Abstract
Background
The tumor microbiome has been characterized in several malignancies; however, no previous studies have investigated its role in intrahepatic cholangiocarcinoma (ICC). Hence, we explored the tumor microbiome and its association with prognosis in ICC.
Methods
One hundred and twenty-one ICC tumor samples and 89 adjacent normal tissues were profiled by 16S rRNA sequencing. Microbial differences between tumor and adjacent nontumoral liver tissues were assessed. Tumor microbial composition was then evaluated to detect its association with prognosis. Finally, a risk score calculated by the tumor microbiota was accessed by the least absolute shrinkage and selector operator method (Lasso) to predict prognosis of ICC.
Results
The tumor microbiome displayed a greater diversity than that in adjacent nontumoral liver tissues. Tumor samples were characterized by a higher abundance of Firmicutes, Actinobacteria, Bacteroidetes, and Acidobacteriota. Higher tumor microbial α diversity was associated with lymph node metastasis and predicted shortened overall survival (OS) and recurrence-free survival (RFS). A total of 11 bacteria were selected to generate the risk score by Lasso. This score showed potential in predicting OS, and was an independent risk factor for OS.
Conclusion
In conclusion, our study characterized the tumor microbiome and revealed its role in predicting prognosis in ICC.
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Acknowledgements
This work was jointly supported by the National Natural Science Foundation of China (No. 82173260, No. 81972708, No. 82072681, No. 82003082, No. 81773069, No. 81830102, No. 81772578) and the National Key R&D Program of China (No. 2019YFC1315800, 2019YFC1315802, 2018YFA0109400).
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Hao-Yang Xin, Ji-Xue Zou, Rong-Qi Sun, Zhi-Qiang Hu, Zhuo Chen, Chu-Bin Luo, Zheng-Jun Zhou, Peng-Cheng Wang, Jia Li, Song-Yang Yu, Kai-Xuan Liu, Jia Fan, Jian Zhou and Shao-Lai Zhou declare that they have no potential conflicts of interest. The study was approved by the research ethics committee of Zhongshan Hospital, Fudan University, and written informed consent was obtained from all patients.
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Xin, HY., Zou, JX., Sun, RQ. et al. Characterization of tumor microbiome and associations with prognosis in intrahepatic cholangiocarcinoma. J Gastroenterol 59, 411–423 (2024). https://doi.org/10.1007/s00535-024-02090-2
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DOI: https://doi.org/10.1007/s00535-024-02090-2