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. 2024 Jun 17;73(12):e332815. doi: 10.1136/gutjnl-2024-332815

Table 1. Diagnostic models of non-Helicobacter pylori microbiota for gastric cancer (GC).

Population Country/region Disease Sequencing method Sample source Signature composition AUC score Reference
207 cases of SG, AG, IM or GC China GC vs SG 16S rRNA Gastric biopsy Peptostreptococcus, Streptococcus, Parvimonas, etc 0.81–0.82 7
173 cases of GC or CG Portugal GC vs CG 16S rRNA Gastric biopsy Microbial dysbiosis index 0.89–0.91 17
27 cases of GC, IM or gastritis Taiwan GC vs non-cancer 16S rRNA Gastric biopsy Clostridium colicanis, Fusobacterium nucleatum, Lactobacillus gasseri, etc 0.94 25
204 cases of GC or healthy controls China GC vs healthy control 16S rRNA Stool Lactobacillus, Tyzzerella, Veillonella, etc 0.95 44
293 cases of SG, AG or GC China GC vs non-malignant lesions 16S rRNA Saliva Random forest model 0.91 40
148 cases of SG or gastric precancerous lesions China Gastric precancerous lesions vs SG 16S rRNA Gastric biopsy Rhodococcus, Muribaculaceae, Alloprevotella, etc. 0.79 23
Stool Prevotella, Ruminococcus 0.65
50 cases of GC or SG China GC vs non-cancer 16S rRNA Gastric biopsy Microbial dysbiosis index 0.87 26
98 cases of GC or healthy controls China GC vs healthy 16S rRNA Stool Streptococcus 0.84 29
198 cases of GC, gastritis and healthy individuals China GC vs non-cancer 16S rRNA Stool Random forest model 0.91 45
55 cases of GC or healthy controls China GC vs healthy controls ITS rDNA Gastric biopsy Candida albicans 0.74 52
179 cases of SG, IM or GC China GC vs non-cancer 16S rRNA Gastric biopsy Random forest model (Lactobacillus, Gemella, Enterococcus, etc) 0.94 37
96 cases of SG, IM or GC China Gastric fluid Random forest model (Ochrobactrum, Lactobacillus, Eubacterium, etc) 0.83
83 cases of GC or CG China GC vs CG 16S rRNA Gastric biopsy Oceanobacter 0.91 18
Methylobacterium 0.77
Syntrophomonas 0.94
43 cases of SG, IM or early gastric neoplasia Singapore Early gastric neoplasia vs without early gastric neoplasia 16S rRNA Gastric biopsy Moryella, Vibro, Comamonadaceae, etc 0.82 62
33 cases of GC or healthy controls China GC vs healthy control ITS rDNA Gastric biopsy Cystobasidium, Cutaneotrichosporon, Apodus, Apiotrichum, etc 0.82–1.00 53
146 cases of GC or healthy control China GC vs healthy control 16S rRNA Oral swab Optimal OTU marker set 0.82 42
Stool 0.94
1043 cases of early-stage GC or CG China Early-stage GC vs CG 16S rRNA Gastric biopsy Streptococcus anginosus, S. constellatus 0.80–0.87 33
Advanced-stage GC vs CG Stool S. anginosus, S. constellatus 0.84–0.89
1270 cases of SG, AG, IM, IN or GC Meta-analysis GC vs SG 16S rRNA Gastric biopsy Random forest model (Acinetobacter, Peptostreptococcus, Lactobacillus, etc) 0.96 28
2198 cases of GC, IM and gastritis Meta-analysis GC vs non-cancer 16S rRNA Gastric biopsy Random forest model 0.91 34
Gastric fluid 0.80

AGatrophic gastritisAUCarea under the curveCGchronic gastritisIMintestinal metaplasiaINintraepithelial neoplasiaITSinternal transcribed spacerOTUoperational taxonomic unitSGsuperficial gastritis