Deciphering the complex interplay between microbiota, HPV, inflammation and cancer through cervicovaginal metabolic profilingResearch in context
Background: Dysbiotic vaginal microbiota have been implicated as contributors to persistent HPV-mediated cervical carcinogenesis and genital inflammation with mechanisms unknown. Given that cancer is a metabolic disease, metabolic profiling of the cervicovaginal microenvironment has the potential to...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2019-06-01
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| Series: | EBioMedicine |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352396419302671 |
| _version_ | 1818989361550589952 |
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| author | Zehra Esra Ilhan Paweł Łaniewski Natalie Thomas Denise J. Roe Dana M. Chase Melissa M. Herbst-Kralovetz |
| author_facet | Zehra Esra Ilhan Paweł Łaniewski Natalie Thomas Denise J. Roe Dana M. Chase Melissa M. Herbst-Kralovetz |
| author_sort | Zehra Esra Ilhan |
| collection | DOAJ |
| description | Background: Dysbiotic vaginal microbiota have been implicated as contributors to persistent HPV-mediated cervical carcinogenesis and genital inflammation with mechanisms unknown. Given that cancer is a metabolic disease, metabolic profiling of the cervicovaginal microenvironment has the potential to reveal the functional interplay between the host and microbes in HPV persistence and progression to cancer. Methods: Our study design included HPV-negative/positive controls, women with low-grade and high-grade cervical dysplasia, or cervical cancer (n = 78). Metabolic fingerprints were profiled using liquid chromatography-mass spectrometry. Vaginal microbiota and genital inflammation were analysed using 16S rRNA gene sequencing and immunoassays, respectively. We used an integrative bioinformatic pipeline to reveal host and microbe contributions to the metabolome and to comprehensively assess the link between HPV, microbiota, inflammation and cervical disease. Findings: Metabolic analysis yielded 475 metabolites with known identities. Unique metabolic fingerprints discriminated patient groups from healthy controls. Three-hydroxybutyrate, eicosenoate, and oleate/vaccenate discriminated (with excellent capacity) between cancer patients versus the healthy participants. Sphingolipids, plasmalogens, and linoleate positively correlated with genital inflammation. Non-Lactobacillus dominant communities, particularly in high-grade dysplasia, perturbed amino acid and nucleotide metabolisms. Adenosine and cytosine correlated positively with Lactobacillus abundance and negatively with genital inflammation. Glycochenodeoxycholate and carnitine metabolisms connected non-Lactobacillus dominance to genital inflammation. Interpretation: Cervicovaginal metabolic profiles were driven by cancer followed by genital inflammation, HPV infection, and vaginal microbiota. This study provides evidence for metabolite-driven complex host-microbe interactions as hallmarks of cervical cancer with future translational potential. Fund: Flinn Foundation (#1974), Banner Foundation Obstetrics/Gynecology, and NIH NCI (P30-CA023074). Keywords: Lactobacillus abundance, Lipids and nucleotides, Amino acid degradation, Cervical dysplasia and cancer, Vaginal dysbiosis, Host-microbe interactions, Genital inflammation |
| first_indexed | 2024-12-20T19:37:15Z |
| format | Article |
| id | doaj.art-6a5770ead26b431c9eba68e9567966c6 |
| institution | Directory Open Access Journal |
| issn | 2352-3964 |
| language | English |
| last_indexed | 2024-12-20T19:37:15Z |
| publishDate | 2019-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | EBioMedicine |
| spelling | doaj.art-6a5770ead26b431c9eba68e9567966c62022-12-21T19:28:37ZengElsevierEBioMedicine2352-39642019-06-0144675690Deciphering the complex interplay between microbiota, HPV, inflammation and cancer through cervicovaginal metabolic profilingResearch in contextZehra Esra Ilhan0Paweł Łaniewski1Natalie Thomas2Denise J. Roe3Dana M. Chase4Melissa M. Herbst-Kralovetz5Department of Obstetrics and Gynecology, College of Medicine-Phoenix, University of Arizona, Phoenix, AZ 85004, USADepartment of Basic Medical Sciences, College of Medicine-Phoenix, University of Arizona, Phoenix, AZ, 85004, USADepartment of Basic Medical Sciences, College of Medicine-Phoenix, University of Arizona, Phoenix, AZ, 85004, USAUA Cancer Center, University of Arizona, Tucson/Phoenix, AZ 85004, USADepartment of Obstetrics and Gynecology, College