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. 2021 Sep 23;12(1):7046–7060. doi: 10.1080/21655979.2021.1972077

The gut microbial diversity of colon cancer patients and the clinical significance

Tengfei He 1,*, Xiaohui Cheng 1,*, Chungen Xing 1,
PMCID: PMC8806656  PMID: 34551683

ABSTRACT

The microbial diversity and communities in the excrement of healthy and patients suffered from cancer were identified by 16SrDNA sequencing performed on the Illumina Hi Seq sequencing platform. The microbial difference was also analyzed. The sequencing results showed high quality of the data, and the microbial communities were more various in the excrement of cancer patients. And the abundance of Firmicutes phylum was significantly reduced in cancer group. The phylum of Fermicutes, Bacteroidetes in cancer group are significantly down-regulated and up-regulated compared with normal group. The species of Faecalibacterium prausnitzii, Bateroides vulgatus and Fusicatenibacter saccharivorans are significantly lower in cancer group than that in normal group (P< 0.05). The species of Prevetella copri, M. uniformis, and Escherichia coli are significantly higher in the cancer group than that in normal group. The comparative results indicated that beneficial bacterium significantly decreased in colorectal cancer (CRC) group, and harmful bacterium significantly increased in the colon cancer group, meanwhile the acidity, sugar increased whereas the oxygen content decreased to facilitate the growth of harmful bacterium. The results would provide microbial approaches for the treatment of colon cancer by the intake of beneficial microbial communities.

KEYWORDS: Colon cancer, microbial diversity, harmful bacteria, beneficial bacteria

1. Introduction

As the development of microbiome, more and more microbes were excavated from the gut of health crowd and patients suffered from cancer and other metabolic diseases such as Diabetes, gout, osteoporosis, vitamin D deficiency, hyperlipidemia [1–3]. And the great difference of microbial diversity and communities in healthy crowd and patients were demonstrated. And gut microbes played an important role in the development and progress of diseases [4,5]. The physiological function of gut microbial communities is closely associated with the human health. It was reported that the alteration of the microbial communities have a close relationship with the infection of human papillomavirus [6]. Fusobacterium hwasooki and Porphyromonas gingivalis were reported as harmful gut microbial that play a role in the occurrence and the development of colorectal cancer (CRC). Researchers at Harvard Medical School and the Jocelyn Diabetes Center have analyzed the genetic makeup of bacteria in the human gut, we also looked at the bacterial genome (genetic characteristics) in relation to arteriosclerosis cardiovascular disease, cirrhosis, inflammatory bowel disease, colorectal cancer, and Type 2 diabetes. Data from microbiome-disease Association studies at the genetic level suggest that coronary artery disease, IBD, and cirrhosis share many of the same bacterial genes. In other words, people whose Gut Microbiota contains the same collection of bacteria seem to be more likely to have one or more of these three conditions. Recent research suggests that microbes in the human gut may play a role in everything from obesity to cancer [7–9]. It was reported that anti-inflammatory factors, compounds with analgestic activity such as γ-aminobutyric (GABA), antioxidants and vitamins can be produced by gut microbes to protect human body. Meanwhile, some prebiotics can also yield antibiotics to inhibit the growth of harmful bacteria that can produce toxins causing chronic disease [7–9].

There are differences in the number, structure, abundance, and physiological state of microbes among individuals [10]. Bacteroides and Firmicutes sp. are the most common among the normal gut microbes, which accounted for 90% [11], and other fewer microbes were actinomycetes [12] and proteobacteria [13], etc. Gut microbes can live in different parts of human beings. And the metabolism of specific microbes and thereof produced metabolites can affect the balance of intestinal environment. Meanwhile, there is a close and mutually beneficial symbiosis between the intestinal microbes and the host. In turn, the host can also affect the communities and function of gut microbes [14,15]. The gut microbial communites of C57BL/6 J mice with high-fat diet were also significantly altered by calcium supplement [16]. Colorectal is an important digestive organ in human body, which has the function of digestion and nutrition intake. It also play the role of metabolism and the storage of food residues. However, the residue and some acids, phenols, and other carcinogens produced by metabolism can be the pathogen for intestinal [17–19]. Thus, the integrity of the barrier for the intestinal, as well as the immune system, etc., would be invaded and destroyed, and the risk of exposure would increase [20–22]. Colorectal cancer is a common type of loss of body mass. Chronic and recurrent elimination of mild and severe diarrhea and abdominal pain [23–25], which usually occurs in the ileum, colon, and rectum. The successful inoculation of gut microbiota to C57BL/6 mice administrated with antibiotics ahead was performed, thus resulting in the transmission of obese mice to lean mice. The results suggested the important physilogical role of gut microbes for hosts [26–28].

