Bile Acid–Microbiome Interaction Promotes Gastric Carcinogenesis

Abstract Bile reflux gastritis (BRG) is associated with the development of gastric cancer (GC), but the specific mechanism remains elusive. Here, a comprehensive study is conducted to explore the roles of refluxed bile acids (BAs) and microbiome in gastric carcinogenesis. The results show that conju...

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Main Authors: Shouli Wang, Junliang Kuang, Hongwei Zhang, Wenlian Chen, Xiaojiao Zheng, Jieyi Wang, Fengjie Huang, Kun Ge, Mengci Li, Mingliang Zhao, Cynthia Rajani, Jinshui Zhu, Aihua Zhao, Wei Jia
Format: Article
Language:English
Published: Wiley 2022-05-01
Series:Advanced Science
Subjects:
Online Access:https://doi.org/10.1002/advs.202200263
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author Shouli Wang
Junliang Kuang
Hongwei Zhang
Wenlian Chen
Xiaojiao Zheng
Jieyi Wang
Fengjie Huang
Kun Ge
Mengci Li
Mingliang Zhao
Cynthia Rajani
Jinshui Zhu
Aihua Zhao
Wei Jia
author_facet Shouli Wang
Junliang Kuang
Hongwei Zhang
Wenlian Chen
Xiaojiao Zheng
Jieyi Wang
Fengjie Huang
Kun Ge
Mengci Li
Mingliang Zhao
Cynthia Rajani
Jinshui Zhu
Aihua Zhao
Wei Jia
author_sort Shouli Wang
collection DOAJ
description Abstract Bile reflux gastritis (BRG) is associated with the development of gastric cancer (GC), but the specific mechanism remains elusive. Here, a comprehensive study is conducted to explore the roles of refluxed bile acids (BAs) and microbiome in gastric carcinogenesis. The results show that conjugated BAs, interleukin 6 (IL‐6), lipopolysaccharide (LPS), and the relative abundance of LPS‐producing bacteria are increased significantly in the gastric juice of both BRG and GC patients. A secondary BA, taurodeoxycholic acid (TDCA), is significantly and positively correlated with the LPS‐producing bacteria in the gastric juice of these patients. TDCA promotes the proliferation of normal gastric epithelial cells (GES‐1) through activation of the IL‐6/JAK1/STAT3 pathway. These results are further verified in two mouse models, one by gavage of TDCA, LPS, and LPS‐producing bacteria (Prevotella melaninogenica), respectively, and the other by bile reflux (BR) surgery, mimicking clinical bile refluxing. Moreover, the bile reflux induced gastric precancerous lesions observed in the post BR surgery mice can be prevented by treatment with cryptotanshinone, a plant‐derived STAT3 inhibitor. These results reveal an important underlying mechanism by which bile reflux promotes gastric carcinogenesis and provide an alternative strategy for the prevention of GC associated with BRG.
