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Intratumoral presence of the genotoxic gut bacteria pks+ E. coli, Enterotoxigenic Bacteroides fragilis, and Fusobacterium nucleatum and their association with clinicopathological and molecular features of colorectal cancer.


ABSTRACT:

Background

This study aimed to investigate clinicopathological and molecular tumour features associated with intratumoral pks+ Escherichia coli (pks+E.coli+), pks+E.coli- (non-E.coli bacteria harbouring the pks island), Enterotoxigenic Bacteroides fragilis (ETBF) and Fusobacterium nucleatum (F. nucleatum).

Methods

We screened 1697 tumour-derived DNA samples from the Australasian Colorectal Cancer Family Registry, Melbourne Collaborative Cohort Study and the ANGELS study using targeted PCR.

Results

Pks+E.coli+ was associated with male sex (P < 0.01) and APC:c.835-8 A > G somatic mutation (P = 0.03). The association between pks+E.coli+ and APC:c.835-8 A > G was specific to early-onset CRCs (diagnosed<45years, P = 0.02). The APC:c.835-A > G was not associated with pks+E.coli- (P = 0.36). F. nucleatum was associated with DNA mismatch repair deficiency (MMRd), BRAF:c.1799T>A p.V600E mutation, CpG island methylator phenotype, proximal tumour location, and high levels of tumour infiltrating lymphocytes (Ps < 0.01). In the stratified analysis by MMRd subgroups, F. nucleatum was associated with Lynch syndrome, MLH1 methylated and double MMR somatic mutated MMRd subgroups (Ps < 0.01).

Conclusion

Intratumoral pks+E.coli+ but not pks+E.coli- are associated with CRCs harbouring the APC:c.835-8 A > G somatic mutation, suggesting that this mutation is specifically related to DNA damage from colibactin-producing E.coli exposures. F. nucleatum was associated with both hereditary and sporadic MMRd subtypes, suggesting the MMRd tumour microenvironment is important for F. nucleatum colonisation irrespective of its cause.

SUBMITTER: Joo JE 

PROVIDER: S-EPMC10912205 | biostudies-literature | 2024 Mar

REPOSITORIES: biostudies-literature

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Publications

Intratumoral presence of the genotoxic gut bacteria pks<sup>+</sup> E. coli, Enterotoxigenic Bacteroides fragilis, and Fusobacterium nucleatum and their association with clinicopathological and molecular features of colorectal cancer.

Joo Jihoon E JE   Chu Yen Lin YL   Georgeson Peter P   Walker Romy R   Mahmood Khalid K   Clendenning Mark M   Meyers Aaron L AL   Como Julia J   Joseland Sharelle S   Preston Susan G SG   Diepenhorst Natalie N   Toner Julie J   Ingle Danielle J DJ   Sherry Norelle L NL   Metz Andrew A   Lynch Brigid M BM   Milne Roger L RL   Southey Melissa C MC   Hopper John L JL   Win Aung Ko AK   Macrae Finlay A FA   Winship Ingrid M IM   Rosty Christophe C   Jenkins Mark A MA   Buchanan Daniel D DD  

British journal of cancer 20240110 5


<h4>Background</h4>This study aimed to investigate clinicopathological and molecular tumour features associated with intratumoral pks<sup>+</sup> Escherichia coli (pks<sup>+</sup>E.coli<sup>+</sup>), pks<sup>+</sup>E.coli<sup>-</sup> (non-E.coli bacteria harbouring the pks island), Enterotoxigenic Bacteroides fragilis (ETBF) and Fusobacterium nucleatum (F. nucleatum).<h4>Methods</h4>We screened 1697 tumour-derived DNA samples from the Australasian Colorectal Cancer Family Registry, Melbourne Col  ...[more]

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