微生物组混和定量分析挑战预测了结直肠癌发展中的微生物标
Raúl Y Tito1,2, Sara Verbandt3, Marta Aguirre Vazquez3
1Laboratory of Molecular Bacteriology, Department of Microbiology and Immunology, Rega Institute, Katholieke Universiteit Leuven, Leuven, Belgium.
Nature medicine
|April 30, 2024
概括
在结直肠癌 (CRC) 微生物组研究中,控制过渡时间和炎症等混因素至关重要. 对于特定的细菌发现了强大的关联,以前没有承认CRC生物标志物.
科学领域:
- 微生物组研究的研究.
- 癌症生物学 癌症生物学
- 胃肠病学 胃肠病学
背景情况:
- 癌症微生物组研究已经取得了进展,但混因子和绝对量化不足.
- 这种未充分利用引发了对研究中潜在的虚假关联的担忧.
研究的目的:
- 在不同阶段的结直肠癌 (CRC) 患者中调查便微生物群.
- 通过控制显著的共变量来确定CRC的可靠微生物生物标志物.
- 评估混杂因子对先前识别的CRC相关微生物的影响.
主要方法:
- 使用16S核糖体RNA amplicon测序进行定量微生物组分析.
- 分析了589名CRC患者的便微生物群,并与15项已发表的研究进行了比较 (共4439项).
- 严格控制混因素,包括运输时间,便calprotectin和体重指数.
主要成果:
- 过境时间,便calprotectin和BMI是主要的微生物共变量,解释了比CRC阶段更大的差异.
- 既定的CRC目标,如Fusobacterium nucleatum,在协变对照后没有与CRC组显著的关联.
- 阴道甲状腺菌,透气性肺炎菌,微小的帕维莫纳斯,无氧的Peptostreptococcus, Porphyromonas asaccharolytica和Prevotella intermedia都显示出强大的关联.
- 没有结肠病变但符合结肠镜标准的个体被丰富为Bacteroides2肠型,这表明在定义健康对照方面存在挑战.
结论:
- 在CRC研究中,定量微生物组分析和严格的共变量控制对于准确的生物标志物识别至关重要.
- 以前假设的CRC生物标记因未解决的混因素而可能是虚假的.
- 像A. vaginalis和P. intermedia这样的特定细菌显示出作为潜在的CRC生物标志物的希望.
相关概念视频
Introduction to the Human Microbiota
209
Microorganisms colonize various regions of the human body, including the mouth, nasal passages, throat, stomach, intestines, urogenital tract, and skin. The total number of microbial cells is estimated to range from 10¹³ to 10¹⁴—comparable to, or exceeding, the number of human somatic cells. This host–microbiome relationship has led to the conceptualization of humans as supraorganisms, wherein microbial communities perform vital roles in development, immunity,...
209
Development of Human Microbiota
61
The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from...
61
Microbiota of the Stomach and Small Intestine
77
The human gastrointestinal (GI) tract is characterized by distinct physicochemical conditions that shape its microbial communities. Among these, the stomach presents a particularly challenging environment for microbial colonization due to its highly acidic pH, ranging from 1 to 3. This extreme acidity effectively limits microbial density. However, certain acid-tolerant microorganisms are capable of surviving in this niche. Notably, Helicobacter pylori can colonize the gastric mucosa,...
77
Microbiota of the Large Intestine
98
The large intestine hosts the most densely populated microbial ecosystem in the human body. This complex community primarily consists of anaerobic bacteria, with Bacillota (formerly Firmicutes) and Bacteroidota (formerly Bacteroidetes) as the predominant groups. The distribution of these microbes varies along different sections of the large intestine, influenced by local environmental factors such as oxygen availability and nutrient composition.The cecum, located at the beginning of the large...
98