In this study, the microbial diversity and composition of the excrement from 73 healthy crowd and 60 patients suffered from colon cancer were analyzed by 16SrDNA sequencing on Illumina sequencing platform. The sequencing quality and composition, diversity of gut microbial were also analyzed. The microbial diversity and abundance of the fecal sample from healthy people and CRC patients were firstly analyzed, thus providing clues for the prevention and treatment of colon cancer by the inoculation of beneficial microbes and reducing the abundance of harmful bacteria.

2. Materials and methods

2.1. The patients and groups

61 patients and 72 normal crowds were divided into two groups. The excrement of the two individual groups were collected.

2.2. The DNA extraction

The DNAs of gut microbes from the excrement of different groups were extracted using the genome DNA extraction kit (Umagen, Guangzhou), and then stored in −80°C until using.

2.3. The 16SrDNA sequencing

DNA extracted from the fecal samples was used to amplify the V3-V4 region of 16A rRNA gene to determine the gut bacterial community structure. Primer set 341 F (5ʹ-ACTCCTCCGGGAGGCAGCAG-3ʹ) /806 R (5ʹ-GGACTACGCGGGTATCTAAT-3ʹ) using prime STAR HS mix (Takara, Japan) was employed to target the V3-V4 region. And the amplification condition was as following: Pre-denaturation at 95° C 3 min; 95° C denaturation 30 s 55° C annealing 30 s 72° C extension 30 s. A total of 29 cycles, 72° C extension for 5 min, 4° C storage. The amplified products were further subjected to library preparation and sequencing on the Illumina MiSeq platform as per the manufaturer’ s instructions (Illumina Technologies, USA).

2.4. The data analysis

The raw fastq files obtained by Illumina sequencing machine (Illumina Hiseq2500, USA) were quality-filtered using the Trimmomatic, vsearch, etc. The high quality sequence were used for community structure analysis using QIIME pipeline. Operational taxonomic unit (OTU) picking method was carried out using UCLUST closed reference method, and the representative OTUs were assigned taxonomy using UCLUST classifier with SILVA database (version 132) as reference dataset. Alpha and beta diversity analysis were performed, and further statistical analysis was carried out using R.

2.5. Dilution curve and relative abundance analysis of species.

Random sampling of OTU sequences and analysis of sequence numbers and OTU numbers were performed to prepare the dilution curve and to analyze the relative abundance of species.

2.6. Analysis of the composition of intestinal microbial colonies

Using Qiime software, and according to the results of OTU classification, the intestines of mice in each group were compared. The composition of trace microorganisms was analyzed, which were classified from phylum, family, genus and so on to understand the changes of the composition and structure of intestinal microorganisms in each group.

2.7. Similarity analysis between groups

Principal coordinate analysis (principal co-ordinates analysis,PCoA). It is a method to study the similarity between data by analyzing the distance and matrix of data. The visualization method of difference. All samples were obtained by UniFrac analysis. distance, matrix data, and then PCoA, to understand the intestinal microcosm of each group of mice to investigate the similarity between biological communities.

3. Results and discussion

3.1. Analysis of relative abundance of species

The relative abundance of species were analyzed based on the dilution curve and OTU data.

3.1.1. Dilution and abundance curve analysis

The sequencing data indicated that the lengths of most reads are 450–500 bp (Fig. S1). The dilution curve can directly reflect the rationality of the collected sample. And the collected samples are enough to reflect the microbial diversity (Figure 1). The relative abundance curve was also depicted, which can reflect the abundance and uniformity of sequencing. Abscissa indicates that the relative abundance of OTU is arranged in descending order. The ordinate represents the relative abundance of the sequence number in the OTU. The species sequence number of sequence samples is mainly distributed in the range of 2000 to 8000, and the composition and distribution are evenly distributed.

Figure 1.

Figure 1.

