has been documented because there is evidence showing an essential relationship between dietary antigens and antigens of commensal bacteria with the regulatory T cells (Tregs), which maintain the immune tolerance and, consequently, reduce the risk of tumorigenesis associated with inflammation [31].…”
Section: Ibd Complications and Microbiota Manipulationmentioning
confidence: 99%
“…New technologies allowed the identification of new biomarkers and their co-evolution with drug discovery and targeted therapies design. Importantly, cancer susceptibility does not just depend on the genetic background of patients; environmental factors as well as lifestyle are determinants in the etiology of CRC [ 81 ]. Despite the improvements in early diagnosis and targeted therapies design for CRC, the rates of its incidence have been increasing for people younger than 40 years, pointing out the pressing needs for identifying the underlying environmental factors and providing preventive strategies for high-risk individuals [ 82 ].…”
Section: Nutrition and Colorectal Cancermentioning
confidence: 99%