Characteristics of the intestinal microbiota in patients with colorectal cancer

M. Sukhina, M. H. Stavtsev, S. Achkasov, S. Yudin
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Abstract

AIM: to study the intestinal microbiota and identify its characteristic features in patients with colorectal cancer.PATIENTS AND METHODS: in this study, the composition of the intestinal microbiota in patients with colorectal cancer was analyzed, while the comparison group consisted of patients with non-inflammatory bowel diseases.RESULTS: previous studies have shown the possible role of enterococci and some types of clostridia in stimulating oncogenic processes and, on the contrary, the vital role of lactobacilli and bifidobacteria in intestinal homeostasis maintaining. The aim of this study was to compare the gut microbiota composition in colorectal cancer patients and non-inflammatory bowel diseases patients gut microbita. The proportion of enterococci was increased in patients with colorectal cancer (12.7% in the study group and 7.6% in the control group) on the contrary the proportion of bifidobacteria and obligate anaerobes was decreased (1.5% in the study group and 4% in the control groups) and (3.3 % of the study group and 9.7% in the control group) respectively. Decrease of the microbiota biodiversity was observed for the patients with colorectal cancer that was calculated by the Shannon diversity Index (4.46 in the study group and 4.8 in the control group), also two-fold increase of Pseudomonas aeruginosa share (2.2% in the study group and 1.1% in the control group) was found for this cohort, Clostridium septicum was isolated only from patients with colorectal cancer.CONCLUSION: this study results suggest the diagnostic significance of the species diversity of the intestinal microbiota.
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结直肠癌患者肠道菌群的特征
目的:研究结直肠癌患者肠道菌群及其特征。患者与方法:本研究分析结直肠癌患者肠道菌群组成,对照组为非炎症性肠病患者。结果:先前的研究表明肠球菌和某些类型的梭菌可能在刺激致癌过程中起作用,相反,乳酸菌和双歧杆菌在维持肠道稳态中起重要作用。本研究的目的是比较结直肠癌患者和非炎症性肠病患者肠道菌群的组成。结直肠癌患者肠球菌比例升高(研究组为12.7%,对照组为7.6%),双歧杆菌和专性厌氧菌比例下降(研究组为1.5%,对照组为4%),研究组为3.3%,对照组为9.7%)。根据Shannon多样性指数计算,结直肠癌患者的微生物群多样性下降(研究组为4.46,对照组为4.8),铜绿假单胞菌的比例增加了两倍(研究组为2.2%,对照组为1.1%),败血性梭菌仅从结直肠癌患者中分离。结论:本研究结果提示肠道菌群物种多样性的诊断意义。
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