Abstract

BackgroundColorectal cancer is a leading cause of cancer-related deaths worldwide. The human gut microbiome has become an active area of research for understanding the initiation, progression, and treatment of colorectal cancer. Despite multiple studies having found significant alterations in the carriage of specific bacteria within the gut microbiome of colorectal cancer patients, no single bacterium has been unequivocally connected to all cases. Whether alterations in species carriages are the cause or outcome of cancer formation is still unclear, but what is clear is that focus should be placed on understanding changes to the bacterial community structure within the cancer-associated gut microbiome.ResultsBy applying a novel set of analyses on 252 previously published whole-genome shotgun sequenced fecal samples from healthy and late-stage colorectal cancer subjects, we identify taxonomic, functional, and structural changes within the cancer-associated human gut microbiome. Bacterial association networks constructed from these data exhibited widespread differences in the underlying bacterial community structure between healthy and colorectal cancer associated gut microbiomes. Within the cancer-associated ecosystem, bacterial species were found to form associations with other species that are taxonomically and functionally dissimilar to themselves, as well as form modules functionally geared towards potential changes in the tumor-associated ecosystem. Bacterial community profiling of these samples revealed a significant increase in species diversity within the cancer-associated gut microbiome, and an elevated relative abundance of species classified as originating from the oral microbiome including, but not limited to, Fusobacterium nucleatum, Peptostreptococcus stomatis, Gemella morbillorum, and Parvimonas micra. Differential abundance analyses of community functional capabilities revealed an elevation in functions linked to virulence factors and peptide degradation, and a reduction in functions involved in amino-acid biosynthesis within the colorectal cancer gut microbiome.ConclusionsWe utilize whole-genome shotgun sequenced fecal samples provided from a large cohort of late-stage colorectal cancer and healthy subjects to identify a number of potentially important taxonomic, functional, and structural alterations occurring within the colorectal cancer associated gut microbiome. Our analyses indicate that the cancer-associated ecosystem influences bacterial partner selection in the native microbiota, and we highlight specific oral bacteria and their associations as potentially relevant towards aiding tumor progression.

Highlights

  • Colorectal cancer is a leading cause of cancer-related deaths worldwide

  • These results were congruent with our previous analyses showing a statistically significant (MWU: pvalue = 0.0238) higher species diversity in colorectal cancer (CRC) samples compared to that found in Healthy samples (Supplemental 1)

  • We found that the accuracy classification score of 100 Random Forest Classifier (RFC) trained on the 17 significantly ‘important’ species was on average greater than that of the 100 RFCs trained on all species (All Species Mean Accuracy: 74%; 17 significantly ‘important’ Species Mean Accuracy: 80%) (Fig. 2c)

Read more

Summary

Introduction

Colorectal cancer is a leading cause of cancer-related deaths worldwide. The human gut microbiome has become an active area of research for understanding the initiation, progression, and treatment of colorectal cancer. Following tumor formation, the changes in micro-environmental conditions around the tumor mass (tumor microenvironment; TME) would optimize the growth of “passenger” microbes who are better suited to this niche facilitating their colonization, and eventual out-competing of the “driver” species as well as the native microbiota leading to a depletion in protective commensal species. These “passenger” microbes could either be pathogens that exist normally in the healthy gut microbiome in low abundance, or commensal bacteria that have acquired pathogenic characteristics due to the alteration in the local intestinal ecology. The modulation of the bacterial community within the cancer-associated gut microbiome is the logical step in possible CRC treatment and prevention strategies

Methods
Results
Discussion
Conclusion
Full Text
Published version (Free)

Talk to us

Join us for a 30 min session where you can share your feedback and ask us any queries you have

Schedule a call