title: Tumour-associated and non-tumour-associated microbiota in colorectal cancer.
abstract: A signature that unifies the colorectal cancer (CRC) microbiota across multiple studies has not been identified. In addition to methodological variance, heterogeneity may be caused by both microbial and host response differences, which was addressed in this study.
  
  
  
  We prospectively studied the colonic microbiota and the expression of specific host response genes using faecal and mucosal samples ('ON' and 'OFF' the tumour, proximal and distal) from 59 patients undergoing surgery for CRC, 21 individuals with polyps and 56 healthy controls. Microbiota composition was determined by 16S rRNA amplicon sequencing; expression of host genes involved in CRC progression and immune response was quantified by real-time quantitative PCR.
  
  
  
  The microbiota of patients with CRC differed from that of controls, but alterations were not restricted to the cancerous tissue. Differences between distal and proximal cancers were detected and faecal microbiota only partially reflected mucosal microbiota in CRC. Patients with CRC can be stratified based on higher level structures of mucosal-associated bacterial co-abundance groups (CAGs) that resemble the previously formulated concept of enterotypes. Of these, Bacteroidetes Cluster 1 and Firmicutes Cluster 1 were in decreased abundance in CRC mucosa, whereas Bacteroidetes Cluster 2, Firmicutes Cluster 2, Pathogen Cluster and Prevotella Cluster showed increased abundance in CRC mucosa. CRC-associated CAGs were differentially correlated with the expression of host immunoinflammatory response genes.
  
  
  
  CRC-associated microbiota profiles differ from those in healthy subjects and are linked with distinct mucosal gene-expression profiles. Compositional alterations in the microbiota are not restricted to cancerous tissue and differ between distal and proximal cancers.
authors.affiliation: APC Microbiome Institute, University College Cork, Cork, Ireland.|School of Microbiology, University College Cork, Cork, Ireland.
authors.forename: Burkhardt
authors.initials: B
authors.lastname: Flemer
authors.affiliation: APC Microbiome Institute, University College Cork, Cork, Ireland.|School of Microbiology, University College Cork, Cork, Ireland.
authors.forename: Denise B
authors.initials: DB
authors.lastname: Lynch
authors.affiliation: APC Microbiome Institute, University College Cork, Cork, Ireland.|School of Microbiology, University College Cork, Cork, Ireland.
authors.forename: Jillian M R
authors.initials: JM
authors.lastname: Brown
authors.affiliation: APC Microbiome Institute, University College Cork, Cork, Ireland.|School of Microbiology, University College Cork, Cork, Ireland.
authors.forename: Ian B
authors.initials: IB
authors.lastname: Jeffery
authors.affiliation: APC Microbiome Institute, University College Cork, Cork, Ireland.|School of Microbiology, University College Cork, Cork, Ireland.
authors.forename: Feargal J
authors.initials: FJ
authors.lastname: Ryan
authors.affiliation: APC Microbiome Institute, University College Cork, Cork, Ireland.|School of Microbiology, University College Cork, Cork, Ireland.
authors.forename: Marcus J
authors.initials: MJ
authors.lastname: Claesson
authors.affiliation: Mercy University Hospital, Cork, Ireland.
authors.forename: Micheal
authors.initials: M
authors.lastname: O'Riordain
authors.affiliation: APC Microbiome Institute, University College Cork, Cork, Ireland.|Department of Medicine, University College Cork, Cork, Ireland.
authors.forename: Fergus
authors.initials: F
authors.lastname: Shanahan
authors.affiliation: APC Microbiome Institute, University College Cork, Cork, Ireland.|School of Microbiology, University College Cork, Cork, Ireland.
authors.forename: Paul W
authors.initials: PW
authors.lastname: O'Toole
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000942:Antigens, Bacterial / Q000032:analysis; D041963:Bacteroidetes / Q000276:immunology / Q000302:isolation & purification; D016022:Case-Control Studies; D054418:Chemokine CCL20 / Q000235:genetics; D054360:Chemokine CXCL1 / Q000235:genetics; D003106:Colon / Q000382:microbiology*; D003110:Colonic Neoplasms / Q000235:genetics / Q000382:microbiology*; D003111:Colonic Polyps / Q000235:genetics / Q000382:microbiology*; D005243:Feces / Q000382:microbiology; D005260:Female; D000068536:Bacillota / Q000276:immunology / Q000302:isolation & purification; D000069196:Gastrointestinal Microbiome / Q000235:genetics; D015870:Gene Expression; D006801:Humans; D020381:Interleukin-17 / Q000235:genetics; D053759:Interleukin-23 / Q000235:genetics; D007413:Intestinal Mucosa / Q000382:microbiology; D008297:Male; D008875:Middle Aged; D017395:Plasminogen Activator Inhibitor 1 / Q000235:genetics; D018720:Prevotella / Q000276:immunology / Q000302:isolation & purification; D011446:Prospective Studies; D012336:RNA, Ribosomal, 16S / Q000032:analysis*; D012004:Rectal Neoplasms / Q000235:genetics / Q000382:microbiology*
chemical_list: D000942:Antigens, Bacterial; C108355:CCL20 protein, human; C475829:CXCL1 protein, human; D054418:Chemokine CCL20; D054360:Chemokine CXCL1; C508717:IL17A protein, human; D020381:Interleukin-17; D053759:Interleukin-23; D017395:Plasminogen Activator Inhibitor 1; D012336:RNA, Ribosomal, 16S; C051321:SERPINE1 protein, human
keywords: COLORECTAL CANCER; GENE EXPRESSION; INTESTINAL MICROBIOLOGY