Structure of the mucosal and stool microbiome in Lynch syndrome Journal Article


Authors: Yan, Y.; Drew, D. A.; Markowitz, A.; Lloyd-Price, J.; Abu-Ali, G.; Nguyen, L. H.; Tran, C.; Chung, D. C.; Gilpin, K. K.; Meixell, D.; Parziale, M.; Schuck, M.; Patel, Z.; Richter, J. M.; Kelsey, P. B.; Garrett, W. S.; Chan, A. T.; Stadler, Z. K.; Huttenhower, C.
Article Title: Structure of the mucosal and stool microbiome in Lynch syndrome
Abstract: The gut microbiota has been associated with colorectal cancer (CRC), but causal alterations preceding CRC have not been elucidated. To prospectively assess microbiome changes prior to colorectal neoplasia, we investigated samples from 100 Lynch syndrome patients using 16S rRNA gene sequencing of colon biopsies, coupled with metagenomic and metatranscriptomic sequencing of feces. Colectomy and CRC history represented the largest effects on microbiome profiles. A subset of Clostridiaceae were depleted in stool corresponding with baseline adenomas, while Desulfovibrio was enriched both in stool and in mucosal biopsies. A classifier leveraging stool metatranscriptomes resulted in modest power to predict interval development of preneoplastic colonic adenoma. Predictive transcripts corresponded with a shift in flagellin contributors and oxidative metabolic microenvironment, potentially factors in local CRC pathogenesis. This suggests that the effectiveness of prospective microbiome monitoring for adenomas may be limited but supports the potential causality of these consistent, early microbial changes in colonic neoplasia. © 2020 Elsevier Inc. The gut microbiome has been linked to colorectal cancer (CRC). Here, Yan et al. use metagenomic and metatranscriptomic sequencing of feces integrated with 16S rRNA sequencing of colon biopsies in Lynch syndrome. They assess microbiome changes prior to colorectal neoplasia and determine potential causality of early microbial changes in CRC. © 2020 Elsevier Inc.
Keywords: colorectal cancer; lynch syndrome; metagenomics; human microbiome; metatranscriptomics
Journal Title: Cell Host & Microbe
Volume: 27
Issue: 4
ISSN: 1931-3128
Publisher: Cell Press  
Date Published: 2020-04-08
Start Page: 585
End Page: 600.e4
Language: English
DOI: 10.1016/j.chom.2020.03.005
PUBMED: 32240601
PROVIDER: scopus
PMCID: PMC7453618
DOI/URL:
Notes: Article -- Source: Scopus
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  1. Arnold J Markowitz
    138 Markowitz
  2. Zsofia Kinga Stadler
    389 Stadler
  3. Christina Tran
    15 Tran
  4. Zalak Patel
    12 Patel