Intestinal microbiota in adults with cholangiocarcinoma identifies the dysregulated Blautia species and bile acid metabolic pathways

Abstract Background Cholangiocarcinoma (CCA) represents a significant global health concern. The gut and bile microbiota, which can influence the gut-liver axis and disease progression, have not been thoroughly characterized in CCA patients. Methods We selected two clinical centers at our hospital a...

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Main Authors: Tianyu De, Tian Ma, Wei Wang, Xusheng An, Di Liu, Hongkun Yin, Qi Wang, Ting Zhao, Hao Wang
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Gastroenterology
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Online Access:https://doi.org/10.1186/s12876-025-04096-3
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author Tianyu De
Tian Ma
Wei Wang
Xusheng An
Di Liu
Hongkun Yin
Qi Wang
Ting Zhao
Hao Wang
author_facet Tianyu De
Tian Ma
Wei Wang
Xusheng An
Di Liu
Hongkun Yin
Qi Wang
Ting Zhao
Hao Wang
author_sort Tianyu De
collection DOAJ
description Abstract Background Cholangiocarcinoma (CCA) represents a significant global health concern. The gut and bile microbiota, which can influence the gut-liver axis and disease progression, have not been thoroughly characterized in CCA patients. Methods We selected two clinical centers at our hospital and collected stool samples from CCA patients and healthy controls (HC). These samples underwent whole-genome metagenomic shotgun sequencing, followed by analysis using both marker gene-based and assembly-based methods. Additionally, KEGG pathway enrichment was performed using the cholangiocarcinoma (CHOL) RNA-seq samples. Results Our results revealed distinct dysbiosis of the gut microbiota in our regional CCA patients. The results revealed greater heterogeneity in the gut microbiome of CCA patients compared to HC samples. We found Blautia species to be significantly less abundant in CCA samples, and can distinguish CCA patients from HC. Blautia can also play a role in influencing the modification of secondary bile acids. Additionally, down-regulation of arachidonic acid and linoleic acid metabolism was observed in the tumor tissues of CHOL patients. In summary, the results revealed significant heterogeneity difference in the gut microbiome of CCA patients compared to HC samples, and detected the specifically decreased Blautia species in CCA patients, suggesting that Blautia may influence bile acid metabolic pathways. Further investigation is warranted to explore Blautia as a potential biomarker for CCA.
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institution Kabale University
issn 1471-230X
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publishDate 2025-07-01
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series BMC Gastroenterology
spelling doaj-art-aefa75a3ddfc4a2a9c5a4741868aff0d2025-08-20T03:46:03ZengBMCBMC Gastroenterology1471-230X2025-07-0125111310.1186/s12876-025-04096-3Intestinal microbiota in adults with cholangiocarcinoma identifies the dysregulated Blautia species and bile acid metabolic pathwaysTianyu De0Tian Ma1Wei Wang2Xusheng An3Di Liu4Hongkun Yin5Qi Wang6Ting Zhao7Hao Wang8General Hospital of Ningxia Medical UniversityGeneral Hospital of Ningxia Medical UniversityGeneral Hospital of Ningxia Medical UniversityPeking University First Hospital Ningxia Women and Children’s HospitalGeneral Hospital of Ningxia Medical UniversitySchool of Clinical Medicine, Ningxia Medical UniversityGeneral Hospital of Ningxia Medical UniversityPeking University First Hospital Ningxia Women and Children’s HospitalDepartment of Pathogenic Biology and Medical Immunology, School of Basic Medical Sciences, Ningxia Medical UniversityAbstract Background Cholangiocarcinoma (CCA) represents a significant global health concern. The gut and bile microbiota, which can influence the gut-liver axis and disease progression, have not been thoroughly characterized in CCA patients. Methods We selected two clinical centers at our hospital and collected stool samples from CCA patients and healthy controls (HC). These samples underwent whole-genome metagenomic shotgun sequencing, followed by analysis using both marker gene-based and assembly-based methods. Additionally, KEGG pathway enrichment was performed using the cholangiocarcinoma (CHOL) RNA-seq samples. Results Our results revealed distinct dysbiosis of the gut microbiota in our regional CCA patients. The results revealed greater heterogeneity in the gut microbiome of CCA patients compared to HC samples. We found Blautia species to be significantly less abundant in CCA samples, and can distinguish CCA patients from HC. Blautia can also play a role in influencing the modification of secondary bile acids. Additionally, down-regulation of arachidonic acid and linoleic acid metabolism was observed in the tumor tissues of CHOL patients. In summary, the results revealed significant heterogeneity difference in the gut microbiome of CCA patients compared to HC samples, and detected the specifically decreased Blautia species in CCA patients, suggesting that Blautia may influence bile acid metabolic pathways. Further investigation is warranted to explore Blautia as a potential biomarker for CCA.https://doi.org/10.1186/s12876-025-04096-3CholangiocarcinomaBacterial floraBlautiaMicrobiomarkers
spellingShingle Tianyu De
Tian Ma
Wei Wang
Xusheng An
Di Liu
Hongkun Yin
Qi Wang
Ting Zhao
Hao Wang
Intestinal microbiota in adults with cholangiocarcinoma identifies the dysregulated Blautia species and bile acid metabolic pathways
BMC Gastroenterology
Cholangiocarcinoma
Bacterial flora
Blautia
Microbiomarkers
title Intestinal microbiota in adults with cholangiocarcinoma identifies the dysregulated Blautia species and bile acid metabolic pathways
title_full Intestinal microbiota in adults with cholangiocarcinoma identifies the dysregulated Blautia species and bile acid metabolic pathways
title_fullStr Intestinal microbiota in adults with cholangiocarcinoma identifies the dysregulated Blautia species and bile acid metabolic pathways
title_full_unstemmed Intestinal microbiota in adults with cholangiocarcinoma identifies the dysregulated Blautia species and bile acid metabolic pathways
title_short Intestinal microbiota in adults with cholangiocarcinoma identifies the dysregulated Blautia species and bile acid metabolic pathways
title_sort intestinal microbiota in adults with cholangiocarcinoma identifies the dysregulated blautia species and bile acid metabolic pathways
topic Cholangiocarcinoma
Bacterial flora
Blautia
Microbiomarkers
url https://doi.org/10.1186/s12876-025-04096-3
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