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具核梭杆菌、卟啉单胞菌、拟杆菌和粪杆菌的多物种微生物群作为结直肠癌诊断的精准生物标志物。

The multispecies microbial cluster of Fusobacterium, Parvimonas, Bacteroides and Faecalibacterium as a precision biomarker for colorectal cancer diagnosis.

机构信息

Microbiome and Health Group (meiGAbiome), Microbiology Research Group, Institute of Biomedical Research (INIBIC) - Interdisciplinary Center for Chemistry and Biology (CICA) - University of A Coruña (UDC) - CIBER de Enfermedades Infecciosas (CIBERINFEC-ISCIII), Servicio de Microbiología, University Hospital of A Coruña (CHUAC), A Coruña, Spain.

Genomic and Health Department, FISABIO Foundation, Center for Advanced Research in Public Health, Valencia, Spain.

出版信息

Mol Oncol. 2024 May;18(5):1093-1122. doi: 10.1002/1878-0261.13604. Epub 2024 Feb 17.

Abstract

The incidence of colorectal cancer (CRC) has increased worldwide, and early diagnosis is crucial to reduce mortality rates. Therefore, new noninvasive biomarkers for CRC are required. Recent studies have revealed an imbalance in the oral and gut microbiomes of patients with CRC, as well as impaired gut vascular barrier function. In the present study, the microbiomes of saliva, crevicular fluid, feces, and non-neoplastic and tumor intestinal tissue samples of 93 CRC patients and 30 healthy individuals without digestive disorders (non-CRC) were analyzed by 16S rRNA metabarcoding procedures. The data revealed that Parvimonas, Fusobacterium, and Bacteroides fragilis were significantly over-represented in stool samples of CRC patients, whereas Faecalibacterium and Blautia were significantly over-abundant in the non-CRC group. Moreover, the tumor samples were enriched in well-known periodontal anaerobes, including Fusobacterium, Parvimonas, Peptostreptococcus, Porphyromonas, and Prevotella. Co-occurrence patterns of these oral microorganisms were observed in the subgingival pocket and in the tumor tissues of CRC patients, where they also correlated with other gut microbes, such as Hungatella. This study provides new evidence that oral pathobionts, normally located in subgingival pockets, can migrate to the colon and probably aggregate with aerobic bacteria, forming synergistic consortia. Furthermore, we suggest that the group composed of Fusobacterium, Parvimonas, Bacteroides, and Faecalibacterium could be used to design an excellent noninvasive fecal test for the early diagnosis of CRC. The combination of these four genera would significantly improve the reliability of a discriminatory test with respect to others that use a single species as a unique CRC biomarker.

摘要

结直肠癌(CRC)的发病率在全球范围内呈上升趋势,早期诊断对于降低死亡率至关重要。因此,需要新的非侵入性 CRC 生物标志物。最近的研究表明,CRC 患者的口腔和肠道微生物组失衡,以及肠道血管屏障功能受损。在本研究中,通过 16S rRNA 代谢组学方法分析了 93 例 CRC 患者和 30 例无消化系统疾病(非 CRC)的健康个体的唾液、龈沟液、粪便以及非肿瘤和肿瘤肠道组织样本的微生物组。数据显示,CRC 患者粪便样本中 Parvimonas、Fusobacterium 和 Bacteroides fragilis 明显过表达,而非 CRC 组中 Faecalibacterium 和 Blautia 明显过表达。此外,肿瘤样本中富含众所周知的牙周厌氧菌,包括 Fusobacterium、Parvimonas、Peptostreptococcus、Porphyromonas 和 Prevotella。这些口腔微生物在 CRC 患者的龈下袋和肿瘤组织中观察到共现模式,它们还与其他肠道微生物如 Hungatella 相关。本研究提供了新的证据表明,口腔条件致病菌通常位于龈下袋中,可迁移到结肠并可能与需氧菌聚集,形成协同共生体。此外,我们建议 Fusobacterium、Parvimonas、Bacteroides 和 Faecalibacterium 组成的菌群可用于设计一种优秀的非侵入性粪便检测方法,用于 CRC 的早期诊断。与使用单一物种作为独特 CRC 生物标志物的其他检测方法相比,这四个属的组合将显著提高鉴别检测的可靠性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0832/11076999/5669aba8a8f9/MOL2-18-1093-g005.jpg

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