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口腔微生物群可能预测食管鳞状细胞癌的存在。

Oral microbiota may predict the presence of esophageal squamous cell carcinoma.

机构信息

Department of Gastroenterology, Nanjing First Hospital, Nanjing Medical University, 68 Changle Road, Nanjing, 210006, Jiangsu, China.

Department of Gastroenterology and Hepatology, Jinhu County People's Hospital, Huaian, China.

出版信息

J Cancer Res Clin Oncol. 2023 Jul;149(8):4731-4739. doi: 10.1007/s00432-022-04393-4. Epub 2022 Oct 12.

Abstract

PURPOSE

Microbial imbalances have been well elucidated in esophageal adenocarcinoma (EAC), but few studies address the oral microbiota in esophageal squamous cell carcinoma (ESCC). In view of the fact, we aimed to explore the associations of oral microbiota with these patients suffering from ESCC.

METHODS

In our study, a total of 109 individuals were enrolled (control = 53, ESCC = 56). We profiled the microbiota in oral swabs from individuals with control (ConT) and ESCC (ESCCT). 16S rRNA gene sequencing was applied to analyze the microbiome. The α and β diversity differences were tested by Tukey Test and Partial Least Squares Discriminant Analysis (PLS-DA) respectively. Linear discriminant analysis effect size (LEfSe) analysis was performed to assess taxonomic differences between the two groups.

RESULTS

Our results showed that the microbial richness and diversity was a slightly higher in ESCCT groups than that in ConT groups. Bacteroidota, Firmicutes, Proteobacteria, Fusobacteria, Actinobacteria and Patescibacteria were the six dominant bacteria of oral flora in the two groups. When compared with control group, increased Fusobacterioa at phylum level, Neisseriaceae at family level and Leptotrichia at genus level were detected. LEfSe analysis indicated a greater abundance of Leptotrichiaceae, Leptotrichia, Fusobacteriales, Fusobacteria and Fusobacteriota in ESCC groups.

CONCLUSION

Our study suggests a potential association between oral microbiome dysbiosis and ESCC and provides insights on a potential screening marker for esophageal cancer.

摘要

目的

食管腺癌(EAC)中微生物失衡已得到充分阐明,但很少有研究涉及食管鳞状细胞癌(ESCC)的口腔微生物群。鉴于此,我们旨在探讨口腔微生物群与这些 ESCC 患者之间的关联。

方法

在我们的研究中,共纳入了 109 名个体(对照组=53 名,ESCC 组=56 名)。我们对对照组(ConT)和 ESCC 组(ESCCT)个体的口腔拭子中的微生物群进行了分析。应用 16S rRNA 基因测序分析微生物组。分别通过 Tukey 检验和偏最小二乘判别分析(PLS-DA)检验α和β多样性差异。采用线性判别分析效应量(LEfSe)分析评估两组之间的分类差异。

结果

我们的结果表明,ESCCT 组的微生物丰富度和多样性略高于 ConT 组。厚壁菌门、Firmicutes、变形菌门、梭杆菌门、放线菌门和 Patescibacteria 是两组口腔菌群的六种主要细菌。与对照组相比,门水平上增加了 Fusobacteriota,科水平上增加了 Neisseriaceae,属水平上增加了 Leptotrichia。LEfSe 分析表明,ESCC 组中 Leptotrichiaceae、Leptotrichia、Fusobacteriales、Fusobacteria 和 Fusobacteriota 的丰度更高。

结论

本研究提示口腔微生物群失调与 ESCC 之间存在潜在关联,并为食管癌的潜在筛查标志物提供了新的见解。

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