Published online Feb 14, 2020. doi: 10.3748/wjg.v26.i6.614
Peer-review started: August 13, 2019
First decision: October 14, 2019
Revised: December 25, 2019
Accepted: January 11, 2020
Article in press: January 11, 2020
Published online: February 14, 2020
Processing time: 185 Days and 2.6 Hours
Colorectal adenomas (CRAs) are major precancerous lesions in colorectal cancer (CRC), which can greatly reduce the incidence and mortality of CRC and improve the quality of patient life. At present, many scholars have begun to study the relationship between intestinal flora and CRA. This paper provides a future direction for the prevention and treatment of by measuring the composition and diversity of intestinal flora in CRA patients, as well as the biomarkers related to it.
In order to further study the mechanism of CRC and its precancerous lesion CRA, the composition and diversity of intestinal flora in patients with CRA were determined by 16S rRNA gene sequencing, and the related biomarkers were also determined. However, the results obtained in this study need to be further verified in the population, and the relationship between the screened biomarkers and the host needs to be further confirmed.
This study found that the diversity of intestinal flora decreased in patients with CRA, and an increase in the number of Halomonadaceae and Shewanella algae may be a marker of CRA, a finding that provides new insights into the mechanism of CRA and CRC, and their development in the future.
The intestinal flora composition of 36 healthy people and 49 patients with advanced CRA in Guangzhou First People’s Hospital was studied by 16s rRNA gene sequencing. The operational taxonomic unit and its abundance analysis, sample diversity analysis, principal component analysis of samples, differential analysis, and analysis of biomarkers were performed via bioinformatics analysis.
This study found that the diversity of intestinal flora decreased in patients with CRA, and that an increase in the number of Halomonadaceae and Shewanella algae may be a marker of CRA. However, the results of this study need to be further verified in the population, and the relationship between the selected biomarkers and the host needs to be further confirmed.
CRA is the main precancerous lesion in CRC. In this study, the composition and diversity of intestinal flora in CRA patients were measured by 16s rRNA gene sequencing and bioinformatics. It was found that the diversity of intestinal flora in CRA patients decreased, and that an increase in Halomonadaceae and Shewanella algae may be a biomarker of CRA. However, the results obtained in this study need to be further verified in the population, and the relationship between the selected biomarkers and the host also needs to be further confirmed. This finding provides new ideas for the future study of the mechanism of CRA and CRC.
This study confirmed the difference in intestinal flora between normal people and CRA patients, and identified possible biomarkers. On this basis, future studies will further confirm the correlation, expand the sample size, and further study the interaction between biomarkers and hosts.