Stage and location related intratumoral microbiota are associated with patient prognosis and immune infiltration in colorectal cancer

Author:

Zhao Mengyu1,Zhang Xiang2,Wang Fuhao2,Hu Xiaoyu2,Xue Zhuang2,Chen Ming2,Yue Jinbo1

Affiliation:

1. Cheeloo College of Medicine, Shandong University

2. Shandong Cancer Hospital and Institute, Shandong First Medical University, Shandong Academy of Medical Sciences

Abstract

Abstract Purpose: The colorectal intratumoral microbiome and its association with immune infiltration remain poorly characterized. Our study aims to investigate the relationship between intratumoral microbiota with immune infiltration, patient prognosis, and potential signal pathways. Methods: We collected biopsy samples of tumor and paracancerous tissue from 92 patients with colorectal cancer (CRC), and acquired microbiota profiling using 16S rRNA sequencing. Meanwhile, the immune markers including CD8, FOXP3, CD163, PD-1 and PD-L1 were stained by immunohistochemistry (IHC) to identify the immune infiltration in tumors. Furthermore, we used The Cancer Genome Atlas databases to conduct analysis on intratumoral flora and patient survival, tumor gene expression profile and potential downstream pathways. Results: We discovered that the β-diversity of bacterial composition differed considerably by CRC stage (early vs.advanced stage, P = 0.049) and location (left vs. right colon, P= 0.04). Stage-related flora cluster (Porphyromonas, Lachnoclostridium, Bacteroides, Aggregatibacter, and Hungatella) were associated with poor prognosis in CRC patients (HR=1.79, P=0.015). By IHC staining, we found that expression of PD-1 and FOXP3 was significantly reduced at low abundance of stage-related bacterial cluster (P<0.05). Besides, tumor-location related flora cluster (Bacteroides and Blautia) were associated with good prognosis in CRC patients (HR=0.52, P=0.011). Expression of CD163 was decreased at high abundance of location-related bacterial cluster (P<0.05). Furthermore, we identified probable pathways connected to three distinct genera (Blautia, Hungatella, and Bacteroides). Conclusion: Our study elucidates the relationships among intratumoral microbiota, immune infiltration, patient prognosis, and potential signal pathways, thereby providing new data for future intratumoral microbiota research.

Publisher

Research Square Platform LLC

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