The dilution curve of 16SrRNA sequencing

3.1.2. Microbial diversity analysis

In this study, the indexes of Chao1, ACE value, Shannon index, and Good’s coverage to reflect the relative abundance and microbial diversity of different groups, which is positivly related to the abundance of species. The sequencing depth can be reflected by Good’s coverage. The data analysis results are listed in Table 1. The results show that the Chao1 index, ACE value, and Shannon index are significantly lower in cancer group (PRS011180031-PRS011190156) than that in normal group (P< 0.05) (Figure 2(a-c)), suggesting that the microbial diversity and abundance decreased in colon cancer group than that in normal group. Meanwhile, the simpson index was nearly 1.0, indicating the credibility of the sequencing in this study (Figure 2(d)).

Table 1.

The difference in the microbial diversity for various samples

Sample chao1 ace shannon simpson Goods coverage
PRS003180203 465,532.482 31,924 12.6546204 0.998110428 0.517772971
PRS003180213 233,719.2382 12,673 10.73463684 0.994446881 0.600833557
PRS003180286 218,107.1037 11,307 10.19166246 0.991549818 0.662018677
PRS003180321 225,192.6257 13,631 10.44462215 0.991047173 0.629987486
PRS003180355 304,597.2356 11,533 10.74163224 0.990013975 0.521784322
PRS003180370 614,854.7737 40,135 10.74663671 0.994512319 0.730552037
PRS003180537 139,287.3146 9049 10.64491914 0.995292988 0.60261114
PRS003180630 159,341.0714 16,733 11.14302284 0.994726355 0.635094933
PRS003180719 145,550.6242 9871 10.39812098 0.995182456 0.674261084
PRS003180889 98,677.12625 8315 10.604919 0.994978796 0.65087329
PRS003181060 335,689.0135 16,263 11.50960825 0.996744076 0.545118343
PRS003181177 352,348.3471 19,105 10.4228873 0.993901395 0.688733688
PRS00318,1447 279,027.5412 14,945 10.17357908 0.992681165 0.722352376
PRS003181961 310,907.2935 19,940 10.36600926 0.990868153 0.680553187
PRS003181975 394,331.7158 21,815 10.04326352 0.969377997 0.633374844
PRS003181980 275,424.7667 14,611 11.35735838 0.995204688 0.546165055
PRS003182008 305,447.8385 12,966 10.84527414 0.989822548 0.534761779
PRS003182084 237,554.356 21,498 10.05593133 0.990499529 0.722587673
PRS003182106 215,452.8772 12,537 10.73975758 0.994750426 0.619111489
PRS003182148 392,212.1368 19,335 10.40875339 0.989710112 0.662071521
PRS003182152 215,140.7652 15,298 11.18852816 0.996322022 0.618722019
PRS003182157 539,259.7014 31,387 10.40940252 0.994409167 0.773546381
PRS003182221 269,572.96 14,898 10.03266343 0.985555227 0.707832153
PRS003182255 399,385.0083 17,332 11.73012829 0.995691872 0.466103057
PRS003182303 268,500.4111 14,102 11.22673428 0.995568743 0.563084962
PRS003182324 596,943.9703 29,174 10.98088177 0.993106574 0.641048613
PRS003182327 229,210.8485 12,013 11.14013822 0.993824702 0.50175454
PRS003182334 632,743.438 28,500 11.78733968 0.996660699 0.586240666
PRS003182406 360,660.2927 19,562 10.43784447 0.994164176 0.701685256
PRS003182420 342,385.1175 20,764 12.06769246 0.997871707 0.529787543
PRS003182434 289,743.1182 20,836 10.26613265 0.99019213 0.696341003
PRS003182435 233,227.0714 12,501 11.07709265 0.995129411 0.567871039
PRS003182436 590,320.625 24,889 11.30458562 0.9962204 0.618971009
PRS003182477 171,799.4333 10,571 10.18376273 0.985136059 0.607360984
PRS003182631 291,347.7543 21,016 11.04816524 0.995576651 0.681356767
