Changes in Bacteroides and the microbiota in patients with obstructed colorectal cancer: retrospective cohort study

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Reviewed Marked as Reviewed by ChiomaBlessing on 2024-1-30
study design
Citation
PMID PubMed identifier for scientific articles.
DOI Digital object identifier for electronic documents.
URI Uniform resource identifier for web resources.
Authors
Cao Y, Shang F, Jin M, Deng S, Gu J, Mao F, Qin L, Wang J, Xue Y, Jiang Z, Cheng D, Liu L, Nie X, Liu T, Liu H, Cai K
Journal
BJS open
Year
2023
BACKGROUND: The relationship between intestinal obstruction due to colorectal cancer (CRC) and the gut microbiota remains largely unknown. The aim of this study was to investigate the potential association between alterations in gut microbiota and CRC in the presence of intestinal obstruction. METHODS: Patients with CRC with or without obstruction were recruited and compared using 1:1 propensity score matching (PSM). Total DNA from tumours and adjacent normal tissues of 84 patients and 36 frozen tumour tissues was extracted and amplified. 16S RNA sequencing was used to uncover differences in microbiota composition between the two groups. RESULTS: A total of 313 patients with CRC were recruited. Survival analysis demonstrated that patients in the obstruction group had shorter overall survival time and disease-free survival (DFS) time than those in the non-obstruction group. Microbial richness and diversity in tumour tissues of patients with obstruction were significantly higher than those of patients with no obstruction. The alpha diversity indices and beta diversity exhibited were different between the two groups (P < 0.05). At the phylum and genus levels, Bacteroidetes were significantly enriched in the tumour tissues of patients with obstruction. Alpha diversity in tumour tissues was closely related to specific microbiota. These findings were replicated in the 16S rRNA analyses from frozen samples. There were more Bacteroidetes in CRC patients with obstruction. CONCLUSIONS: Patients with obstructed CRC have worse prognosis and have differences in their microbiota. Higher levels of Bacteroides were observed in patients with obstructed CRC.

Experiment 1


Reviewed Marked as Reviewed by ChiomaBlessing on 2024-1-30

Curated date: 2024/01/31

Curator: Andre

Revision editor(s): Andre, WikiWorks, Ese

Subjects

Location of subjects
China
Host species Species from which microbiome was sampled. Contact us to have more species added.
Homo sapiens
Body site Anatomical site where microbial samples were extracted from according to the Uber Anatomy Ontology
Colon Hindgut,Large bowel,Posterior intestine,Colon,colon
Condition The experimental condition / phenotype studied according to the Experimental Factor Ontology
Colorectal cancer cancer of colorectum,cancer of large bowel,cancer of large intestine,cancer of the large bowel,colon cancer,colorectal cancer,colorectum cancer,CRC,large intestine cancer,malignant colorectal neoplasm,malignant colorectal tumor,malignant colorectum neoplasm,malignant large bowel neoplasm,malignant large bowel tumor,malignant large intestine neoplasm,malignant large intestine tumor,malignant neoplasm of colorectum,malignant neoplasm of large bowel,malignant neoplasm of large intestine,malignant neoplasm of the large bowel,malignant neoplasm of the large intestine,malignant tumor of large bowel,malignant tumor of large intestine,malignant tumor of the large bowel,malignant tumor of the large intestine,Colorectal cancer
Group 0 name Corresponds to the control (unexposed) group for case-control studies
patients with no obstruction
Group 1 name Corresponds to the case (exposed) group for case-control studies
patients with obstruction
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Patients diagnosed with obstructed colorectal cancer (CRC), presenting with intestinal obstruction symptoms at the time of admission.
Group 0 sample size Number of subjects in the control (unexposed) group
271
Group 1 sample size Number of subjects in the case (exposed) group
42
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
1 week

Lab analysis

Sequencing type
16S
16S variable region One or more hypervariable region(s) of the bacterial 16S gene
V3-V4
Sequencing platform Manufacturer and experimental platform used for quantifying microbial abundance
Illumina

Statistical Analysis

Data transformation Data transformation applied to microbial abundance measurements prior to differential abundance testing (if any).
relative abundances
Statistical test
Kruskall-Wallis
Significance threshold p-value or FDR threshold used for differential abundance testing (if any)
0.05
Matched on Factors on which subjects have been matched on in a case-control study
chemotherapy, sex, Matched on: "age at diagnosis" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.age at diagnosis, Matched on: "bmi" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.bmi, Matched on: "TNM stage" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.TNM stage, Matched on: "histological grade" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.histological grade, Matched on: "tumour size" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.tumour size, Matched on: "tumour site" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.tumour site

