Guangdong Provincial Key Laboratory of Gastroenterology, Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China (mainland).
Department of Gastroenterology, Beijing Tsinghua Chang Gung Hospital, Tsinghua University, Beijing, China (mainland).
Med Sci Monit. 2017 Sep 14;23:4422-4430. doi: 10.12659/msm.904220.
BACKGROUND The aim of this study was to compare the microbiota community structure, assess differences in intestinal bacterial types, and identify metagenomic biomarkers for disparate stages of colorectal cancer formation. MATERIAL AND METHODS A total of 160 individuals were recruited: 61 cases with non-tumor colon were regarded as the normal group, 47 cases with histology-substantiated colorectal adenomas were regarded as the adenoma group, and 52 cases with invasive adenocarcinomas were regarded as the cancer group. Biopsy on the mucosa was performed on each subject. USEARCH was used to process the sequences data and generate OTUs. Gut mucosal microbiota from healthy controls, adenoma patients, and carcinoma patients were analyzed. RESULTS Principal coordinate analysis of unweighted and weighted UniFrac distance showed a separation in composition of microbiota in the 3 groups. Bacteria with potential tumorigenesis, like Bacteroides fragilis and Fusobacterium, were more common in the carcinoma group, while some SCFA (short chain fatty acids) - producing microbes were enriched in the normal group. The commensal Escherichia were more abundant in adenoma patients. CONCLUSIONS Our study provides insights into possible function of gut microbiota in diagnosis and treatment of colorectal cancer. Some bacteria, such as Butyricicoccus, E. coli, and Fusobacterium, can be used as potential biomarkers for normal, adenoma, and cancer groups, respectively.
本研究旨在比较微生物群落结构,评估肠道细菌类型的差异,并鉴定用于不同结直肠癌形成阶段的宏基因组生物标志物。
共招募了 160 名个体:61 例非肿瘤结肠被视为正常组,47 例经组织学证实的结直肠腺瘤被视为腺瘤组,52 例侵袭性腺癌被视为癌症组。对每位受试者的黏膜进行活检。使用 USEARCH 处理序列数据并生成 OTUs。分析健康对照、腺瘤患者和癌患者的肠道黏膜微生物群。
未加权和加权 UniFrac 距离的主坐标分析显示 3 组之间的微生物群落组成存在分离。具有潜在致癌性的细菌,如脆弱拟杆菌和梭杆菌,在癌症组中更为常见,而一些产生短链脂肪酸 (SCFA) 的微生物在正常组中富集。共生的大肠杆菌在腺瘤患者中更为丰富。
本研究深入了解了肠道微生物群在结直肠癌诊断和治疗中的可能作用。一些细菌,如丁酸梭菌、大肠杆菌和梭杆菌,可分别用作正常、腺瘤和癌症组的潜在生物标志物。