Volume 10, Issue 3 p. 789-798

Culture-independent analysis of the gut microbiota in colorectal cancer and polyposis

Pauline D. Scanlan

Pauline D. Scanlan

Departments of Microbiology and

Alimentary Pharmabiotic Centre, University College Cork, Cork, Ireland.

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Fergus Shanahan

Fergus Shanahan

Departments of Microbiology and

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Yvonne Clune

Yvonne Clune

Departments of Microbiology and

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John K. Collins

John K. Collins

Departments of Microbiology and

Alimentary Pharmabiotic Centre, University College Cork, Cork, Ireland.

Medicine, University College Cork, Cork, Ireland.

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Gerald C. O'Sullivan

Gerald C. O'Sullivan

Cork Cancer Research Centre, Mercy University Hospital, Cork, Ireland.

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Micheal O'Riordan

Micheal O'Riordan

The Mercy University Hospital, University College Cork, Cork, Ireland.

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Elaine Holmes

Elaine Holmes

Department of Biomolecular Medicine, SORA Division, Faculty of Medicine, Imperial College London, Sir Alexander Fleming Building, South Kensington, London SW7 2AZ, UK.

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Yulan Wang

Yulan Wang

Department of Biomolecular Medicine, SORA Division, Faculty of Medicine, Imperial College London, Sir Alexander Fleming Building, South Kensington, London SW7 2AZ, UK.

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Julian R. Marchesi

Corresponding Author

Julian R. Marchesi

Departments of Microbiology and

Alimentary Pharmabiotic Centre, University College Cork, Cork, Ireland.

*E-mail [email protected]; Tel. +353 21 49028220; Fax +353 21 4903101.Search for more papers by this author
First published: 25 January 2008
Citations: 188

Summary

A role for the intestinal microbiota is routinely cited as a potential aetiological factor in colorectal cancer initiation and progression. As the majority of bacteria in the gut are refractory to culture we investigated this ecosystem in subjects with colorectal cancer and with adenomatous polyposis who are at high risk of developing colorectal cancer, using culture-independent methods. Twenty colorectal cancer and 20 polypectomized volunteers were chosen for this analysis. An exploration of the diversity and temporal stability of the dominant bacteria and several bacterial subgroups was undertaken using 16S rRNA gene denaturing gradient gel electrophoresis and ribosomal intergenic spacer analysis (RISA). Metabonomic analysis of the distal gut microbiota's environment was also undertaken. A significantly reduced temporal stability and increased diversity for the microbiota of subjects with colorectal cancer and polyposis was evident. A significantly increased diversity of the Clostridium leptum and C. coccoides subgroups was also noted for both disease groups. A clear division in the metabonome was observed for the colorectal cancer and polypectomized subjects compared with control volunteers. The intestinal microbiota and their metabolites are significantly altered in both colorectal cancer and polypectomized subjects compared with controls.