PRS003182644 346,214.7023 23,543 10.73157013 0.994009545 0.683048135
PRS003182683 178,464.1861 9337 11.1845093 0.994690968 0.4497697
PRS003182702 242,566.7808 23,532 10.25956035 0.98795139 0.676271997
PRS003182738 171,159.4007 10,395 11.31314137 0.996557309 0.507872016
PRS003182791 699,346.3675 31,337 11.92213393 0.997340793 0.587047846
PRS003182815 397,242.3276 22,104 12.23628509 0.997470616 0.483983476
PRS003182826 298,028.243 14,381 11.34323623 0.996577767 0.563070647
PRS003182836 104,546.1355 7702 10.09838439 0.991563543 0.646650451
PRS003182872 383,627.7097 15,894 11.07484546 0.996000571 0.595564603
PRS003182918 273,324.6111 15,691 10.06970629 0.989080839 0.693608273
PRS003182944 336,169.525 16,989 10.17608775 0.991950121 0.699109379
PRS003182985 303,712.041 21,491 11.70809006 0.996623794 0.571796026
PRS003183005 584,834.4059 28,139 11.00547552 0.994660297 0.651905239
PRS003183009 164,548.1452 9225 10.04100103 0.990024562 0.60791155
PRS003183101 282,717.3834 16,653 10.09243671 0.992512437 0.73559194
PRS003183107 341,602.9459 16,861 10.76306959 0.995660996 0.651749479
PRS003183130 326,478.175 16,774 11.11482372 0.99570391 0.607054594
PRS003183140 381,536.1734 16,778 10.52628734 0.989598491 0.639678868
PRS003183141 315,178.1214 19,691 10.13093233 0.991834243 0.763657538
PRS003190020 125,035.6 10,441 10.59998128 0.995905504 0.679319997
PRS003190045 388,239.5865 19,182 10.26353288 0.992794124 0.700899414
PRS005180319 230,334.0034 11,987 10.48081691 0.994396578 0.633515696
PRS005180395 268,002.6098 16,882 11.33923989 0.996956819 0.616070338
PRS005190005 491,309.4262 23,687 11.16465673 0.994214455 0.594053693
PRS005190024 341,146.0084 16,090 11.56998129 0.99617468 0.512963141
PRS005190041 594,525.2243 26,104 11.24869466 0.994902489 0.615001161
PRS005190085 287,135.8525 15,106 10.75508195 0.993882991 0.605056694
PRS005190205 649,791.6883 26,051 12.03317707 0.996942508 0.533566315
PRS005190232 248,400.878 14,142 10.39283197 0.994458551 0.691033413
PRS005190258 346,621.5288 17,201 11.64684099 0.996632016 0.533423499
PRS011180031 64,262.16393 5197 9.887579266 0.992119657 0.64028777
PRS011180032 85,943.77103 6326 9.136546124 0.983765772 0.682406702
PRS011180035 236,804.4832 12,296 11.6171148 0.996065842 0.475207549
PRS011180036 75,722.20109 7683 7.168333758 0.964117302 0.838910134
PRS011180037 220,865.5287 15,583 9.265160222 0.980519408 0.707182431
PRS011180038 160,049.7338 7192 8.237580547 0.973594611 0.726961643
PRS011180043 425,211.5528 21,854 11.27377169 0.99567217 0.604853812
PRS011180044 94,704.85714 7269 8.304615581 0.964023195 0.786747459
PRS011180046 90,466.38746 8436 9.511839248 0.987638066 0.707146716
PRS011180047 87,005.16183 6958 8.729004523 0.980344757 0.783138419
PRS011180051 67,148.85401 4520 9.285895046 0.989475171 0.664941367
PRS011180052 20,422.1828 3086 8.634190534 0.978167601 0.754352031
PRS011180054 574,925.887 33,586 11.691358 0.996784344 0.625560803
PRS011180055 461,765.6047 19,367 11.63715721 0.996590466 0.526702133
PRS011180057 305,024.7576 20,323 12.32671211 0.998393336 0.5198093
PRS011180058 110,921.3333 7118 8.39798555 0.967591575 0.761348331
PRS011180059 66,538.80488 5551 6.48635028 0.895188023 0.831565121
PRS011180060 386,193.7268 22,783 12.04837569 0.997385202 0.550595175
PRS011180066 195,048.1481 8981 7.84724589 0.958793519 0.810856524
