Gao Lin, Liao Hua, Chen Yuehua, Ye Cuiping, Huang Liping, Xu Mingming, Du Jiangzhou, Zhang Jinming, Huang Danhui, Cai Shaoxi, Dong Hangming
Chronic Airways Diseases Laboratory, Department of Respiratory and Critical Care Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Department of Respiratory and Critical Care Medicine, Zhengzhou University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, China.
J Transl Med. 2025 Jun 17;23(1):673. doi: 10.1186/s12967-025-06701-1.
BACKGROUND: Lung cancer is the leading cause of cancer-related death worldwide, and patients with distant metastasis have a poor prognosis. Various studies have reported that microbiota and metabolites significantly differ between healthy individuals and lung cancer patients. However, the effects of metabolites on tumor formation and metastasis are unclear. Therefore, our study aimed to determine the correlation between airway metabolites and microbiota, along with their respective roles in lung cancer metastasis. METHODS: Bronchoalveolar lavage fluid (BALF) samples were collected from 30 non-small cell lung cancer (NSCLC) patients, including 11 patients without metastasis (M0) and 19 patients with metastasis (M1). Integrated pathogenic metagenomic and Liquid chromatography-mass spectrometry (LC‒MS) analyses were employed to explore differences between two groups. The omics data were analyzed and integrated via Spearman's correlation coefficient. Specific metabolites were subsequently used to intervene in lung cancer cells and animal models to assess their influence on tumor metastasis. RESULTS: A total of 801 metabolites were identified in the BALF of all patients. Compared with those in the M0 group, 48 metabolites in the M1 group were significantly different. D-phenylalanine was notably upregulated in M1 and was positively related to Metamycoplasma salivarium. Intranasal administration of D-phenylalanine promoted tumor intrapulmonary metastasis and induced epithelial mesenchymal transition (EMT) process in NSCLC mouse models. Moreover, D-phenylalanine promotes the proliferation of non-small cell lung cancer cells and facilitates their migration and invasion via EMT. CONCLUSION: The airway microbiota associated D-phenylalanine could promote lung cancer metastasis via EMT, which could be a new predictor for the diagnosis of tumor metastasis in NSCLC patients.
背景:肺癌是全球癌症相关死亡的主要原因,远处转移患者预后较差。多项研究报告称,健康个体与肺癌患者的微生物群和代谢物存在显著差异。然而,代谢物对肿瘤形成和转移的影响尚不清楚。因此,我们的研究旨在确定气道代谢物与微生物群之间的相关性,以及它们在肺癌转移中的各自作用。 方法:收集30例非小细胞肺癌(NSCLC)患者的支气管肺泡灌洗液(BALF)样本,其中11例无转移(M0)患者,19例有转移(M1)患者。采用综合病原宏基因组学和液相色谱-质谱(LC-MS)分析来探索两组之间的差异。通过Spearman相关系数对组学数据进行分析和整合。随后使用特定代谢物干预肺癌细胞和动物模型,以评估它们对肿瘤转移的影响。 结果:在所有患者的BALF中总共鉴定出801种代谢物。与M0组相比,M1组中有48种代谢物存在显著差异。D-苯丙氨酸在M1组中显著上调,并且与唾液支原体呈正相关。在NSCLC小鼠模型中,经鼻给予D-苯丙氨酸可促进肿瘤肺内转移并诱导上皮-间质转化(EMT)过程。此外,D-苯丙氨酸促进非小细胞肺癌细胞的增殖,并通过EMT促进其迁移和侵袭。 结论:气道微生物群相关的D-苯丙氨酸可通过EMT促进肺癌转移,这可能是NSCLC患者肿瘤转移诊断的新预测指标。
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