Abstract

The composition of the gut microbiota is influenced by sex hormones and colorectal cancer (CRC). Previously, we reported that 17β-estradiol (E2) inhibits azoxymethane/dextran sulfate sodium (AOM/DSS)-induced tumorigenesis in male mice. Here, we investigated whether the composition of the gut microbiota is different between male and female, and is regulated by estrogen as a secondary outcome of previous studies. We established four groups of mice based on the sex and estrogen status [ovariectomized (OVX) female and E2-treated male]. Additionally, three groups of males were established by treating them with AOM/DSS, and E2, after subjecting them to AOM/DSS treatment. The mice were sacrificed at 21 weeks old. The composition of the gut microbiota was analyzed using 16S rRNA metagenomics sequencing. We observed a significant increase in the microbial diversity (Chao1 index) in females, males supplemented with E2, and males treated with AOM/DSS/E2 compared with normal males. In normal physiological condition, sex difference and E2 treatment did not affect the ratio of Firmicutes/Bacteroidetes (F/B). However, in AOM/DSS-treated male mice, E2 supplementation showed significantly lower level of the F/B ratio. The ratio of commensal bacteria to opportunistic pathogens was higher in females and E2-treated males compared to normal males and females subjected to OVX. Unexpectedly, this ratio was higher in the AOM/DSS group than that determined in other males and the AOM/DSS/E2 group. Our findings suggest that estrogen alters the gut microbiota in ICR (CrljOri:CD1) mice, particularly AOM/DSS-treated males, by decreasing the F/B ratio and changing Shannon and Simpson index by supply of estrogen. This highlights another possibility that estrogen could cause changes in the gut microbiota, thereby reducing the risk of developing CRC.

Highlights

  • The composition of the gut microbiota is influenced by sex hormones and colorectal cancer (CRC)

  • We focused on the microbial alterations, the relative abundance of opportunistic pathogens, in normal or AOM/DSS-treated male mice treated with estrogen, and in female mice eliminated the presence of estrogen through ovariectomy, and investigated their associations with each other

  • A direct interaction between gut microbiota, sex hormones, and the incidence of diseases has been determined based on the data obtained from many studies using animal models, suggesting that the potential differences in the composition of the gut microbiota between different s­ ex[34]

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Summary

Introduction

The composition of the gut microbiota is influenced by sex hormones and colorectal cancer (CRC). Our findings suggest that estrogen alters the gut microbiota in ICR (CrljOri:CD1) mice, AOM/DSS-treated males, by decreasing the F/B ratio and changing Shannon and Simpson index by supply of estrogen. This highlights another possibility that estrogen could cause changes in the gut microbiota, thereby reducing the risk of developing CRC. A mouse model developed by treating the animals with azoxymethane (AOM, a pro-carcinogenic agent) and dextran sulfate sodium (DSS, a chemical colitogen) is most widely used in the investigation of the molecular pathogenesis of colitis and colitis-associated CRC1​0,11 This animal model is well established for the identification of multistep tumor progression based on the presence of aberrant crypt foci (ACF)-adenoma-carcinoma sequence, through which, molecular alterations are assessed in specific phases of the carcinogenic p­ rocess[12]. Alteration in the composition of the gut microbiota including an increase in the levels of Bifidobacteria and suppression of Clostridiaceae was observed in postmenopausal women upon administration of phytoestrogens such as soy isoflavone, which are plant-derived compounds demonstrating estrogenic a­ ctivities[29]

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