PRS011180067 380,468.2678 21,975 11.60208438 0.996638515 0.594575416
PRS011180068 542,793.6898 19,442 10.30752463 0.984075112 0.620418635
PRS011180069 261,120.3357 12,440 9.590069864 0.991593232 0.728287037
PRS011180070 689,919.5835 34,945 10.80145799 0.990836322 0.642764616
PRS011180072 524,984.0015 26,748 11.29199535 0.99471497 0.596826101
PRS011180078 69,914.2125 6008 10.7441622 0.993975275 0.476465028
PRS011180079 230,548 12,703 9.541590648 0.991286583 0.747672709
PRS011180102 182,731.662 10,548 11.28932894 0.990956285 0.442150151
PRS011180107 106,210.454 8734 11.62398323 0.995762233 0.398128898
PRS011190033 188,907.5636 9644 5.648068475 0.848307869 0.817487401
PRS011190034 242,943.8536 18144 10.66967616 0.995304215 0.718766478
PRS011190036 220,054.7383 11,013 10.44023202 0.993466305 0.613868777
PRS011190038 894,834.6655 33,114 12.3842141 0.996700044 0.506889275
PRS011190042 43,463.4 3777 10.41313542 0.994667764 0.503802281
PRS011190044 363,918.2683 14,926 9.810560659 0.990894205 0.71769915
PRS011190055 261,325.8482 19,705 10.2309785 0.993050148 0.749631832
PRS011190057 828,643.5782 39,055 10.44550063 0.989724884 0.666408476
PRS011190087 172,577.6552 10,504 9.445859714 0.98877041 0.747144422
PRS011190088 534,431.2091 34,741 10.1048923 0.986772659 0.754376529
PRS011190090 153,774.5263 10,731 7.296319463 0.963680301 0.875148302
PRS011190092 233,955.0833 13,654 9.691413105 0.987397556 0.693517499
PRS011190093 139,194.6857 9865 10.02947153 0.992555857 0.698778697
PRS011190094 64,136.88125 4691 5.943457229 0.900246435 0.852789308
PRS011190095 290,903.3881 17,858 8.927755101 0.985846057 0.810062447
PRS011190096 177,124.537 10,329 10.20108653 0.994370239 0.692340108
PRS011190097 108,865.7355 9253 9.034766948 0.988546944 0.807585934
PRS011190098 174,626.4929 10,353 8.239010603 0.97473656 0.801795495
PRS011190100 101,084.0058 6034 8.572465559 0.974370161 0.661542114
PRS011190106 698,727.9804 32,328 10.52078432 0.992513509 0.683749309
PRS011190121 205,549.1195 10,000 10.74579764 0.994243261 0.561882572
PRS011190123 349,343.9669 13,392 8.703346137 0.976401474 0.75809083
PRS011190124 280,153.563 11,921 9.310458486 0.98105931 0.697755904
PRS011190131 49,762.4931 7794 9.788545863 0.984604568 0.721850352
PRS011190137 249,747.2893 14,001 8.508122284 0.96958457 0.776507969
PRS011190138 228,450.4482 14,255 10.38632021 0.99347063 0.655905654
PRS011190139 309,862.6235 16,893 10.88363999 0.993927705 0.633315519
PRS011190142 184,181.2813 11,978 10.64687095 0.994255115 0.643379971
PRS011190145 450,580.0627 19,078 9.889177666 0.990139036 0.711366884
PRS011190153 697,677.665 38,633 11.47743836 0.996319024 0.677486409
PRS011190156 60,483.30556 5459 9.322985272 0.980718268 0.683848797
PRS011190159 165,174.5691 10,533 8.324783521 0.977780258 0.783931443
PRS016180405 866,770.4219 32,273 12.70927509 0.997247377 0.446479577
PRS016180416 284,157.4159 18,017 10.95751084 0.994308708 0.600912469
PRS016180421 251,442.5074 14,713 11.17862028 0.994730646 0.555822521
PRS016180432 246,327 15,085 11.5781907 0.995493445 0.510062937
PRS016180448 201,571.8341 9309 11.95532019 0.99781867 0.336496787
PRS016180483 180,284.4124 13,731 10.45884079 0.987114267 0.613306562
PRS016180493 203,891.1202 15,445 10.63845888 0.990891798 0.618039882
PRS016180503 322,787.6685 22,210 11.67960605 0.99557296 0.535865728
Figure 2.

