Li Donghang, He Ruyuan, Hou Guoqiang, Ming Wei, Fan Tao, Chen Lei, Zhang Lin, Jiang Wenyang, Wang Wei, Lu Zilong, Feng Haojie, Geng Qing
Department of Thoracic Surgery, Renmin Hospital of Wuhan University, Wuhan, China.
Department of Thoracic Surgery, Yangxin County People's Hospital, Yangxin, China.
Front Cell Infect Microbiol. 2020 Jun 26;10:268. doi: 10.3389/fcimb.2020.00268. eCollection 2020.
Esophageal microbiota plays important roles in esophageal cancer. Esophagectomy, as the most important therapeutic way, contributes to changes of esophageal microbiome. However, there are few studies examining the esophageal microbiome and the metabolic changes before and after esophagectomy. The present study characterized the esophageal microbiome of 17 patients with esophageal squamous cell carcinoma (ESCC), 11 patients with esophagogastric junction (EGJ) cancer, 15 patients at 9-12 months after radical esophagectomy and 16 healthy controls (HC). 16S ribosomal RNA gene sequencing was used to evaluate the microbiome and predict the metabolic pathways. Our results showed that the microbial diversity was significantly lower in ESCC, EGJ and post-ESCC groups than that in the HC group. The abundance of Fusobacteria was higher (7.01 vs. 1.12%, = 0.039) and the abundance of Actinobacteria (1.61 vs. 4.04%) was lower in the ESCC group than that in the HC group. We found significant differences in the abundance of Bacteroidetes (20.45 vs. 9.86%, = 0.026), Fusobacteria (7.01 vs. 1.66%, = 0.030) between ESCC and post-ESCC groups. The results of microbial composition analysis and PICRUSt demonstrated significant differences between ESCC and HC groups. The β diversity and PICRUSt suggested that the microbial composition and metabolic pathways were similar to HC group after esophagectomy. The monitoring of the esophagus microbiota may be an essential method to predict the recurrence of tumor.
食管微生物群在食管癌中发挥着重要作用。食管切除术作为最重要的治疗方式,会导致食管微生物组的变化。然而,很少有研究探讨食管切除术前后的食管微生物组及代谢变化。本研究对17例食管鳞状细胞癌(ESCC)患者、11例食管胃交界(EGJ)癌患者、15例根治性食管切除术后9至12个月的患者以及16名健康对照者(HC)的食管微生物组进行了特征分析。采用16S核糖体RNA基因测序来评估微生物组并预测代谢途径。我们的结果显示,ESCC组、EGJ组和ESCC术后组的微生物多样性显著低于HC组。ESCC组中梭杆菌的丰度较高(7.01%对1.12%,P = 0.039),而放线菌的丰度(1.61%对4.04%)低于HC组。我们发现ESCC组和ESCC术后组在拟杆菌门(20.45%对9.86%,P = 0.026)、梭杆菌(7.01%对1.66%,P = 0.030)的丰度上存在显著差异。微生物组成分析和PICRUSt的结果表明ESCC组和HC组之间存在显著差异。β多样性和PICRUSt表明食管切除术后微生物组成和代谢途径与HC组相似。监测食管微生物群可能是预测肿瘤复发的重要方法。