Early-Life Mutagenesis and the Rise of Early-Onset Colorectal Cancer

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Authors: Ludmil B. Alexandrov, Paul Brennan, Michael R. Stratton
Cited by: 2
References: 15

Abstract

Colorectal cancer incidence is rising globally among individuals younger than 50 years and remains poorly explained by established risk factors. In this study, we advance the hypothesis that early-childhood exposure to mutagen-producing bacteria contributes to lifetime colorectal cancer risk by imprinting oncogenic mutations in the developing colorectal epithelium, thereby initiating tumorigenesis decades before clinical diagnosis and redefining early-onset colorectal cancer as a disease rooted in early-life mutagenic exposure.

Fields of Study & Subjects

Digestive system and related health Genetic factors in colorectal cancer Colorectal Cancer Screening and Detection

Publication details

Journal / source
Cancer Discovery
Publisher
American Association for Cancer Research (AACR)
Volume
16
Issue
4
Pages
644–646
Publication date
1 April 2026
Language
EN