Figure 2.

Microbial diverisity of normal group and colon cancer group

3.2. The composition analysis of gut microbes

The composition of the gut microbes in excrement of normal group and colon cancer group is analyzed based on the levels of phylum, class, genus and species, which was according to the sequencing data.

3.2.1. Phylumbased microbial communities analysis

The phylum-based comparative microbial communities analysis was analyzed (Fig. S2A). The results indicated that the most dominant phylum in cancer and normal groups are Bacteroidetes, Fermicutes, respectively, and the abundances of phylums of Fermicutes, Bacteroidetes in cancer group are significantly down-regulated and up-regulated compared with normal group, respectively. And the abundances of the phylums of Proteobbacteria and Fusobacteria were also significantly up-regulated in cancer group compared with normal group (P< 0.05). The abundances of Classes including Clostridia, Bacteroidia, and Negativicutes are the highest in normal group, whereas classes including Clostridia, Bacteroidia, and Baccilli are the highest in colon cancer group.

3.2.2. Class and order based microbial communities analysis

According to the class-based comparative microbial communities analysis (Fig. S2B), the class of Clostridia was significantly less in cancer group than that in normal group (P< 0.05). Meanwhile, the abundances of the classes including Negativicutes, Gammaproteobacteria, Bacilli, Actinobacteria are significantly higher in cancer group than that in normal group (P< 0.05). As shown in Fig. S2C, the abundances of orders including Clostridiales, Bacteroidales and Selenomonadales are the highest in normal group, whereas classes of Clostridiales, Bacteroidales and Lactobacillales are of the most abundance in cancer group. The Clostridiales class is significantly lower in colon cancer group, and the classes of Selenomonadale, Enterobacteriales, and Lactobacillales are significantly up-regulated in colon cancer group than that in normal group.

3.2.3. Genus and species-based microbial communities analysis

The comparative map for the different microbial communities in normal and cancer groups was depicted. The family-based differential map indicated that the abundance of the families of Lachnospiraceae, Bacteroidaceae, and Ruminococcaceae are significantly down-regulated in colon cancer group. And families including Prevotellaceae, Veillonellaceae, and Enterobacteriaaceae are significantly higher in cancer group than that in normal group (Figure 3(a)). As shown in Figure 3(b), the most dominant genus in cancer group and normal group are Bacteroides, Prevotelia, Faecalibacterium, and Blautia. And the genus of Bacteroides, Faecalibacterium, and Roseburia in colon cancer group are significantly higher in normal group than that in normal group. And genus of Prevotella and Blautia in colon cancer group are significantly higher than that in normal group. The comparative species map of the two groups were depicted. The dominant species in the two groups are Faecalibacterium prausnitzii, Prevotella copri, and Bateroides vulgatus. The species of Faecalibacterium prausnitzii, Bateroides vulgatus, and Fusicatenibacter saccharivorans are significantly lower in cancer group than that in normal group (P< 0.05). The species of Prevetella copri and Escherichia coli are significantly higher in cancer group than that in normal group.

Figure 3.

Figure 3.

The microbial difference in normal group and colon cancer groups based on family (a); genus (b) and species (c)

Beneficial bacteria including Bifidobacterium adolescent, Bifidobacterium Longum, Faecalibacterium prausnitzii, Roseburia faeci, and Fusicatenibacter Scharivorans were involved in the synthesis and consumption of neurotransmitters, and the contents of some microbial neuroactive metabolites also increased significantly. The intake of these beneficial bacteria can relieve the stress of the subjects. The contents of these beneficial species were significantly decreased in the colon cancer group compared with the normal group.

3.3. The heatmap analysis

The heatmap based on different levels between cancer group and normal group is depicted. The heatmap based on phylum showed that the phylum of Firmicutes, Bacteroidetes, Proteobacteria, and Actinobacteria showed significant difference (P< 0.05). And partly samples of the two groups also showed significant difference (Fig. S3A). As shown in Fig. S3B, classes including Negativicutes, Clostridia, Bacteroidia, Gammaproteobacteria, Bacilli, Actinobacteria, Betaproteobacteria, and Erysipelotrichia showed significant difference between the cancer group and normal group. And the order of Selenomonadales, Clostridales, and Bacteroidales showed the most significant difference between the two groups (Fig. S3C). And partly samples from the two groups also showed significant difference in the order of Enterobacteriales, Bifidobacteriales, Lactobacillales, Coriobacteriales, B urkholderiales, and Erysipelotrichales.

