Evidence map›Paper›PMID 41975253›Full record

ArticleBMC microbiology2026

Decoding the microbial landscape of endometrial cancer: a case-control study.

Carmen Imma Aquino, Marta La Vecchia, Edoardo Pasolli, Gloria Sala, Arianna Ligori, Renzo Boldorini, Daniela Ferrante, Irma Dianzani, Anna Aspesi, Daniela Surico and 1 more

Abstract read
In one paragraph

Article in BMC microbiology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Carmen Imma Aquino *Department of Translational Medicine, University of Piemonte Orientale, Gynecology and Obstetrics, A.O.U. Maggiore della Carità, Novara, 28100, Italy.
Marta La Vecchia *Department of Health Sciences, Università del Piemonte Orientale, Novara, 28100, Italy. marta.lavecchia@uniupo.it.
Edoardo Pasolli *Department of Agricultural Sciences, Division of Microbiology, University of Naples Federico II, Portici, 80055, Italy.
Gloria SalaDepartment of Health Sciences, Università del Piemonte Orientale, Novara, 28100, Italy.
Arianna LigoriDepartment of Translational Medicine, University of Piemonte Orientale, Gynecology and Obstetrics, A.O.U. Maggiore della Carità, Novara, 28100, Italy.
Renzo BoldoriniDepartment of Health Sciences, Università del Piemonte Orientale, Novara, 28100, Italy.
Daniela FerranteDepartment of Translational Medicine, Università del Piemonte Orientale, Novara, 28100, Italy.
Irma DianzaniDepartment of Health Sciences, Università del Piemonte Orientale, Novara, 28100, Italy.
Anna Aspesi *Department of Health Sciences, Università del Piemonte Orientale, Novara, 28100, Italy.
Daniela Surico *Department of Translational Medicine, University of Piemonte Orientale, Gynecology and Obstetrics, A.O.U. Maggiore della Carità, Novara, 28100, Italy.
Valentino Remorgida *Department of Translational Medicine, University of Piemonte Orientale, Gynecology and Obstetrics, A.O.U. Maggiore della Carità, Novara, 28100, Italy.

Funding

Associazione Italiana per la Ricerca sul Cancro IG 2021-ID. 25886
6 · The paper itself

Abstract

backgroundThe human microbiome plays an emerging role in cancer biology, yet its contribution to endometrial cancer (EC) remains poorly defined. This study investigates the microbial composition of the vaginal, rectal, and endometrial sites in women with and without EC, aiming to uncover microbial signatures associated with the disease.

resultsWe performed shotgun metagenomic sequencing on vaginal, rectal, and endometrial samples from 25 patients with EC and 27 control women undergoing hysterectomy for benign conditions. Vaginal and rectal swabs were collected before surgery, while endometrial swabs were obtained post-hysterectomy using a sterile brushing technique to prevent cross-contamination. Vaginal microbiota in patients with EC showed significantly higher microbial diversity and distinct community composition compared to controls. These differences remained significant after adjusting for age and body mass index. Several bacterial species, including Peptococcus niger, Anaerococcus murdochii, Mobiluncus, Porphyromonas, and Prevotella, were more abundant in the vaginal microbiota of patients with cancer. In contrast, Lactobacillus spp. were more abundant in vaginal and rectal samples of control subjects.

conclusionsThis work represents one of the few studies to comprehensively examine the relationship between the vaginal, rectal, and endometrial microbiomes in the context of EC, suggesting a potential role for microbial imbalance in disease development. The findings underscore the importance of site-specific microbial analyses in gynecologic oncology and support further investigation into the microbiome as a possible biomarker for early detection and a target for preventive strategies.

Indexed as

BacteriaEndometrial NeoplasmsMicrobiotaVaginaAdultAgedCase-Control StudiesEndometriumFemaleHumansMetagenomicsMiddle AgedRectumShotgun SequencingEndometrial cancerEndometrial microbiotaObesityRectal microbiotaShotgun metagenomicsVaginal microbiota

Identifiers

PMID41975253
PMCPMC13200458

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.