Department of General Surgery, The 5 People's Hospital of Shanghai, Fudan University, Shanghai 200240, China.
World J Gastroenterol. 2017 Dec 14;23(46):8128-8139. doi: 10.3748/wjg.v23.i46.8128.
To investigate the effect of epigallocatechin gallate (EGCG) on structural changes of gut microbiota in colorectal carcinogenesis.
An azoxymethane (AOM)/dextran sodium sulfate (DSS)-induced colitis mouse model was established. Forty-two female FVB/N mice were randomly divided into the following three groups: group 1 (10 mice, negative control) was treated with vehicle, group 2 (16 mice, positive control) was treated with AOM plus vehicle, and group 3 (16 mice, EG) was treated with AOM plus EGCG. For aberrant crypt foci (ACF) evaluation, the colons were rapidly took out after sacrifice, rinsed with saline, opened longitudinally, laid flat on a polystyrene board, and fixed with 10% buffered formaldehyde solution before being stained with 0.2% methylene blue in saline. For tumor evaluation, the colon was macroscopically inspected and photographed, then the total number of tumors was enumerated and tumor size measured. For histological examination, the fixed tissues were paraffin-embedded and sectioned at 5 mm thickness. Microbial genomic DNA was extracted from fecal and intestinal content samples using a commercial kit. The V4 hypervariable regions of 16S rRNA were PCR-amplified with the barcoded fusion primers. Using the best hit classification option, the sequences from each sample were aligned to the RDP 16S rRNA training set to classify the taxonomic abundance in QIIME. Statistical analyses were then performed.
Treatment of mice with 1% EGCG caused a significant decrease in the mean number of ACF per mouse, when compared with the model mice treated with AOM/DSS (5.38 ± 4.24 13.13 ± 3.02, < 0.01). Compared with the positive control group, 1% EGCG treatment dependently decreased tumor load per mouse by 85% (33.96 ± 6.10 2.96 ± 2.86, respectively, < 0.01). All revealed that EGCG could inhibit colon carcinogenesis by decreasing the number of precancerous lesions as well as solid tumors, with reduced tumor load and delayed histological progression of CRC. During the cancerization, the diversity of gut microbiota increased, potential carcinogenic bacteria such as were enriched, and the abundance of butyrate-producing bacteria (, , .) decreased continuously. In contrast, the structure of gut microbiota was relatively stable during the intervention of EGCG on colon carcinogenesis. Enrichment of probiotics (, , .) might be a potential mechanism for EGCG's effects on tumor suppression. bioinformatics analysis, principal coordinate analysis and cluster analysis of the tumor formation process, we found that the diversity of gut microbiota increased in the tumor model group while that in the EGCG interfered group (EG) remained relatively stable.
Gut microbiota imbalance might be a potential mechanism for the prevention of malignant transformation by EGCG, which is significant for diagnosis, treatment, prognosis evaluation, and prevention of colorectal cancer.
研究表没食子儿茶素没食子酸酯(EGCG)对结直肠癌变过程中肠道微生物结构变化的影响。
建立了氧化偶氮甲烷(AOM)/葡聚糖硫酸钠(DSS)诱导的结肠炎小鼠模型。将 42 只雌性 FVB/N 小鼠随机分为以下三组:第 1 组(10 只,阴性对照)给予载体,第 2 组(16 只,阳性对照)给予 AOM 加载体,第 3 组(16 只,EG)给予 AOM 加 EGCG。为了评估异常隐窝病灶(ACF),在处死小鼠后迅速取出结肠,用生理盐水冲洗,纵向切开,铺在聚苯乙烯板上,然后用生理盐水的 0.2%亚甲基蓝染色固定。为了评估肿瘤,对结肠进行宏观检查和拍照,然后计数总肿瘤数并测量肿瘤大小。为了进行组织学检查,用商业试剂盒从粪便和肠道内容物样本中提取微生物基因组 DNA。使用带有条形码融合引物的 16S rRNA 的 V4 高变区进行 PCR 扩增。使用最佳命中分类选项,将每个样本的序列与 RDP 16S rRNA 训练集对齐,以在 QIIME 中对分类丰度进行分类。然后进行统计分析。
与 AOM/DSS 处理的模型小鼠相比,1% EGCG 处理的小鼠的平均每只 ACF 数量显著减少(5.38±4.24 vs. 13.13±3.02,<0.01)。与阳性对照组相比,1% EGCG 处理依赖性地使每只小鼠的肿瘤负荷降低 85%(33.96±6.10 vs. 2.96±2.86,分别,<0.01)。所有这些都表明,EGCG 可以通过减少癌前病变和实体瘤的数量来抑制结肠癌的发生,从而降低肿瘤负荷和延迟 CRC 的组织学进展。在癌变过程中,肠道微生物群的多样性增加,潜在的致癌细菌如 增加,而丁酸盐产生菌(、、)的丰度则持续下降。相比之下,EGCG 对结肠癌发生的干预过程中,肠道微生物群的结构相对稳定。益生菌(、、)的富集可能是 EGCG 抑制肿瘤作用的潜在机制。通过对肿瘤形成过程的生物信息学分析、主坐标分析和聚类分析,我们发现,在肿瘤模型组中,肠道微生物群的多样性增加,而在 EGCG 干预组(EG)中则保持相对稳定。
肠道微生物群失衡可能是 EGCG 预防恶性转化的潜在机制,这对于结直肠癌的诊断、治疗、预后评估和预防具有重要意义。