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Updated: May 12, 2026

Guided Protocol for Fecal Microbial Characterization by 16S rRNA-Amplicon Sequencing
Published on: March 19, 2018
Changes in the intestinal microbiota of multiple myeloma patients living in high‑altitude and cold regions analyzed
Xiaofei Liang1, Xuyang Guo1, Huixin Jin1
1Department of Laboratory Medicine, The First Hospital of Qiqihar, Qiqihar, Heilongjiang 161000, P.R. China.
Abstract:
Multiple myeloma (MM) is a plasma cell clonal disease and these plasma cells can survive in the gut. The intestinal microbiota is a complex ecosystem and its dysfunction can release persistent stimulus signals that trigger genetic mutations and clonal evolution in the gut. The present study analyzed the intestinal microbiota in fecal samples of MM patients in high-altitude and cold regions of China using 16s rRNA sequencing and analyzed significantly enriched species at the phylum and genus levels. Although no significant difference in the alpha diversity was observed between the MM and control groups, a significant difference was noted in the beta diversity. A total of 15 significant differential bacteria at the genus level were found between the two groups, among which Bacteroides, Streptococcus, Lactobacillus and Alistipes were significantly enriched in the MM group. The present study also constructed a disease diagnosis model using Random Forest analysis and verified its accuracy using receiver operating characteristic analysis. In addition, using correlation analysis, it demonstrated that the composition of the intestinal microbiota in patients with MM was associated with complement levels. Notably, the present study predicted that the signaling and metabolic pathways of the intestinal microbiota affected MM progression through Kyoto Encyclopedia of Genes and Genomes functional analysis. The present study provides a new approach for the prevention and treatment of MM, in which the intestinal microbiota may become a novel therapeutic target for MM.
Insights
Multiple myeloma (MM) patients show distinct gut microbiota profiles, with specific bacteria enriched in the gut. This gut dysbiosis may offer novel therapeutic targets for MM treatment.
Area of Science:
- Microbiology
- Oncology
- Genetics
Background:
- Multiple myeloma (MM) is a plasma cell malignancy where malignant cells can persist in the gut.
- Gut microbiota dysfunction can release stimuli promoting genetic mutations and clonal evolution.
- Understanding the gut microbiota's role in MM is crucial for developing new therapeutic strategies.
Purpose of the Study:
- To analyze the intestinal microbiota composition in multiple myeloma patients from high-altitude and cold regions of China.
- To identify specific bacterial species and pathways associated with MM.
- To explore the potential of the gut microbiota as a therapeutic target for MM.
Main Methods:
- 16S rRNA sequencing of fecal samples from MM patients and controls.
- Analysis of alpha and beta diversity of the gut microbiota.
- Random Forest and ROC analysis for disease diagnosis model construction.
- Correlation analysis with complement levels and KEGG pathway analysis.
Main Results:
- No significant difference in alpha diversity, but significant differences in beta diversity between MM and control groups.
- Fifteen differentially abundant bacterial genera identified, with *Bacteroides*, *Streptococcus*, *Lactobacillus*, and *Alistipes* enriched in MM patients.
- A diagnostic model for MM was developed with high accuracy.
- Gut microbiota composition correlated with complement levels and predicted affected signaling and metabolic pathways in MM.
Conclusions:
- The gut microbiota composition is significantly altered in multiple myeloma patients.
- Specific bacterial taxa and metabolic pathways in the gut are associated with MM progression.
- The gut microbiota represents a potential novel therapeutic target for multiple myeloma.
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