Microbiome differential abundance methodologies to detect relevant taxa associated with chemotherapy toxicity rate in

Elsa Martín-De Arribas1, Kelly Conde-Pérez2, Pablo Aja-Macaya2

  • 1Universidade da Coruña, CITIC, Database Laboratory, A Coruña, 15071, Spain.

Abstract

Insights

Microbiome analysis methods significantly impact the identification of chemotherapy toxicity biomarkers in colorectal cancer patients. ANCOM-BC demonstrated consistent performance, highlighting the need for careful method selection in pharmacomicrobiomics research.

Area of Science:

  • Pharmacogenomics and Microbiome Research
  • Computational Biology and Bioinformatics
  • Oncology and Cancer Therapeutics

Background:

  • The gut microbiome influences cancer treatment efficacy and toxicity.
  • Identifying microbial biomarkers for chemotherapy toxicity is crucial for personalized medicine.
  • Differential abundance analysis (DAA) methods vary, impacting biomarker discovery.

Purpose of the Study:

  • To evaluate the impact of different DAA methods on identifying microbiome signatures associated with colorectal cancer chemotherapy toxicity.
  • To define a multi-dimensional toxicity variable for patient stratification.
  • To assess the consistency and reproducibility of DAA methods across different analytical scenarios and datasets.

Main Methods:

  • Defined a multi-dimensional toxicity variable integrating clinical symptoms and treatment modifications.
  • Evaluated six DAA methods (ALDEx2, ANCOM-BC, DESeq2, LEfSe, LinDA, ZicoSeq) under various preprocessing and multiple-testing correction strategies.
  • Validated findings using an independent dataset to assess reproducibility.

Main Results:

  • Substantial variability in detected microbial taxa was observed across DAA methods, with limited overlap.
  • ANCOM-BC exhibited the most consistent performance across analytical scenarios.
  • Specific microbial taxa (e.g., Parvimonas, Eubacterium ventriosum group, Lachnospiraceae family members) were consistently associated with low or severe toxicity.
  • Methodological patterns were reproducible in the validation dataset, despite cohort and sequencing differences.

Conclusions:

  • Microbiome biomarker discovery for chemotherapy toxicity is highly dependent on the chosen DAA method.
  • Pre-treatment microbial signatures hold potential for stratifying colorectal cancer patients by toxicity risk.
  • A context-dependent approach to DAA method selection is recommended for clinical microbiome studies.