Colorectal cancer associated changes in gut microbiome of patients from western region of Ukraine
M.R. Lozynska1, N.Y. Pidgurskiy1, A.I. Kachor2, Y.V. Verbovytska2, O.R. Pinyazhko3, R.O. Pinyazhko3
- Institute of Hereditary Pathology of the National Academy of Medical Sciences of Ukraine, Lviv, Ukraine
- Explogen LLC, Lviv
- Danylo Halytsky Lviv National Medical University, Ukraine
DOI: https://doi.org/10.15407/fz72.01.034

Abstract
The emergence, progression, and treatment of colorectal cancer (CRC) both influence and are influenced
by the gut microbiome. In this study, we aimed to elucidate differences in the gut microbial composition
between patients with colorectal cancer and healthy individuals from the western region of Ukraine. To
achieve this, 16S rRNA amplicon metagenomic sequencing was employed. As a result, patients diagnosed
with CRC exhibited a significant reduction in gut microbial diversity. This decrease was reflected in a
reduced relative abundance of health-promoting bacteria (by 6- to 170-fold), along with an increased
abundance of Escherichia coli and Bacteroides thetaiotaomicron (5- and 7-fold, respectively) in the CRC
group. At the same time, we were unable to detect typical CRC-associated biomarker bacteria, such as
Fusobacterium nucleatum. To evaluate the potential of E. coli abundance as a biomarker, quantitative PCR
(qPCR) was applied to quantify E. coli cells in stool samples from healthy individuals and patients with
CRC. However, substantial variability in E. coli cell numbers was observed in both groups, rendering this
parameter unsuitable for CRC diagnosis. Overall, our data provide an initial insight into CRC-associated
alterations of the gut microbiome in patients from the western part of Ukraine.
Keywords:
microbiome; colorectal cancer; intestine; metagenomic sequencing.
References
- Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A. Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2018;68(6):394-424.
CrossRef
PubMed
- Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL, Soerjomataram I, et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin. 2024;74(3):229-63.
CrossRef
PubMed PubMedCentral
- Kanth P, Grimmett J, Champine M, Burt R, Samadder NJ. Hereditary colorectal polyposis and cancer syndromes: a primer on diagnosis and management. Am J Gastroenterol. 2017;112(10):1509-25.
CrossRef
PubMed
- Yaremko O, Peleno R, Mazur I, Mylostyvyi R, Mylostiva D, Babchenko A. Immunological differences in nonspecific ulcerative colitis depending on gender. Fiziol Zh. 2025; 71:65-73.
CrossRef
- Sender R, Fuchs S, Milo R. Revised estimates for the number of human and bacteria cells in the body. PLoS Biol. 2016;14(8):e1002533.
CrossRef
PubMed PubMedCentral
- Louis P, Hold GL, Flint HJ. The gut microbiota, bacterial metabolites and colorectal cancer. Nat Rev Microbiol. 2014;12(10):661-72.
CrossRef
PubMed
- Lynch SV , Pedersen O. The human intestinal microbiome in health and disease. N Engl J Med. 2016;375(24):2369-79.
CrossRef
PubMed PubMedCentral
- Feng Q, Liang S, Jia H, Stadlmayr A, Tang L, Lan Z, et al. Gut microbiome development along the colorectal adenoma-carcinoma sequence. Nat Commun. 2015;6:6528.
CrossRef
PubMed PubMedCentral
- Hu Y , Zhou P, Deng K, Zhou Y , Hu K. Targeting the gut microbiota: a new strategy for colorectal cancer treatment. J Transl Med. 2024;22(1):915.