The abundance of the family of Bacteroidaceae, Lachnospiraceae, and Ruminococcaceae in the normal group and cancer group showed very significant difference (P< 0.01), and the abundances of Prevotellaceae, Veillonellaceae, Coriobacteriaceae, Enterobacteriaceae, Clostridiaceae, Bifdobacteriaceae, Streptococcaceae, Peptostreptococcaceae, Eryipelotrichaceae, Acidaminococcaceae, Rikenellaceae, Burkholderiaceae, Tannerellaceae are relatively high (Figure 4(a)). The genus differential map indicated that the genus of Prevotella, Bacteroides, Roseburia, Faecalibacerium, Blautia showed very significant difference in normal group and cancer group (P< 0.01), meanwhile, the abundance of genus of Clostridium, Sporobacter, Colinsella, Phasolarctobacterium, Acidaminococcus, Parasutterella, Romboutsia, Streptococcus, Parabacteroides, Erysipelatoclostridium, Pseudobutyrivibrio, Oscillibacter, Butricicoccus, Lachnoclostridium, Lactonifactor, Hespellia, Bifidobacterium, Subdoligranulum, Alistipes, Intestinimonas, Herbinix, Mobilitalea, Hungatella, Dorea, Coprococcus, Ruminococcus, Lachnospira, Anaeostipes, Fusicatenibacter, and Anaerocolumna showed a significant difference (P< 0.05) (Figure 4(b)). And the abundance of the species of Megamonas funiformis, Bateroides coprocola, Escherichia coli, Prevotella copri, Ruminococcus albus, Alistipes putredinis, Bacteroides caccae, Collinsela aerofaciens, Ruminococcus bromii, Bacteroides plebeius, Anaerostipes caccae, Bacteroides vulgatus, Faecalibaterium prausnitzii, Roseburia inulinivorans, Bacteroides stercoris, Bacteroies dorei, Bacteroides uniformis, Gemmiger formicilis, Herbinix luporum, Anaerocolumna xylanovorans, Dorea longicatena, Coprococcus comes, Roseburia cecicola, Anaerocolumna cellulosiltica, Lachnospira pectinoschiza, Fusicatenibacter saccharivorans, Blautia massiliensis, Blautia wexlerae, and Blautia obeum showed very significant difference between the two groups (P< 0.01), the abundances of the species of Enterococcus faecium, Akkermansia muciniphila, Fusobacterim necrogenes, Klebsiella pneumoniae, Bacteroides fragilis, Bifidobacterium catenulatum, and Bifidobacterium longum did not show significant difference in the groups (Figure 4(c)) .

Figure 4.

Figure 4.

The heatmap between the normal and colon cancer group based on different levels

Prevotella copri is strictly an anaerobic, which is extremely sensitive to oxygen and can only grow well completely in an anaerobic environment. It can metabolize polysaccharide such as Xylan, also can metabolize small molecular sugar such as hemicellulose, xylose. The development of cancer in colon results in the condition of low-oxygen and high-concentration of sugar, which facilitate the growth of P. copri. Higher levels of P. copri were also detected in patients with rheumatoid arthritis and psoriatic arthritis [28–30].

M. uniformis has the potential to prevent and/or treat inflammation-related diseases such as digestive tract inflammation-related diseases such as ulcerative colitis, gastritis and gastroenteritis, as well as cardiovascular diseases such as inflammatory bowel disease rheumatoid arthritis. Thus, the colon cancer in the patients leads to the significant decrease of in the intestinal of M. uniformis patients suffered from colon cancer. It is true that there are significant differences in the gut microflora between gouty patients and healthy people. The gut bacteria of gouty patients are rich in bacteria such as Bacteroides caccae and Bacteroides xylanisolvens, while the other two species (Faecalibacterium prausnitzii and Bi dobacterium pseudocatenulatum) are absent in patients suffered from gouty [31–34]. The results indicated that the genus of Bacteroides are beneficial bacterial for patients, and genus of Faecalibacterium and Bidobacterim are harmful for colon cancer patients.

3.4. Intergroup similarity analysis

PCOA (PCOA) is a kind of visualization method to study the similarity or difference of multi-dimensional data, which was used to investigate the similarity of microbial communities between normal group and colon cancer group.

PC1 and PC2 represent the first principal component and the second principal component, respectively, and the percentage after the principal component represents the contribution rate of this component to the sample difference. The distance of the sample points represents the similarity of the functional classification distribution in the samples. The results suggested that high similarity of the samples in the normal group, whereas great difference was observed in the samples from colon cancer group and the samples from the different groups. PC1 and PC2 contributed 15.51% and 8.65% to the difference between the two groups (Figure 5(a)).

Figure 5.

Figure 5.

The significance differential analysis of the normal and colon cancer groups

Principal component analysis is a technique to simplify the analysis of data, which can effectively identify the dominant elements and structures in the data. The similarity and difference among samples can be reflected by analyzing the distribution of bacterial community in different samples (Figure 5(b)). PC1 and PC2 contributed 11.53% and 6.61% to the difference between the two groups.

NMDS (non-metric multidimensional scaling) reflected in the multi-dimensional space in the form of points, and the degree of difference between different samples according to the species information contained in the sample. The NMDS analysis is shown in Figure 5(c). And the distribution of colon cancer group is more disperse than that in normal group.

