Race-dependent association of sulfidogenic bacteria with colorectal cancer.

Abstract:

OBJECTIVE:Colorectal cancer (CRC) incidence is higher in African Americans (AAs) compared with non-Hispanic whites (NHWs). A diet high in animal protein and fat is an environmental risk factor for CRC development. The intestinal microbiota is postulated to modulate the effects of diet in promoting or preventing CRC. Hydrogen sulfide, produced by autochthonous sulfidogenic bacteria, triggers proinflammatory pathways and hyperproliferation, and is genotoxic. We hypothesised that sulfidogenic bacterial abundance in colonic mucosa may be an environmental CRC risk factor that distinguishes AA and NHW. DESIGN:Colonic biopsies from uninvolved or healthy mucosa from CRC cases and tumour-free controls were collected prospectively from five medical centres in Chicago for association studies. Sulfidogenic bacterial abundance in uninvolved colonic mucosa of AA and NHW CRC cases was compared with normal mucosa of AA and NHW controls. In addition, 16S rDNA sequencing was performed in AA cases and controls. Correlations were examined among bacterial targets, race, disease status and dietary intake. RESULTS:AAs harboured a greater abundance of sulfidogenic bacteria compared with NHWs regardless of disease status. Bilophila wadsworthia-specific dsrA was more abundant in AA cases than controls. Linear discriminant analysis of 16S rRNA gene sequences revealed five sulfidogenic genera that were more abundant in AA cases. Fat and protein intake and daily servings of meat were significantly higher in AAs compared with NHWs, and multiple dietary components correlated with a higher abundance of sulfidogenic bacteria. CONCLUSIONS:These results implicate sulfidogenic bacteria as a potential environmental risk factor contributing to CRC development in AAs.

journal_name

Gut

journal_title

Gut

authors

Yazici C,Wolf PG,Kim H,Cross TL,Vermillion K,Carroll T,Augustus GJ,Mutlu E,Tussing-Humphreys L,Braunschweig C,Xicola RM,Jung B,Llor X,Ellis NA,Gaskins HR

doi

10.1136/gutjnl-2016-313321

subject

Has Abstract

pub_date

2017-11-01 00:00:00

pages

1983-1994

issue

11

eissn

0017-5749

issn

1468-3288

pii

gutjnl-2016-313321

journal_volume

66

pub_type

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