A study confirms that antibiotics increase the risk of colon cancer

Antibiotic resistance is one of the biggest health problems we face in this century.

The increasing resistance of the population to antibiotics is a problem that has been worrying experts in recent years around the world. Now, a study from the University of Umea (Sweden) adds a new reason to further control the intake of these drugs, because, according to this new research, there is “a clear relationship” between taking antibiotics and an increased risk of developing colon cancer in the next five to ten years.

This has been confirmed by researchers from the Swedish university after a study of 40,000 cases of cancer. Specifically, the impact of antibiotics on the gut microbiome is believed to be behind this increased risk of cancer.

“The results underscore the fact that there are many reasons to be restrictive with antibiotics. Although in many cases antibiotic therapy is necessary and saves lives, in the case of less serious ailments that can be cured anyway, caution must be exercised ”, warns the cancer researcher at the University of Umea, Sophia Harlid. “Above all, caution to prevent bacteria from developing resistance, but, as this study shows, also because antibiotics can increase the risk of future colon cancer,” he adds.

17% INCREASED RISK OF RISING COLON CANCER

Precisely, the researchers discovered that both women and men who took antibiotics for more than six months had a 17 percent higher risk of developing cancer in the ascending colon, the first part of the colon that food reaches after the intestine thin, than those who did not receive any antibiotics. However, no increased risk of cancer was found in the descending colon. There was also no increased risk of rectal cancer in men taking antibiotics, while women taking antibiotics had a slightly lower incidence of rectal cancer.

The increased risk of colon cancer was visible as early as five to ten years after taking the antibiotics. Although the increased risk was higher for those taking most antibiotics, it was also possible to observe a small but statistically significant increase in cancer risk after a single antibiotic treatment.

Thus, the present study uses data from 40,000 patients from the Swedish Colorectal Cancer Registry for the period 2010-2016. These have been compared with a matched control group of 200,000 cancer-free individuals drawn from the general Swedish population. Data on individuals’ antibiotic use was collected from the Swedish Prescription Drug Register for the period 2005-2016. As the authors recall, this new research broadly confirms the results of an earlier, somewhat smaller British study.

To understand how antibiotics increase risk, the researchers also studied a non-antibiotic bactericidal drug used against UTIs that does not affect the microbiome. There were no differences in the frequency of colon cancer in those who used this drug, suggesting that it is the impact of antibiotics on the microbiome that increases the risk of cancer. Although the study only covers orally administered antibiotics, even intravenous antibiotics can affect the microbiota of the intestinal system.

“There is absolutely no cause for alarm just because you have taken antibiotics. The increased risk is moderate and the effect on the absolute risk for the individual is quite small ”, clarifies Harlid, who recalls the importance of routine colorectal cancer screening. “As in any other screening program, it is important to participate in it to be able to detect any cancer early or even prevent it, since sometimes its precursors can be eliminated”, concludes the main author of the study.