Why some colon polyps progress to cancer: the role of tissue environment, cell clones, and gut microbes

Understanding adenoma progression: Interplay among tissue microenvironment, clonal architecture, and gut microbiome

NIH-funded research Fred Hutchinson Cancer Center · NIH-11182667

This project looks at how changes in the colon tissue, groups of mutated cells, and the gut microbiome together influence whether early colon polyps become cancer in people at risk for colorectal cancer.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionFred Hutchinson Cancer Center NIH-funded
Lab location1 site (Seattle, United States)
Project IDNIH-11182667 on NIH RePORTER

What this research studies

We will study early colon polyps (adenomas) and nearby normal colon tissue to see what biological features make some polyps more likely to progress toward cancer. The team will combine analyses of cell populations and genetic changes within polyps, patterns of DNA methylation and tissue aging in the surrounding colon, and the composition of the gut microbiome. By comparing polyps that progressed versus those that did not, researchers hope to identify combinations of factors that mark a "primed" colon where progression is more likely. Findings will use human tissue and microbiome samples and may guide future tests or prevention strategies.

Who could benefit from this research

Good fit: Ideal candidates would be people undergoing colonoscopy who have colon adenomas or a history of adenomas and who can provide tissue or stool samples for research.

Not a fit: People without colon polyps or those not willing/able to provide tissue or stool samples would not directly benefit from participating.

Why it matters

Potential benefit: If successful, this work could help doctors identify which polyps are most likely to become cancer and lead to better screening or prevention approaches.

How similar studies have performed: Previous studies have linked mutations, methylation changes, tissue senescence, and microbiome shifts to advanced lesions, but combining these factors to predict adenoma progression is a relatively new and emerging approach.

Where this research is happening

Seattle, United States

Researchers

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page below.
Conditions Basic Cancer ResearchCancer CauseCancer EtiologyCancer Research ProgramsCancer Research Project
Last reviewed 2026-06-13 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.