Causal effect between gut microbiota and pancreatic cancer: a two-sample Mendelian randomization study

Zhichen Jiang1, Yiping Mou2,3, Huiju Wang2,3

  • 1The Second School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou, 310053, Zhejiang, China.

BMC Cancer
|November 10, 2023
PubMed
Abstract

Insights

This study reveals a causal link between specific gut bacteria and pancreatic cancer (PC). Certain bacteria like Senegalimassilia may protect against PC, while others such as Odoribacter and Streptococcus increase risk.

Area of Science:

  • Microbiology
  • Genetics
  • Oncology

Background:

  • Gut microbiota (GM) plays a regulatory role in pancreatic cancer (PC).
  • The causal relationship between GM and PC remains unconfirmed.
  • Microbial metabolites are increasingly recognized for their influence on PC development.

Purpose of the Study:

  • To investigate the causal effect of gut microbiota on pancreatic cancer.
  • To identify specific bacterial genera associated with PC risk.
  • To leverage Mendelian randomization for causal inference.

Main Methods:

  • Two-sample Mendelian randomization (MR) analysis was employed.
  • Genome-wide association study (GWAS) data from MiBioGen (exposure) and FinnGen (outcome) were utilized.
  • Inverse variance weighted (IVW) method served as the primary analytical approach.

Main Results:

  • Senegalimassilia showed a protective effect against PC (OR: 0.635, P=0.049).
  • Odoribacter, Ruminiclostridium 9, Ruminococcaceae (UCG011), and Streptococcus were identified as risk factors for PC.
  • Sensitivity analyses confirmed no significant heterogeneity, horizontal pleiotropy, or reverse causality.

Conclusions:

  • Specific gut microbiota genera have a causal effect on pancreatic cancer.
  • These findings offer insights into PC pathogenesis.
  • Potential therapeutic strategies targeting GM for PC may be developed.