Alpha Diversity

Pielou Quantifies how equal the community is numerically
increased
Shannon Estimator of species richness and species evenness: more weight on species richness
increased
Chao1 Abundance-based estimator of species richness
increased
Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
increased
Faith Phylogenetic diversity, takes into account phylogenetic distance of all taxa identified in a sample
increased

Signature 1

Needs review

Curated date: 2024/01/31

Curator: Andre

Revision editor(s): Andre, WikiWorks, Ese

Source: Fig. 5e & 5f

Description: Phylum and genus level differences of microbial taxa between colorectal cancer (CRC) patients with no obstruction and colorectal cancer (CRC) patients with obstruction

Abundance in Group 1: increased abundance in patients with obstruction

NCBI Quality ControlLinks
Acidobacteriota
Acinetobacter
Actinomycetota
Arthrobacter
Bacillota
Bacteroides
Bacteroidia
Brevundimonas
Caulobacter
Chloroflexia
Deinococcota
Flavobacterium
Gemmatimonadia
Herbaspirillum
Lactobacillus
Massilia
Mycoplasmatota
Nitrospirota
Ochrobactrum
Planctomycetales
Ralstonia
Roseateles
Shigella
Sphingobium
Synergistota
Thermus
Verrucomicrobiota
Vulcanimicrobiota
WPS-2WPS-2
TM7TM7
OD7OD7

Revision editor(s): Andre, WikiWorks, Ese

Signature 2

Needs review

Curated date: 2024/01/31

Curator: Andre

Revision editor(s): Andre, WikiWorks, Ese

Source: Fig. 5e & 5f

Description: Phylum and genus level differences of microbial taxa between colorectal cancer (CRC) patients with no obstruction and colorectal cancer (CRC) patients with obstruction

Abundance in Group 1: decreased abundance in patients with obstruction

NCBI Quality ControlLinks
Armatimonadota
Clostridium
Cupriavidus
Cyanobacteriota
Deferribacteres
Fusobacteriota
Helicobacter
Leptotrichia
Pseudomonadota
Sphingomonas

Revision editor(s): Andre, WikiWorks, Ese

Experiment 2


Needs review

Curated date: 2024/01/31

Curator: Andre

Revision editor(s): WikiWorks, Andre, Ese

Differences from previous experiment shown

Subjects

Lab analysis

Statistical Analysis

Statistical test
LEfSe
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
2.45
Matched on Factors on which subjects have been matched on in a case-control study
chemotherapy, sex, Matched on: "bmi" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.bmi, Matched on: "age at diagnosis" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.age at diagnosis, Matched on: "TNM stage" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.TNM stage, Matched on: "histological grade" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.histological grade, Matched on: "tumour size" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.tumour size, Matched on: "tumour site" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.tumour site

Alpha Diversity

Pielou Quantifies how equal the community is numerically
increased
Shannon Estimator of species richness and species evenness: more weight on species richness
increased
Chao1 Abundance-based estimator of species richness
increased
Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
increased
Faith Phylogenetic diversity, takes into account phylogenetic distance of all taxa identified in a sample
increased

Signature 1

Needs review

Curated date: 2025/08/05

Curator: Ese

Revision editor(s): Ese

Source: Figure 5g

Description: Linear discriminant analysis effect size (LEfSe) analysis showing significant differences in species diversity between colorectal cancer (CRC) patients with no obstruction and colorectal cancer (CRC) patients with obstruction

Abundance in Group 1: increased abundance in patients with obstruction

NCBI Quality ControlLinks
Acinetobacter
Actinomycetales
Actinomycetes
Actinomycetota
Agrobacterium
Alistipes
Alphaproteobacteria
Alteromonadaceae
Alteromonadales
Alteromonas
Anoxybacillus
Arthrobacter
Bacillaceae
Bacillales
Bacilli
Bacillota
Bacteroidaceae
Bacteroidales
Bacteroides
Bacteroidia
Bacteroidota
Bdellovibrio
Bdellovibrionales
Blautia
Brevundimonas
Butyricicoccus
Caulobacteraceae
Caulobacterales
Comamonadaceae
Coprococcus
Delftia
Deltaproteobacteria
Desulfovibrio
Desulfovibrionaceae
Desulfovibrionales
Enterobacterales
Enterobacteriaceae
Enterococcaceae
Enterococcus
Flavobacteriaceae
Flavobacteriales
Flavobacteriia
Flavobacterium
Gammaproteobacteria
Gemmatimonadales
Idiomarina
Idiomarinaceae
Janthinobacterium
Lachnospiraceae
Lactobacillaceae
Lactobacillales
Lactobacillus
Legionellaceae
Legionellales
Leptothrix
Microbacteriaceae
Micrococcaceae
Moraxellaceae
Muribaculaceae
Oceanospirillaceae
Oscillospira
Oscillospiraceae
Peptostreptococcaceae
Pseudobdellovibrionaceae
Pseudomonadaceae
Pseudomonadales
Pseudomonas
Ralstonia
Rhizobiaceae
Rikenellaceae
Roseateles
Ruminococcus
Sphingobium
Sphingomonadaceae
Sphingomonadales
Subdoligranulum
Thermomonas
Wautersiella
YRC22YRC22
PseudoburkholderiaPseudoburkholderia
ParaprevotellaceaeParaprevotellaceae

