Changes of the Gastric Mucosal Microbiome Associated With Histological Stages of Gastric Carcinogenesis

The changes of gastric microbiome across stages of neoplastic progression remain poorly understood, especially for intraepithelial neoplasia (IN) which has been recognized as a phenotypic bridge between atrophic/intestinal metaplastic lesions and invasive cancer. The gastric microbiota was investiga...

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Main Authors: Zikai Wang, Xuefeng Gao, Ranran Zeng, Qiong Wu, Huaibo Sun, Wenming Wu, Xiaomei Zhang, Gang Sun, Bin Yan, Lili Wu, Rongrong Ren, Mingzhou Guo, Lihua Peng, Yunsheng Yang
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-05-01
Series:Frontiers in Microbiology
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Online Access:https://www.frontiersin.org/article/10.3389/fmicb.2020.00997/full
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author Zikai Wang
Xuefeng Gao
Ranran Zeng
Qiong Wu
Huaibo Sun
Wenming Wu
Xiaomei Zhang
Gang Sun
Bin Yan
Lili Wu
Rongrong Ren
Mingzhou Guo
Lihua Peng
Yunsheng Yang
author_facet Zikai Wang
Xuefeng Gao
Ranran Zeng
Qiong Wu
Huaibo Sun
Wenming Wu
Xiaomei Zhang
Gang Sun
Bin Yan
Lili Wu
Rongrong Ren
Mingzhou Guo
Lihua Peng
Yunsheng Yang
author_sort Zikai Wang
collection DOAJ
description The changes of gastric microbiome across stages of neoplastic progression remain poorly understood, especially for intraepithelial neoplasia (IN) which has been recognized as a phenotypic bridge between atrophic/intestinal metaplastic lesions and invasive cancer. The gastric microbiota was investigated in 30 healthy controls (HC), 21 non-atrophic chronic gastritis (CG), 27 gastric intestinal metaplasia (IM), 25 IN, and 29 gastric cancer (GC) patients by 16S rRNA gene profiling. The bacterial diversity, and abundances of phyla Armatimonadetes, Chloroflexi, Elusimicrobia, Nitrospirae, Planctomycetes, Verrucomicrobia, and WS3 reduced progressively from CG, through IM, IN to GC. Actinobacteria, Bacteriodes, Firmicutes, Fusobacteria, SR1, and TM7 were enriched in the IN and GC. At the community level, the proportions of Gram-positive and anaerobic bacteria increased in the IN and GC compared to other histological types, whereas the aerobic and facultatively anaerobic bacteria taxa were significantly reduced in GC. Remarkable changes in the gastric microbiota functions were detected after the formation of IN. The reduced nitrite-oxidizing phylum Nitrospirae together with a decreased nitrate/nitrite reductase functions indicated nitrate accumulation during neoplastic progression. We constructed a random forest model, which had a very high accuracy (AUC > 0.95) in predicating the histological types with as low as five gastric bacterial taxa. In summary, the changing patterns of the gastric microbiota composition and function are highly indicative of stages of neoplastic progression.