CrossRef
PubMed PubMedCentral
- Zeller G, Tap J, Voigt AY, Sunagawa S, Kultima JR, Costea PI, et al. Potential of fecal microbiota for earlystage detection of colorectal cancer. Mol Syst Biol. 2014;10(11):766. Colorectal cancer associated changes in gut microbiome of patients from western region of Ukraine 43
CrossRef
PubMed PubMedCentral
- Bars-Cortina D, Ramon E, Rius-Sansalvador B, Guino E, Garcia-Serrano A, Mach N, et al. Comparison between 16S rRNA and shotgun sequencing in colorectal cancer, advanced colorectal lesions, and healthy human gut microbiota. BMC Genomics. 2024;25(1):730.
CrossRef
PubMed PubMedCentral
- Dai Z, Coker OO, Nakatsu G, Wu WKK, Zhao L, Chen Z, et al. Multi-cohort analysis of colorectal cancer metagenome identified altered bacteria across populations and universal bacterial markers. Microbiome. 2018;6(1):70.
CrossRef
PubMed PubMedCentral
- Drewes JL, White JR, Dejea CM, Fathi P, Iyadorai T, Vadivelu J, et al. High-resolution bacterial 16S rRNA gene profile meta-analysis and biofilm status reveal common colorectal cancer consortia. NPJ Biofilm Microbiom. 2017;3:34.
CrossRef
PubMed PubMedCentral
- Castellarin M, Warren RL, Freeman JD, Dreolini L, Krzywinski M, Strauss J, et al. Fusobacterium nucleatum infection is prevalent in human colorectal carcinoma. Genome Res. 2012;22(2):299-306.
CrossRef
PubMed PubMedCentral
- Wirbel J, Pyl PT, Kartal E, Zych K, Kashani A, Milanese A, et al. Meta-analysis of fecal metagenomes reveals global microbial signatures that are specific for colorectal cancer. Nat Med. 2019;25(4):679-89.
CrossRef
PubMed PubMedCentral
- Maklin T, Taira A, Arredondo-Alonso S, Shao Y , Stratton MR, Lawley TD, et al. Geographical variation in the incidence of colorectal cancer and urinary tract cancer is associated with population exposure to colibactinproducing Escherichia coli. Lancet Microbe. 2024:101015.
CrossRef
PubMed
- Yu Y, Lee C, Kim J, Hwang S. Group-specific primer and probe sets to detect methanogenic communities using quantitative real-time polymerase chain reaction. Biotechnol Bioeng. 2005;89(6):670-9.
CrossRef
PubMed
- Rognes T, Flouri T, Nichols B, Quince C, Mahe F. VSEARCH: a versatile open source tool for metagenomics. PeerJ. 2016;4:e2584.
CrossRef
PubMed PubMedCentral
- Caporaso JG, Kuczynski J, Stombaugh J, Bittinger K, Bushman FD, Costello EK, et al. QIIME allows analysis of high-throughput community sequencing data. Nat Method. 2010;7(5):335-6.
CrossRef
PubMed PubMedCentral
- Dhungel E, Mreyoud Y, Gwak HJ, Rajeh A, Rho M, Ahn TH. MegaR: an interactive R package for rapid sample classification and phenotype prediction using metagenome profiles and machine learning. BMC Bioinformat. 2021;22(1):25.
CrossRef
PubMed PubMedCentral
- Clarke KR. Non-parametric multivariate analyses of changes in community structure. Austral J Ecol. 1993;18(1):117-43.
CrossRef
- Segata N, Izard J, Waldron L, Gevers D, Miropolsky L, Garrett WS, et al. Metagenomic biomarker discovery and explanation. Genom Biol. 2011;12(6):R60.
CrossRef
PubMed PubMedCentral
- Abdill RJ, Adamowicz EM, Blekhman R. Public human microbiome data are dominated by highly developed countries. PLoS Biol. 2022;20(2):e3001536.
CrossRef
PubMed PubMedCentral
- Kostic AD, Chun E, Robertson L, Glickman JN, Gallini CA, Michaud M, et al. Fusobacterium nucleatum potentiates intestinal tumorigenesis and modulates the tumor-immune microenvironment. Cell Host Microb. 2013;14(2):207-15.
CrossRef
PubMed PubMedCentral
|