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Oral Microbial Community Composition Is Associated With Pancreatic Cancer: A Case-Control Study in Iran Publisher Pubmed



Vogtmann E1 ; Han Y2 ; Caporaso JG3 ; Bokulich N3 ; Mohamadkhani A4 ; Moayyedkazemi A5, 6 ; Hua X2 ; Kamangar F7 ; Wan Y2 ; Suman S8, 9 ; Zhu B8, 9 ; Hutchinson A8, 9 ; Dagnall C8, 9 ; Jones K8, 9 Show All Authors
Authors
  1. Vogtmann E1
  2. Han Y2
  3. Caporaso JG3
  4. Bokulich N3
  5. Mohamadkhani A4
  6. Moayyedkazemi A5, 6
  7. Hua X2
  8. Kamangar F7
  9. Wan Y2
  10. Suman S8, 9
  11. Zhu B8, 9
  12. Hutchinson A8, 9
  13. Dagnall C8, 9
  14. Jones K8, 9
  15. Hicks B8, 9
  16. Shi J2
  17. Malekzadeh R4, 10
  18. Abnet CC1
  19. Pourshams A4, 6
Show Affiliations
Authors Affiliations
  1. 1. Metabolic Epidemiology Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, United States
  2. 2. Biostatistics Branch, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, United States
  3. 3. Center for Applied Microbiome Science, Pathogen and Microbiome Institute, Northern Arizona University, Flagstaff, AZ, United States
  4. 4. Digestive Oncology Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Internal Medicine, Lorestan University of Medical Sciences, Khorramabad, Iran
  6. 6. Liver and Pancreatobiliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran
  7. 7. Department of Biology, School of Computer, Mathematical, and Natural Sciences, Morgan State University, Baltimore, MD, United States
  8. 8. Cancer Genomics Research Laboratory, Division of Cancer Epidemiology and Genetics, National Cancer Institute, Bethesda, MD, United States
  9. 9. Leidos Biomedical Research Laboratory, Inc., Frederick National Laboratory for Cancer Research, Frederick, MD, United States
  10. 10. Digestive Disease Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran

Source: Cancer Medicine Published:2020


Abstract

Background: Oral microbiota may be related to pancreatic cancer risk because periodontal disease, a condition linked to multiple specific microbes, has been associated with increased risk of pancreatic cancer. We evaluated the association between oral microbiota and pancreatic cancer in Iran. Methods: A total of 273 pancreatic adenocarcinoma cases and 285 controls recruited from tertiary hospitals and a specialty clinic in Tehran, Iran provided saliva samples and filled out a questionnaire regarding demographics and lifestyle characteristics. DNA was extracted from saliva and the V4 region of the 16S rRNA gene was PCR amplified and sequenced on the MiSeq. The sequencing data were processed using the DADA2 plugin in QIIME 2 and taxonomy was assigned against the Human Oral Microbiome Database. Logistic regression and MiRKAT models were calculated with adjustment for potential confounders. Results: No association was observed for alpha diversity with an average of 91.11 (standard deviation [SD] 2.59) sequence variants for cases and 89.42 (SD 2.58) for controls. However, there was evidence for an association between beta diversity and case status. The association between the Bray-Curtis dissimilarity and pancreatic cancer was particularly strong with a MiRKAT P-value of.000142 and specific principal coordinate vectors had strong associations with cancer risk. Several specific taxa were also associated with case status after adjustment for multiple comparisons. Conclusion: The overall microbial community appeared to differ between pancreatic cancer cases and controls. Whether these reflect differences evident before development of pancreatic cancer will need to be evaluated in prospective studies. Published 2019. This article is a U.S. Government work and is in the public domain in the USA. Cancer Medicine published by John Wiley & Sons Ltd.