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spelling doaj.art-b22df89099bc4b9cacedb4e5a9077d632022-12-21T23:52:52ZengFrontiers Media S.A.Frontiers in Microbiology1664-302X2020-05-011110.3389/fmicb.2020.00997481295Changes of the Gastric Mucosal Microbiome Associated With Histological Stages of Gastric CarcinogenesisZikai Wang0Xuefeng Gao1Ranran Zeng2Qiong Wu3Huaibo Sun4Wenming Wu5Xiaomei Zhang6Gang Sun7Bin Yan8Lili Wu9Rongrong Ren10Mingzhou Guo11Lihua Peng12Yunsheng Yang13Department of Gastroenterology and Hepatology, The First Medical Centre, Chinese PLA General Hospital, Beijing, ChinaDepartment of Hematology-Oncology, International Cancer Center, Shenzhen University General Hospital, Shenzhen University Health Science Center, Shenzhen, ChinaDepartment of Gastroenterology and Hepatology, The First Medical Centre, Chinese PLA General Hospital, Beijing, ChinaDepartment of Gastroenterology and Hepatology, The First Medical Centre, Chinese PLA General Hospital, Beijing, ChinaInstitute of Soil Science, Chinese Academy of Sciences, Nanjing, ChinaDepartment of Gastroenterology and Hepatology, The First Medical Centre, Chinese PLA General Hospital, Beijing, ChinaDepartment of Gastroenterology and Hepatology, The First Medical Centre, Chinese PLA General Hospital, Beijing, ChinaDepartment of Gastroenterology and Hepatology, The First Medical Centre, Chinese PLA General Hospital, Beijing, ChinaDepartment of Gastroenterology and Hepatology, The First Medical Centre, Chinese PLA General Hospital, Beijing, ChinaDepartment of Gastroenterology and Hepatology, The First Medical Centre, Chinese PLA General Hospital, Beijing, ChinaDepartment of Gastroenterology and Hepatology, The First Medical Centre, Chinese PLA General Hospital, Beijing, ChinaDepartment of Gastroenterology and Hepatology, The First Medical Centre, Chinese PLA General Hospital, Beijing, ChinaDepartment of Gastroenterology and Hepatology, The First Medical Centre, Chinese PLA General Hospital, Beijing, ChinaDepartment of Gastroenterology and Hepatology, The First Medical Centre, Chinese PLA General Hospital, Beijing, ChinaThe changes of gastric microbiome across stages of neoplastic progression remain poorly understood, especially for intraepithelial neoplasia (IN) which has been recognized as a phenotypic bridge between atrophic/intestinal metaplastic lesions and invasive cancer. The gastric microbiota was investigated in 30 healthy controls (HC), 21 non-atrophic chronic gastritis (CG), 27 gastric intestinal metaplasia (IM), 25 IN, and 29 gastric cancer (GC) patients by 16S rRNA gene profiling. The bacterial diversity, and abundances of phyla Armatimonadetes, Chloroflexi, Elusimicrobia, Nitrospirae, Planctomycetes, Verrucomicrobia, and WS3 reduced progressively from CG, through IM, IN to GC. Actinobacteria, Bacteriodes, Firmicutes, Fusobacteria, SR1, and TM7 were enriched in the IN and GC. At the community level, the proportions of Gram-positive and anaerobic bacteria increased in the IN and GC compared to other histological types, whereas the aerobic and facultatively anaerobic bacteria taxa were significantly reduced in GC. Remarkable changes in the gastric microbiota functions were detected after the formation of IN. The reduced nitrite-oxidizing phylum Nitrospirae together with a decreased nitrate/nitrite reductase functions indicated nitrate accumulation during neoplastic progression. We constructed a random forest model, which had a very high accuracy (AUC > 0.95) in predicating the histological types with as low as five gastric bacterial taxa. In summary, the changing patterns of the gastric microbiota composition and function are highly indicative of stages of neoplastic progression.https://www.frontiersin.org/article/10.3389/fmicb.2020.00997/fullgastric microbiotagastric cancerintraepithelial neoplasiaintestinal metaplasiachronic gastritis
spellingShingle Zikai Wang
Xuefeng Gao
Ranran Zeng
Qiong Wu
Huaibo Sun
Wenming Wu
Xiaomei Zhang
Gang Sun
Bin Yan
Lili Wu
Rongrong Ren
Mingzhou Guo
Lihua Peng
Yunsheng Yang
Changes of the Gastric Mucosal Microbiome Associated With Histological Stages of Gastric Carcinogenesis
Frontiers in Microbiology
gastric microbiota
gastric cancer
intraepithelial neoplasia
intestinal metaplasia
chronic gastritis
title Changes of the Gastric Mucosal Microbiome Associated With Histological Stages of Gastric Carcinogenesis
title_full Changes of the Gastric Mucosal Microbiome Associated With Histological Stages of Gastric Carcinogenesis
title_fullStr Changes of the Gastric Mucosal Microbiome Associated With Histological Stages of Gastric Carcinogenesis
title_full_unstemmed Changes of the Gastric Mucosal Microbiome Associated With Histological Stages of Gastric Carcinogenesis
title_short Changes of the Gastric Mucosal Microbiome Associated With Histological Stages of Gastric Carcinogenesis
title_sort changes of the gastric mucosal microbiome associated with histological stages of gastric carcinogenesis
topic gastric microbiota
gastric cancer
intraepithelial neoplasia
intestinal metaplasia
chronic gastritis
url https://www.frontiersin.org/article/10.3389/fmicb.2020.00997/full
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