Abstract

Background: Increasing evidence points to the esophageal microbiome as an important co-factor in esophageal neoplasia. Esophageal microbiome composition is strongly influenced by the oral microbiome. Salivary microbiome assessment has emerged as a potential non-invasive tool to identify patients at risk for esophageal cancer, but key host and environmental factors that may affect the salivary microbiome have not been well-defined. This study aimed to evaluate the impact of short-term dietary intake on salivary microbiome composition. Methods: Saliva samples were collected from 69 subjects prior to upper endoscopy who completed the Automated Self-Administered 24-Hour (ASA24) Dietary Assessment. Salivary microbiome composition was determined using 16S rRNA amplicon sequencing. Results: There was no significant correlation between alpha diversity and primary measures of short-term dietary intake (total daily calories, fat, fiber, fruit/vegetables, red meat intake, and fasting time). There was no evidence of clustering on beta diversity analyses. Very few taxonomic alterations were found for short-term dietary intake; an increased relative abundance of Neisseria oralis and Lautropia sp. was associated with high fruit and vegetable intake, and an increased relative abundance of a taxon in the family Gemellaceae was associated with increased red meat intake. Conclusions: Short-term dietary intake was associated with only minimal salivary microbiome alterations and does not appear to have a major impact on the potential use of the salivary microbiome as a biomarker for esophageal neoplasia.

Highlights

  • Introduction iationsThe esophageal microbiome is broadly similar to the oral microbiome, with an abundance of anaerobes and a high Firmicutes to Bacteroidetes ratio [1,2]

  • We aimed to evaluate the associations between short-term dietary intake and salivary microbiome composition

  • A prospective study was conducted of patients ≥18 years old who were scheduled to undergo an upper endoscopy for clinical indications

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Summary

Introduction

The esophageal microbiome is broadly similar to the oral microbiome, with an abundance of anaerobes and a high Firmicutes to Bacteroidetes ratio [1,2]. This link between the mouth and esophagus was demonstrated by a recent, randomized controlled trial of an antimicrobial mouth rinse, in which oral microbiome alterations were found to directly impact esophageal microbiome composition and cause marked changes in esophageal tissue gene expression [3]. Conclusions: Short-term dietary intake was associated with only minimal salivary microbiome alterations and does not appear to have a major impact on the potential use of the salivary microbiome as a biomarker for esophageal neoplasia

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