of Medicine-Phoenix, University of Arizona, Phoenix, AZ 85004, USA; UA Cancer Center, University of Arizona, Tucson/Phoenix, AZ 85004, USA; US Oncology, Phoenix, AZ 85016, USA; Maricopa Integrated Health Systems, Phoenix, AZ 85008, USA; Dignity Health St. Joseph's Hospital and Medical Center, Phoenix, AZ 85013, USADepartment of Obstetrics and Gynecology, College of Medicine-Phoenix, University of Arizona, Phoenix, AZ 85004, USA; Department of Basic Medical Sciences, College of Medicine-Phoenix, University of Arizona, Phoenix, AZ, 85004, USA; UA Cancer Center, University of Arizona, Tucson/Phoenix, AZ 85004, USA; Corresponding author at: Department of Basic Medical Sciences, College of Medicine-Phoenix, University of Arizona, Phoenix, AZ 85004, USA.Background: Dysbiotic vaginal microbiota have been implicated as contributors to persistent HPV-mediated cervical carcinogenesis and genital inflammation with mechanisms unknown. Given that cancer is a metabolic disease, metabolic profiling of the cervicovaginal microenvironment has the potential to reveal the functional interplay between the host and microbes in HPV persistence and progression to cancer. Methods: Our study design included HPV-negative/positive controls, women with low-grade and high-grade cervical dysplasia, or cervical cancer (n = 78). Metabolic fingerprints were profiled using liquid chromatography-mass spectrometry. Vaginal microbiota and genital inflammation were analysed using 16S rRNA gene sequencing and immunoassays, respectively. We used an integrative bioinformatic pipeline to reveal host and microbe contributions to the metabolome and to comprehensively assess the link between HPV, microbiota, inflammation and cervical disease. Findings: Metabolic analysis yielded 475 metabolites with known identities. Unique metabolic fingerprints discriminated patient groups from healthy controls. Three-hydroxybutyrate, eicosenoate, and oleate/vaccenate discriminated (with excellent capacity) between cancer patients versus the healthy participants. Sphingolipids, plasmalogens, and linoleate positively correlated with genital inflammation. Non-Lactobacillus dominant communities, particularly in high-grade dysplasia, perturbed amino acid and nucleotide metabolisms. Adenosine and cytosine correlated positively with Lactobacillus abundance and negatively with genital inflammation. Glycochenodeoxycholate and carnitine metabolisms connected non-Lactobacillus dominance to genital inflammation. Interpretation: Cervicovaginal metabolic profiles were driven by cancer followed by genital inflammation, HPV infection, and vaginal microbiota. This study provides evidence for metabolite-driven complex host-microbe interactions as hallmarks of cervical cancer with future translational potential. Fund: Flinn Foundation (#1974), Banner Foundation Obstetrics/Gynecology, and NIH NCI (P30-CA023074). Keywords: Lactobacillus abundance, Lipids and nucleotides, Amino acid degradation, Cervical dysplasia and cancer, Vaginal dysbiosis, Host-microbe interactions, Genital inflammationhttp://www.sciencedirect.com/science/article/pii/S2352396419302671 |
| spellingShingle | Zehra Esra Ilhan Paweł Łaniewski Natalie Thomas Denise J. Roe Dana M. Chase Melissa M. Herbst-Kralovetz Deciphering the complex interplay between microbiota, HPV, inflammation and cancer through cervicovaginal metabolic profilingResearch in context EBioMedicine |
| title | Deciphering the complex interplay between microbiota, HPV, inflammation and cancer through cervicovaginal metabolic profilingResearch in context |
| title_full | Deciphering the complex interplay between microbiota, HPV, inflammation and cancer through cervicovaginal metabolic profilingResearch in context |
| title_fullStr | Deciphering the complex interplay between microbiota, HPV, inflammation and cancer through cervicovaginal metabolic profilingResearch in context |
| title_full_unstemmed | Deciphering the complex interplay between microbiota, HPV, inflammation and cancer through cervicovaginal metabolic profilingResearch in context |
| title_short | Deciphering the complex interplay between microbiota, HPV, inflammation and cancer through cervicovaginal metabolic profilingResearch in context |
| title_sort | deciphering the complex interplay between microbiota hpv inflammation and cancer through cervicovaginal metabolic profilingresearch in context |
| url | http://www.sciencedirect.com/science/article/pii/S2352396419302671 |
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