Revision editor(s): Ese

Signature 2

Needs review

Curated date: 2025/08/05

Curator: Ese

Revision editor(s): Ese

Source: Figure 5g

Description: Linear discriminant analysis effect size (LEfSe) analysis showing significant differences in species diversity between colorectal cancer (CRC) patients with no obstruction and colorectal cancer (CRC) patients with obstruction

Abundance in Group 1: decreased abundance in patients with obstruction

NCBI Quality ControlLinks
Aquabacterium
Betaproteobacteria
Burkholderiales
Clostridia
Clostridiaceae
Clostridium
Cupriavidus
Eubacteriales
Fusobacteriaceae
Fusobacteriales
Fusobacteriia
Fusobacteriota
Helicobacteraceae
Leptotrichia
Leptotrichiaceae
Oxalobacteraceae
Pseudomonadota

Revision editor(s): Ese

Experiment 3


Needs review

Curated date: 2025/08/06

Curator: Ese

Revision editor(s): Ese

Differences from previous experiment shown

Subjects

Group 0 name Corresponds to the control (unexposed) group for case-control studies
frozen tumour tissues from patients with no obstruction
Group 1 name Corresponds to the case (exposed) group for case-control studies
frozen tumour tissues from patients with obstruction
Group 1 definition Diagnostic criteria applied to define the specific condition / phenotype represented in the case (exposed) group
Tumour tissues from patients with newly diagnosed obstructed colorectal cancer (CRC), presenting with intestinal obstruction symptoms at the time of admission.
Group 0 sample size Number of subjects in the control (unexposed) group
36
Group 1 sample size Number of subjects in the case (exposed) group
36
Antibiotics exclusion Number of days without antibiotics usage (if applicable) and other antibiotics-related criteria used to exclude participants (if any)
Not specified

Lab analysis

Statistical Analysis

Statistical test
Kruskall-Wallis
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
Not specified
Matched on Factors on which subjects have been matched on in a case-control study
chemotherapy, sex, Matched on: "age at diagnosis" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.age at diagnosis, Matched on: "bmi" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.bmi, Matched on: "TNM stage" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.TNM stage, Matched on: "histological grade" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.histological grade, Matched on: "tumour size" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.tumour size, Matched on: "tumour site" is not in the list (abnormal glucose tolerance, acetaldehyde, acute graft vs. host disease, acute lymphoblastic leukemia, acute myeloid leukemia, adenoma, age, AIDS, alcohol consumption measurement, alcohol drinking, ...) of allowed values.tumour site

Alpha Diversity

Pielou Quantifies how equal the community is numerically
increased
Shannon Estimator of species richness and species evenness: more weight on species richness
increased
Chao1 Abundance-based estimator of species richness
increased
Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
increased
Faith Phylogenetic diversity, takes into account phylogenetic distance of all taxa identified in a sample
increased

Signature 1

Needs review

Curated date: 2025/08/06

Curator: Ese

Revision editor(s): Ese

Source: Figure 6e & 6f

Description: Phylum and genus level differences of microbial taxa of frozen tumour tissues from colorectal cancer (CRC) patients with no obstruction and colorectal cancer (CRC) patients with obstruction

Abundance in Group 1: increased abundance in frozen tumour tissues from patients with obstruction

NCBI Quality ControlLinks
Acidobacteriota
Acinetobacter
Actinomycetota
Armatimonadota
Arthrobacter
Bacillota
Bacteroides
Bacteroidota
Brevundimonas
Caulobacter
Chloroflexia
Cyanobacteriota
Deinococcota
Elusimicrobia
Flavobacterium
Gemmatimonadota
Herbaspirillum
Lactobacillus
Mycoplasmatota
Nitrospirota
Ochrobactrum
Oscillospira
Planctomycetota
Ralstonia
Roseateles
Sphingobium
Synergistes
Thermus
Verrucomicrobiia
OD1OD1
TM7TM7
WPS-2WPS-2

