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结直肠癌患者循环细菌 DNA: 的潜在作用。

Circulating Bacterial DNA in Colorectal Cancer Patients: The Potential Role of .

机构信息

Department of Anatomy, School of Medicine, University of Crete, 70013 Heraklion, Greece.

Department of Clinical Microbiology, School of Medicine, University of Crete, 70013 Heraklion, Greece.

出版信息

Int J Mol Sci. 2024 Aug 20;25(16):9025. doi: 10.3390/ijms25169025.

Abstract

Intestinal dysbiosis is a major contributor to colorectal cancer (CRC) development, leading to bacterial translocation into the bloodstream. This study aimed to evaluate the presence of circulated bacterial DNA (cbDNA) in CRC patients ( = 75) and healthy individuals ( = 25). DNA extracted from peripheral blood was analyzed using PCR, with specific primers targeting rRNA, (), and (). High rRNA and detections were observed in all patients and controls. Only the detection of was significantly higher in metastatic non-excised CRC, compared to controls ( < 0.001), non-metastatic excised CRC ( = 0.023), and metastatic excised CRC ( = 0.023). This effect was mainly attributed to the presence of the primary tumor ( = 0.006) but not the presence of distant metastases ( = 0.217). The association of cbDNA with other clinical parameters or co-morbidities was also evaluated, revealing a higher detection of in CRC patients with diabetes ( = 0.004). These results highlighted the importance of bacterial translocation in CRC patients and the potential role of as an intratumoral oncomicrobe in CRC.

摘要

肠道菌群失调是结直肠癌(CRC)发展的主要因素,导致细菌易位进入血液。本研究旨在评估 CRC 患者(n=75)和健康个体(n=25)中循环细菌 DNA(cbDNA)的存在情况。从外周血中提取的 DNA 用 PCR 进行分析,使用靶向 rRNA、和的特异性引物。所有患者和对照组均检测到高 rRNA 和 。与对照组(<0.001)、非转移性切除 CRC(=0.023)和转移性切除 CRC(=0.023)相比,转移性未切除 CRC 中 的检测明显更高(<0.001)。这种影响主要归因于原发肿瘤的存在(=0.006),而不是远处转移的存在(=0.217)。还评估了 cbDNA 与其他临床参数或合并症的关联,结果显示糖尿病 CRC 患者中 的检测率更高(=0.004)。这些结果强调了细菌易位在 CRC 患者中的重要性,以及 作为 CRC 中肿瘤内致癌微生物的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e99/11354820/0da97ececada/ijms-25-09025-g001.jpg

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