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Updated: May 29, 2026

Genome-Wide Analysis of DNA Methylation in Gastrointestinal Cancer
Published on: September 18, 2020
Gut microbiota-metabolite axis in gastric cancer: Genetic causality and Ruminococcus subgroup shifts
Jun Ji1, Xiaojing Feng2, Ying Sun3
1Shanghai Institute of Digestive Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
This study used Mendelian randomization to link gut microbes to gastric cancer risk, identifying 14 associated taxa. A specific pathway involving a microbe and sdLDL metabolite was found, suggesting potential microbiota-targeted prevention strategies for gastric cancer.
Area of Science:
- Microbiome research
- Genetics
- Gastroenterology
- Cancer research
Background:
- Observational studies suggest gut microbiota dysbiosis is linked to gastric cancer.
- Causal relevance and biological pathways remain unclear.
Purpose of the Study:
- To investigate the causal relationship between gut microbiota and gastric cancer risk using a Mendelian randomization framework.
- To identify specific microbial taxa associated with gastric cancer.
- To explore potential biological pathways mediating the effect.
Main Methods:
- Mendelian randomization (MR) analysis using gut microbiota and gastric cancer genome-wide association study (GWAS) summary statistics.
- Sensitivity analyses for horizontal pleiotropy, heterogeneity, and genetic co-localization.
- Mediation analysis to identify intermediate pathways.
- Pilot 16S rRNA sequencing.
Main Results:
- Identified 14 microbial taxa significantly associated with gastric cancer risk.
- Found no strong evidence of shared causal variants but supported overall causal inference across MR models.
- Identified a partial mediation pathway from a specific taxon (ebi-a-GCST90027718) to gastric cancer via the sdLDL metabolite (met-c-926).
- Pilot sequencing showed divergent shifts in Ruminococcus subgroups.
Conclusions:
- Establishes a genetically anchored link between host genetics, gut microbiota, and gastric cancer.
- Suggests specific microbial taxa and metabolic pathways may influence gastric cancer development.
- Provides insights for developing microbiota-targeted prevention strategies for gastric cancer.
Related Concept Videos
Microbiota of the Stomach and Small Intestine
Microbiota Modulation by Antibiotics
Gastritis II: Pathophysiology
Dysbiosis of the Gut Microbiota
Microbiota of the Large Intestine
Functions of the Gut Microbiota

