Department of Medical Oncology, Zhongshan Hospital, Fudan University, Shanghai 200032, PR China.
Department of Medical Oncology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen 361015, PR China; Xiamen Clinical Research Center for Cancer Therapy, Xiamen 361015, PR China.
Pharmacol Res. 2023 Feb;188:106633. doi: 10.1016/j.phrs.2022.106633. Epub 2022 Dec 24.
The changes in gut microbiota have been implicated in colorectal cancer (CRC). The interplays between the host and gut microbiota remain largely unclear, and few studies have investigated these interplays using integrative multi-omics data. In this study, large-scale multi-comic datasets, including microbiome, metabolome, bulk transcriptomics and single cell RNA sequencing of CRC patients, were analyzed individually and integrated through advanced bioinformatics methods. We further examined the clinical relevance of these findings in the mice recolonized with microbiota from human. We found that CRC patients had distinct microbiota compositions compared to healthy controls. A machine-learning model was developed with 28 biomarkers for detection of CRC, which had high accuracy and clinical applicability. We identified multiple significant correlations between genera and well-characterized genes, suggesting the potential role of gut microbiota in tumor immunity. Further analysis showed that specific metabolites worked as profound communicators between these genera and tumor immunity. Integrating microbiota and metabolome perspectives, we cataloged gut taxonomic and metabolomic features that represented the key multi-omics signature of CRC. Furthermore, gut microbiota transplanted from CRC patients compromised the response of CRC to immunotherapy. These phenotypes were strongly associated with the alterations in gut microbiota, immune cell infiltration as well as multiple metabolic pathways. The comprehensive interplays across multi-comic data of CRC might explain how gut microbiota influenced tumor immunity. Hence, we proposed that modifying the CRC microbiota using healthy donors might serve as a promising strategy to improve response to immunotherapy.
肠道微生物群的变化与结直肠癌(CRC)有关。宿主与肠道微生物群之间的相互作用在很大程度上仍不清楚,并且很少有研究使用整合的多组学数据来研究这些相互作用。在这项研究中,对包括 CRC 患者的微生物组、代谢组、批量转录组和单细胞 RNA 测序在内的大规模多组学数据集进行了单独分析,并通过先进的生物信息学方法进行了整合。我们进一步在用人肠道微生物群重新定植的小鼠中检查了这些发现的临床相关性。我们发现 CRC 患者的微生物群组成与健康对照组有明显不同。开发了一个具有 28 个生物标志物的机器学习模型,用于检测 CRC,该模型具有高精度和临床适用性。我们确定了多个属与特征明确的基因之间的显著相关性,表明肠道微生物群在肿瘤免疫中的潜在作用。进一步的分析表明,特定的代谢物在这些属和肿瘤免疫之间起着深远的交流作用。通过整合微生物组和代谢组的观点,我们编目了代表 CRC 的关键多组学特征的肠道分类和代谢组学特征。此外,来自 CRC 患者的肠道微生物群移植会损害 CRC 对免疫疗法的反应。这些表型与肠道微生物群的改变、免疫细胞浸润以及多种代谢途径密切相关。CRC 的多组学数据的综合相互作用可能解释了肠道微生物群如何影响肿瘤免疫。因此,我们提出使用健康供体修饰 CRC 微生物群可能是改善对免疫疗法反应的有前途的策略。
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