Partial least squares discrimination analysis (PLS-DA) is a multivariate statistical analysis method for discriminant analysis. Discriminant analysis (DA) is a common statistical analysis method to determine the classification of research objects according to the observed or measured values of several variables. The principle of this method is to train the characteristics of different treatment samples (such as observation samples and control samples), to generate training sets, and to test the credibility of training sets. The PLS-DA is analyzed in Figure 5(d), and the distribution of the samples was not so disperse, indicating the reliability of the sequencing results.

3.5. The biological correlation analysis

The UPGMA analysis of the normal and cancer group indicated the significant difference in the microbial communities (Fig. S4). LDA effect size analysis is an analysis tool for discovering and interpreting biomarkers of high latitude data. This method emphasizes statistical significance and biological correlation, and can discover biomarkers with statistical differences between groups. As shown in Figure 6(a), the most dominant bacterial communities include Clostridales, Clostridia, Firmicutes, Lachnospiraceae, Ruminococcaceae, Facalibacterium, and the most dominant species is Facalibacerium prausnitzii in normal group, species including Roseburia inulinivorans, Bacteroides plebeius, and Megamona funiformis took the second to the fourth places in the normal group. The most dominant bacteria communities in cancer group include Proteobacteria, Bacilli, Lactobacillales, Gammaproteobacteria, Enterobacteriales, Enterobacteriaceae, and Enterococcaceae. And the most dominant species in colon cancer group is Escherichia coli, followed by Bacteroides dorei, Enterococcus faecium, Neisseria mucosa, Bacteroides ovatus, and Bifidobacterium catenulatum.

Figure 6.

Figure 6.

The cladogram analysis of the normal and colon cancer group

Proteobacteria are the largest group of bacteria, including many known pathogens such as E. coli, Salmonella, Vibrio cholerae, and Helicobacter pylori. There are also free-living species, including many nitrogen-fixing species. Bacteroides are Gram staining negative bacteria with the features of non-spore-forming, obligate anaerobic bacillus. Bacteroides normally inhabiting in the intestine, oral cavity, upper respiratory tract, and reproductive tract of humans and animals. Due to the long-term use of broad-spectrum antibiotics, hormones, immunosuppressants, bacteroides can cause the body immune function disorders or dysbacteriosis, leading to endogenous infection. Bacteroides can decompose peptone or glucose to produce succinic acid, acetic acid, formic acid, lactic acid, and propionic acid, thus facilitating the growth and transfer of colon cancer cells [33,34].

The cladogram between the normal group and colon cancer group was also depicted. As shown in Figure 6(b), the radiations from inner to outer of different circles represented seven taxonomic levels of Phylum, family, genus and species, and each node represented a species classification at that level. The yellow node color indicates that the species has no significant difference in the comparison group, if the node color is red, the species has significant difference in the comparison group (p < 0.05). The results showed that most significant different species between the two groups belong to proteobacteria phylum, and the least most significant different species between the two groups belong to firmicutes phylum.

4. Conclusions

In this study, excrement from the healthy crowd and patients suffered from the colon cancer were sequenced. The significant microbial communities based on levels of phylum, class, order, family, genus, and species were analyzed using comparative composition analysis and heatmap. The phylum of Fermicutes, Bacteroidetes in cancer group are significantly down-regulated and up-regulated compared with normal group. The species including Faecalibacterium prausnitzii, Bateroides vulgatus, and Fusicatenibacter saccharivorans are significantly lower in cancer group than that in normal group (P< 0.05), suggesting that the complement of these species would be beneficial for colon cancer patients. The species of Prevetella copri, M. uniformis, and Escherichia coli are significantly higher in cancer group than that in normal group. The comparative results indicated that some beneficial bacterium significantly decreased in cancer group, and some harmful bacterium significantly increased in colon cancer group, which maybe due to the increased acidity, sugar and decreased oxygen content in colon cancer cells. The results would provide mirobial approaches for the treatment of colon cancer by the intake of beneficial microbial communities.

Supplementary Material

Supplemental Material

Highlights

  1. The microbial diversity of the faecal from normal crowds and colorectal cancer patients were analyzed;

  2. Species including Faecalibacterium prausnitzii, Bateroides vulgatus are significantly lower in CRC group;

  3. The results indicated the role of some gut microbial for the development of CRC;

  4. This study would offer microbial clues for the prevention and treatment of CRC.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Supplementary material

Supplemental data for this article can be accessed here

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