Revision editor(s): Ese

Signature 2

Needs review

Curated date: 2025/08/06

Curator: Ese

Revision editor(s): Ese

Source: Figure 6e & 6f

Description: Phylum and genus level differences of microbial taxa between patients with non-obstructed colorectal cancer and patients with obstructed colorectal cancer

Abundance in Group 1: decreased abundance in frozen tumour tissues from patients with obstruction

NCBI Quality ControlLinks
Clostridium
Cupriavidus
Fusobacteriota
Helicobacter
Leptotrichia
Shigella
Sphingomonas
Pseudomonadota

Revision editor(s): Ese

Experiment 4


Needs review

Curated date: 2025/08/06

Curator: Ese

Revision editor(s): Ese

Differences from previous experiment shown

Subjects

Lab analysis

Statistical Analysis

Statistical test
LEfSe
LDA Score above Threshold for the linear discriminant analysis (LDA) score for studies using the popular LEfSe tool
2.3

Alpha Diversity

Pielou Quantifies how equal the community is numerically
increased
Shannon Estimator of species richness and species evenness: more weight on species richness
increased
Chao1 Abundance-based estimator of species richness
increased
Simpson Estimator of species richness and species evenness: more weight on species evenness
increased
Richness Number of species
increased
Faith Phylogenetic diversity, takes into account phylogenetic distance of all taxa identified in a sample
increased

Signature 1

Needs review

Curated date: 2025/08/07

Curator: Ese

Revision editor(s): Ese

Source: Figure 7c

Description: Linear discriminant analysis effect size (LEfSe) analysis showing significant differences in species diversity between frozen tumour tissues from colorectal cancer (CRC) patients with no obstruction and colorectal cancer (CRC) patients with obstruction

Abundance in Group 1: increased abundance in frozen tumour tissues from patients with obstruction

NCBI Quality ControlLinks
Acidimicrobiia
Acinetobacter
Actinomycetales
Actinomycetota
Actinopolysporaceae
Alistipes
Alkanindiges
Alteromonadales
Anoxybacillus
Arthrobacter
Bacillaceae
Bacillales
Bacilli
Bacillota
Bacteroidota
Barnesiellaceae
Bdellovibrio
Bdellovibrionales
Blastobacter
Brevibacteriaceae
Brevibacterium
Brevundimonas
Butyricicoccus
Butyricimonas
Caulobacteraceae
Caulobacterales
Chromatiaceae
Comamonadaceae
Coprococcus
Coriobacteriaceae
Coriobacteriales
Coriobacteriia
Dehalobacterium
Delftia
Deltaproteobacteria
Desulfovibrionaceae
Enterobacteriaceae
Enterococcaceae bacterium RF39
Finegoldia
Flavobacteriaceae
Flavobacterium
Gammaproteobacteria
Geobacillus
Halomonadaceae
Janthinobacterium
Lactobacillaceae
Lactobacillus
Legionellaceae
Legionellales
Leptothrix
Microbacteriaceae
Microbacterium
Micrococcaceae
Mollicutes
Moraxellaceae
Mycoplana
Mycoplasmatota
Myxococcales
Nitrospira
Nitrospirales
Nitrospirota
Oceanospirillaceae
Odoribacteraceae
Oscillospira
Oscillospiraceae
Phycisphaerae
Phycisphaerales
Planctomycetota
Prevotellaceae
Pseudoalteromonadaceae
Pseudobdellovibrionaceae
Pseudomonadaceae
Pseudomonadales
Pseudomonas
Rikenellaceae
Roseateles
Ruminococcus
Sphingobacteriaceae
Sphingobacteriales
Sphingobacteriia
Sphingobacterium
Sphingobium
Staphylococcaceae
Staphylococcus
Subdoligranulum
Tissierellaceae
Xenorhabdus
BD7_11BD7_11
SM2F09SM2F09
S24_7S24_7
MitochondriaMitochondria
DehalobacteriaceaeDehalobacteriaceae
YRC22YRC22
PseudoburkholderiaceaePseudoburkholderiaceae

Revision editor(s): Ese

Signature 2

Needs review

Curated date: 2025/08/07

Curator: Ese

Revision editor(s): Ese

Source: Figure 7c

Description: Linear discriminant analysis effect size (LEfSe) analysis showing significant differences in species diversity between patients with non-obstructed colorectal cancer and patients with obstructed colorectal cancer

Abundance in Group 1: decreased abundance in frozen tumour tissues from patients with obstruction

NCBI Quality ControlLinks
Aquabacterium
Pseudomonadota

Revision editor(s): Ese