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. 2025 May 28;16(8):e00864. doi: 10.14309/ctg.0000000000000864

Table 1.

Study design and patient metadata in early-onset colorectal cancer microbiome studies

Study Year Total subjects LoCRC cases (median age) EoCRC cases (median age) Controls (median age) Race: % (n) White/Black Sample types (sequencing methods) Study location PMID/DOI
Keshinro et ala,b 2020 275 114 (70)c 24 (33.6)c 137 Not stated Tumor tissue (NGS panel) New York, NY, USA 10.1200/jco.2020.38.15_suppl.e16070
Jin et ala 2022 358 304 54 0 Not stated Tumor tissue (RNA-Seq) Columbus, OH, USA 10.1016/j.annonc.2022.04.426
Kharofa et al 2022 1,301 611 81 609 (60) Not stated Stool (metagenome), meta-analysis of 11 studies Cincinnati, OH, USA 36056757
Dave et ala 2023 227 Not stated Not stated 0 Not stated Tumor tissue (16S) Cleveland, OH, USA 10.1200/jco.2023.41.4_suppl.13
Weinberg et al 2023 63 27 (72) 36 (38) 0 Not stated Tumor tissue (16S) Washington DC, USA 10.1200/jco.2023.41.16_suppl.3530
White et al 2023 107 70 (61) 37 (42) 0 71%/7.5% Tumor tissue and adjacent mucosa (metagenome) Houston, TX, USA 37465976
Adnan et al 2024 1,393 619 82 Age matched: EoCRC controls 125/LoCRC controls 568 Not stated Stool and mucosal tissue (16S) Chicago, IL, USA 37967575
Barot et al 2024 276 140 (43) 136 (73) 0 83.6% (117)/14.3% (20) Tumor tissue and adjacent mucosa (16S) Cleveland Clinic, OH, USA 38306898
Hong et ala 2024 377 0 377 0 Not stated Stool and mucosal tissue (16S, WGS, metabolomics) St. Louis, MO, USA 10.1200/jco.2024.42.16_suppl.e15646
Jayakrishnan et al 2024 64 44 20 0 100%/0% Tumor tissue (16S), serum (metabolomics) Cleveland Clinic, OH, USA 39020083
Jin et ala 2024 Not stated Not stated Not stated 0 Not stated Tumor tissue (RNA-Seq) Columbus, OH, USA 10.1200/jco.2024.42.16_suppl.3580
Yang et al 2021 1,038 379 (64) 185 (40) Age matched: EoCRC 217 controls (40)/LoCRC controls 257 (63) Not stated All stool (16S); stool subset of 200 samples (metagenome) Shanghai, China 34799562
Xiong et al 2022 98 43 24 31 Not stated Stool (16S) Harbin, China 36389150
Xu et al 2022 39 19 20 0 Not stated Tumor tissue (16S) Shanghai, China 36119074
Kong et al 2023 434 130 (62) 114 (40) Age matched: EoCRC controls 100 (39)/LoCRC controls 97 (62) Not stated Stool (metagenome/metabolomics) Shanghai, China 35953094
Qin et al 2024 460 293 167 0 Not stated Stool (metagenome), data from Yang et al and 8 public cohorts Guangzhou, China 38649355

Studies were separated based on country of origin (United States or China). Total subjects (by case status [late onset vs early onset] and controls) are presented, as well as median age for that groupc (except for Keshinro et al, which provided mean age). Early-onset cases were defined as cases diagnosed before age 50, except for Kenshinro et al, that defined them as diagnosed before age 40. Late-onset cases are defined as diagnosed after age 50. When available, racial demographics were included.

16S, 16S rRNA sequencing; EoCRC, early-onset colorectal cancer; LoCRC, late-onset colorectal cancer; NGS, next-generation sequencing; RNA-Seq, RNA sequencing; WGS, whole genome sequencing.

a

Abstracts.

b

Defined EoCRC as younger than 40 years.

c

Mean age.