微生物DNA署名が肝臓の2種の癌を識別(A Microbial DNA Signature Differentiates Two Types of Cancer in the Liver)

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2025-08-14 カリフォルニア大学サンディエゴ校(UCSD)

UC San Diegoの研究で、血漿中の微生物由来細胞外DNA(cfDNA)解析により、原発性肝がんと大腸がん肝転移を非侵襲的に識別できる新手法が開発された。患者16例の原発性肝がんと11例の転移性大腸がんの血液をメタゲノム解析した結果、微生物DNA分類器が約90%の精度で両者を区別。原発性肝がんではPseudomonas aeruginosaやCorynebacterium accolens、大腸がん転移ではAcinetobacter種やBifidobacterium faecaleが優勢だった。本手法は画像診断が困難な症例でも有効で、がん種判別の補助手段や新たなバイオマーカー開発に繋がる可能性がある。成果はeGastroenterology誌に掲載。

<関連情報>

血液中の微生物DNAシグネチャは、肝細胞癌と転移性病変を区別する
Blood microbial DNA signature differentiates hepatocellular carcinoma from metastatic lesions

Caitlin Guccione,Ana Carolina Dantas Machado,Fady Youssef,Isabella Angeli-Pahim,…
eGastroenterology  Published:14 August 2025

微生物DNA署名が肝臓の2種の癌を識別(A Microbial DNA Signature Differentiates Two Types of Cancer in the Liver)

The microbiome, particularly the composition and diversity of microbial communities within various tissues, influences cancer development, progression and therapy response across various malignancies.1–5 Understanding specific microbial signatures associated with cancers, termed the oncobiome, is crucial for advancing diagnostic and therapeutic strategies.

Analysis of microbial reads from whole-genome sequencing data of blood and tissue samples from The Cancer Genome Atlas (TCGA) identified microbial communities distinguishing hepatocellular carcinoma (HCC) from non-cancerous tissue and other cancers.2 These findings are robust across multiple rigorous analysis pipelines. Additionally, circulating microbiome DNA has shown promise as a biomarker for early lung cancer diagnosis and recurrence, suggesting the viability of blood-based microbial detection platforms.2 Furthermore, recent research on metastatic tissues indicated microbial communities align more closely with the metastatic site rather than the primary cancer origin, though this was not evaluated in blood.1

However, significant challenges remain for microbial cell-free DNA (cfDNA) to effectively distinguish primary from secondary liver tumours. Previous studies have not demonstrated if microbial cfDNA differentiates between HCC and metastatic liver tumours. Additionally, hepatitis B virus (HBV) DNA contamination limited the ability to clearly separate HCC from non-HCC samples. Thus, it remains uncertain whether liver cancers share a common microbial cfDNA profile or if primary liver cancers possess a distinct signature. In this study, we apply shotgun metagenomics to cfDNA to identify unique blood-based bacterial signatures that differentiate HCC from metastatic colorectal cancer (mCRC).

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