Patients with familial adenomatous polyposis harbor colonic biofilms containing tumorigenic bacteria.

Patients with familial adenomatous polyposis harbor colonic biofilms containing tumorigenic bacteria.
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DOI:
10.1126/science.aah3648
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发表时间:
2018-02-02
期刊:
Science (New York, N.Y.)
影响因子:
--
通讯作者:
Sears CL
Sears CL
中科院分区:
其他
文献类型:
--
作者:
Dejea CM;Fathi P;Craig JM;Boleij A;Taddese R;Geis AL;Wu X;DeStefano Shields CE;Hechenbleikner EM;Huso DL;Anders RA;Giardiello FM;Wick EC;Wang H;Wu S;Pardoll DM;Housseau F;Sears CL

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Individuals with sporadic colorectal cancer (CRC) frequently harbor abnormalities in the composition of the gut microbiome; however, the microbiota associated with precancerous lesions in hereditary CRC remains largely unknown. We studied colonic mucosa of patients with familial adenomatous polyposis (FAP), who develop benign precursor lesions (polyps) early in life. We identified patchy bacterial biofilms composed predominately of Escherichia coli and Bacteroides fragilis. Genes for colibactin (clbB) and Bacteroides fragilis toxin (bft), encoding secreted oncotoxins, were highly enriched in FAP patients’ colonic mucosa compared to healthy individuals. Tumor-prone mice cocolonized with E. coli (expressing colibactin), and enterotoxigenic B. fragilis showed increased interleukin-17 in the colon and DNA damage in colonic epithelium with faster tumor onset and greater mortality, compared to mice with either bacterial strain alone. These data suggest an unexpected link between early neoplasia of the colon and tumorigenic bacteria.
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