Could the Gut Microbiome Help Identify Colorectal Risk Before Age 45?

New research from Jona found that 1 in 6 adults under 40 had gut microbiome patterns associated with adenomatous polyps, suggesting a potential new approach to colorectal risk assessment in younger patients

Discover the Research

New Evidence for Microbiome-Informed Colorectal Risk Assessment.

  • 1 in 6 adults under 40

    Had a gut microbiome signature associated with adenomatous polyps in Jona's research. Age-group findings closely aligned with published colonoscopy polyp prevalence data.

¹ Kosinski, L. R., Grady, L., Robert, E., Yoo, C., & Lieberman, D. A. (2026). Use of AI enhanced shotgun metagenomics as a tool to select patients under 45 for colon cancer screening.
Gastroenterology, 170(6), S-267–S-268. https://doi.org/10.1016/S0016-5085(26)00973-X

What this means for your patients under 45.

A Growing Gap in Early-Onset CRC Screening

Colorectal cancer in adults under 50 accounts for 14% of new CRC cases. Routine screening begins at 45 for average-risk patients, leaving younger adults without a standard age-based screening pathway.

Polyp-Associated Signals May Offer Earlier Insight

Many colorectal cancers develop from adenomatous polyps over time. Microbiome signatures associated with these lesions may provide additional information for clinical risk assessment, but are not diagnostic.

New Evidence Supports Further Clinical Investigation

In adults under 40, 16.7% had a polyp-associated microbiome signature, compared with 13% polyp prevalence in colonoscopy data. The findings suggest potential utility for future risk stratification.

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Frequently Asked Questions

Jona goes beyond a narrow pathogen panel like most other tests. Unlike basic PCR methods, Jona uses deep shotgun metagenomic sequencing to identify, down to the strain level, all the bacteria, fungi, viruses, and other organisms in your patient's sample — usually leading to 10–20x more organisms detected than other tests.

Most available screening tools detect cancer or cancer signals already in the bloodstream. Jona's Clinical Gut Microbiome Analysis uses deep shotgun metagenomic sequencing to identify associations between your patients' microbiome and polyp-associated signatures — in patients of any age, with no invasive procedure required. Jona does not diagnose, treat, or prescribe.

Jona is available for patients of all ages — making it particularly valuable for patients under 45 who fall outside current screening age guidelines but whose microbiome may show associations worth evaluating.

Jona AI helps you interpret findings by identifying microbiome associations to conditions and symptoms based on 220K+ peer-reviewed studies. Using Digital Twin analysis, Jona simulates what actions your patient can take to improve their microbiome signatures — bringing the full breadth of microbiome science to your fingertips and saving you time.

Jona's Digital Twin models how dietary, lifestyle, and probiotic interventions may shift the microbiome — providing insight into potential outcomes before interventions are implemented.

Yes — Jona is HSA/FSA eligible with no Letter of Medical Necessity required. That means patients can access Jona instantly using their existing HSA or FSA funds — no extra steps, no delays, and no additional paperwork for your team.

Sign up at jona.health to access your dedicated practitioner portal. From there you can order tests in bulk, ship directly to patients, or share a patient-pay link — and access clinical education resources and interpretation support whenever you need them. Contact us at practices@jona.health to schedule a complimentary demo.