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spelling doaj.art-6ba9675330134329aedc54bfb0538bb92022-12-22T00:26:08ZengWileyAdvanced Science2198-38442022-05-01916n/an/a10.1002/advs.202200263Bile Acid–Microbiome Interaction Promotes Gastric CarcinogenesisShouli Wang0Junliang Kuang1Hongwei Zhang2Wenlian Chen3Xiaojiao Zheng4Jieyi Wang5Fengjie Huang6Kun Ge7Mengci Li8Mingliang Zhao9Cynthia Rajani10Jinshui Zhu11Aihua Zhao12Wei Jia13Center for Translational Medicine and Shanghai Key Laboratory of Diabetes Mellitus Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai 200233 ChinaCenter for Translational Medicine and Shanghai Key Laboratory of Diabetes Mellitus Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai 200233 ChinaDepartment of Metabolic and Bariatric Surgery Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai 200233 ChinaCancer Institute, Longhua Hospital Shanghai University of Traditional Chinese Medicine Shanghai 200233 ChinaCenter for Translational Medicine and Shanghai Key Laboratory of Diabetes Mellitus Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai 200233 ChinaCenter for Translational Medicine and Shanghai Key Laboratory of Diabetes Mellitus Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai 200233 ChinaCenter for Translational Medicine and Shanghai Key Laboratory of Diabetes Mellitus Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai 200233 ChinaCenter for Translational Medicine and Shanghai Key Laboratory of Diabetes Mellitus Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai 200233 ChinaCenter for Translational Medicine and Shanghai Key Laboratory of Diabetes Mellitus Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai 200233 ChinaCenter for Translational Medicine and Shanghai Key Laboratory of Diabetes Mellitus Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai 200233 ChinaCancer Biology Program University of Hawaii Cancer Center Honolulu HI 96813 USADepartment of Gastroenterology Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai 200233 ChinaCenter for Translational Medicine and Shanghai Key Laboratory of Diabetes Mellitus Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai 200233 ChinaCenter for Translational Medicine and Shanghai Key Laboratory of Diabetes Mellitus Shanghai Jiao Tong University Affiliated Sixth People's Hospital Shanghai 200233 ChinaAbstract Bile reflux gastritis (BRG) is associated with the development of gastric cancer (GC), but the specific mechanism remains elusive. Here, a comprehensive study is conducted to explore the roles of refluxed bile acids (BAs) and microbiome in gastric carcinogenesis. The results show that conjugated BAs, interleukin 6 (IL‐6), lipopolysaccharide (LPS), and the relative abundance of LPS‐producing bacteria are increased significantly in the gastric juice of both BRG and GC patients. A secondary BA, taurodeoxycholic acid (TDCA), is significantly and positively correlated with the LPS‐producing bacteria in the gastric juice of these patients. TDCA promotes the proliferation of normal gastric epithelial cells (GES‐1) through activation of the IL‐6/JAK1/STAT3 pathway. These results are further verified in two mouse models, one by gavage of TDCA, LPS, and LPS‐producing bacteria (Prevotella melaninogenica), respectively, and the other by bile reflux (BR) surgery, mimicking clinical bile refluxing. Moreover, the bile reflux induced gastric precancerous lesions observed in the post BR surgery mice can be prevented by treatment with cryptotanshinone, a plant‐derived STAT3 inhibitor. These results reveal an important underlying mechanism by which bile reflux promotes gastric carcinogenesis and provide an alternative strategy for the prevention of GC associated with BRG.https://doi.org/10.1002/advs.202200263bile acidbile refluxgastric carcinogenesismicrobiome
spellingShingle Shouli Wang
Junliang Kuang
Hongwei Zhang
Wenlian Chen
Xiaojiao Zheng
Jieyi Wang
Fengjie Huang
Kun Ge
Mengci Li
Mingliang Zhao
Cynthia Rajani
Jinshui Zhu
Aihua Zhao
Wei Jia
Bile Acid–Microbiome Interaction Promotes Gastric Carcinogenesis
Advanced Science
bile acid
bile reflux
gastric carcinogenesis
microbiome
title Bile Acid–Microbiome Interaction Promotes Gastric Carcinogenesis
title_full Bile Acid–Microbiome Interaction Promotes Gastric Carcinogenesis
title_fullStr Bile Acid–Microbiome Interaction Promotes Gastric Carcinogenesis
title_full_unstemmed Bile Acid–Microbiome Interaction Promotes Gastric Carcinogenesis
title_short Bile Acid–Microbiome Interaction Promotes Gastric Carcinogenesis
title_sort bile acid microbiome interaction promotes gastric carcinogenesis
topic bile acid
bile reflux
gastric carcinogenesis
microbiome
url https://doi.org/10.1002/advs.202200263
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AT wenlianchen bileacidmicrobiomeinteractionpromotesgastriccarcinogenesis
AT xiaojiaozheng bileacidmicrobiomeinteractionpromotesgastriccarcinogenesis
AT jieyiwang bileacidmicrobiomeinteractionpromotesgastriccarcinogenesis
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