Identification and Evaluation of the Urinary Microbiota Associated With Bladder Cancer

ABSTRACT Background Bladder cancer is a common malignancy of the genitourinary system. Recent studies have confirmed the existence of microorganisms in urine. This study aimed to characterize changes in the urinary microbiota of Chinese bladder cancer patients and determine differences between patie...

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Main Authors: Nannan Li, Lei Wang, Qin Yang, Fuqiang Li, Zhun Shi, Xiujie Feng, Liwei Zhang, Xiaojian Li, Xin Jin, Shida Zhu, Kui Wu, Ningchen Li
Format: Article
Language:English
Published: Wiley 2025-08-01
Series:Cancer Innovation
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Online Access:https://doi.org/10.1002/cai2.70012
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author Nannan Li
Lei Wang
Qin Yang
Fuqiang Li
Zhun Shi
Xiujie Feng
Liwei Zhang
Xiaojian Li
Xin Jin
Shida Zhu
Kui Wu
Ningchen Li
author_facet Nannan Li
Lei Wang
Qin Yang
Fuqiang Li
Zhun Shi
Xiujie Feng
Liwei Zhang
Xiaojian Li
Xin Jin
Shida Zhu
Kui Wu
Ningchen Li
author_sort Nannan Li
collection DOAJ
description ABSTRACT Background Bladder cancer is a common malignancy of the genitourinary system. Recent studies have confirmed the existence of microorganisms in urine. This study aimed to characterize changes in the urinary microbiota of Chinese bladder cancer patients and determine differences between patients with muscle‐invasive bladder cancer (MIBC) and those with non‐muscle‐invasive bladder cancer (NMIBC). Methods Urine samples were collected from 64 patients with bladder cancer and 94 disease‐free controls using the clean catch method and sequenced by 16S rRNA gene sequencing. Sequencing reads were filtered by VSEARCH and clustered by UPARSE. Results Significant associations were found between urinary microbiota and factors such as sex, age, and disease status. After age adjustment, differences in beta diversity were observed between healthy men and women, cancer patients and healthy controls, and NMIBC and MIBC patients. The cancer patients had an increased abundance of 14 bacterial genera, including Stenotrophomonas, Propionibacterium, and Acinetobacter. Notably, Peptoniphilus spp. were enriched in high‐risk MIBC patients, indicating their potential as a risk marker. Functional prediction via PICRUSt analysis suggested enriched metabolic pathways in specific disease groups. Furthermore, molecular ecological network analysis revealed differences based on sex and disease type. Conclusions This significant microbial diversity indicates a potential correlation between urinary microbiota dysbiosis and bladder cancer, with implications for risk stratification and disease management. The identified urinary microbiota may serve as noninvasive markers for bladder cancer, warranting further validation in larger cohorts. This study provides a foundation for further research on the mechanisms of bladder cancer progression.
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spelling doaj-art-2dff81b3d01949fbaa363b46a7af6f862025-08-20T02:40:15ZengWileyCancer Innovation2770-91912770-91832025-08-0144n/an/a10.1002/cai2.70012Identification and Evaluation of the Urinary Microbiota Associated With Bladder CancerNannan Li0Lei Wang1Qin Yang2Fuqiang Li3Zhun Shi4Xiujie Feng5Liwei Zhang6Xiaojian Li7Xin Jin8Shida Zhu9Kui Wu10Ningchen Li11College of Life Sciences University of Chinese Academy of Sciences Beijing ChinaDepartment of Urology Peking University Shougang Hospital Beijing ChinaBGI Shenzhen ChinaGuangdong Provincial Key Laboratory of Human Disease Genomics Shenzhen Key Laboratory of Genomics, BGI Research Shenzhen ChinaBGI Genomics Harbin ChinaCollege of Life Sciences University of Chinese Academy of Sciences Beijing ChinaDepartment of Urology Peking University Shougang Hospital Beijing ChinaDepartment of Urology Peking University Shougang Hospital Beijing ChinaCollege of Life Sciences University of Chinese Academy of Sciences Beijing ChinaBGI Genomics Harbin ChinaCollege of Life Sciences University of Chinese Academy of Sciences Beijing ChinaDepartment of Urology Peking University Shougang Hospital Beijing ChinaABSTRACT Background Bladder cancer is a common malignancy of the genitourinary system. Recent studies have confirmed the existence of microorganisms in urine. This study aimed to characterize changes in the urinary microbiota of Chinese bladder cancer patients and determine differences between patients with muscle‐invasive bladder cancer (MIBC) and those with non‐muscle‐invasive bladder cancer (NMIBC). Methods Urine samples were collected from 64 patients with bladder cancer and 94 disease‐free controls using the clean catch method and sequenced by 16S rRNA gene sequencing. Sequencing reads were filtered by VSEARCH and clustered by UPARSE. Results Significant associations were found between urinary microbiota and factors such as sex, age, and disease status. After age adjustment, differences in beta diversity were observed between healthy men and women, cancer patients and healthy controls, and NMIBC and MIBC patients. The cancer patients had an increased abundance of 14 bacterial genera, including Stenotrophomonas, Propionibacterium, and Acinetobacter. Notably, Peptoniphilus spp. were enriched in high‐risk MIBC patients, indicating their potential as a risk marker. Functional prediction via PICRUSt analysis suggested enriched metabolic pathways in specific disease groups. Furthermore, molecular ecological network analysis revealed differences based on sex and disease type. Conclusions This significant microbial diversity indicates a potential correlation between urinary microbiota dysbiosis and bladder cancer, with implications for risk stratification and disease management. The identified urinary microbiota may serve as noninvasive markers for bladder cancer, warranting further validation in larger cohorts. This study provides a foundation for further research on the mechanisms of bladder cancer progression.https://doi.org/10.1002/cai2.70012bladder cancermicrobiotamuscle‐invasive bladder cancernon‐muscle‐invasive bladder cancerurine
spellingShingle Nannan Li
Lei Wang
Qin Yang
Fuqiang Li
Zhun Shi
Xiujie Feng
Liwei Zhang
Xiaojian Li
Xin Jin
Shida Zhu
Kui Wu
Ningchen Li
Identification and Evaluation of the Urinary Microbiota Associated With Bladder Cancer
Cancer Innovation
bladder cancer
microbiota
muscle‐invasive bladder cancer
non‐muscle‐invasive bladder cancer
urine
title Identification and Evaluation of the Urinary Microbiota Associated With Bladder Cancer
title_full Identification and Evaluation of the Urinary Microbiota Associated With Bladder Cancer
title_fullStr Identification and Evaluation of the Urinary Microbiota Associated With Bladder Cancer
title_full_unstemmed Identification and Evaluation of the Urinary Microbiota Associated With Bladder Cancer
title_short Identification and Evaluation of the Urinary Microbiota Associated With Bladder Cancer
title_sort identification and evaluation of the urinary microbiota associated with bladder cancer
topic bladder cancer
microbiota
muscle‐invasive bladder cancer
non‐muscle‐invasive bladder cancer
urine
url https://doi.org/10.1002/cai2.70012
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