Identification and impact of microbiota-derived metabolites in ascites of ovarian and gastrointestinal cancer

Abstract Background Malignant ascites is a common complication of advanced ovarian cancer (OC) and gastrointestinal cancer (GI), significantly impacting metastasis, quality of life, and survival. Increased intestinal permeability can lead to blood or lymphatic infiltration and microbial translocatio...

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Main Authors: Sisi Deng, Wooyong Kim, Kefan Cheng, Qianlu Yang, Yogesh Singh, Gyuntae Bae, Nicolas Bézière, Lukas Mager, Stefan Kommoss, Jannik Sprengel, Christoph Trautwein
Format: Article
Language:English
Published: BMC 2025-05-01
Series:Cancer & Metabolism
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Online Access:https://doi.org/10.1186/s40170-025-00391-5
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author Sisi Deng
Wooyong Kim
Kefan Cheng
Qianlu Yang
Yogesh Singh
Gyuntae Bae
Nicolas Bézière
Lukas Mager
Stefan Kommoss
Jannik Sprengel
Christoph Trautwein
author_facet Sisi Deng
Wooyong Kim
Kefan Cheng
Qianlu Yang
Yogesh Singh
Gyuntae Bae
Nicolas Bézière
Lukas Mager
Stefan Kommoss
Jannik Sprengel
Christoph Trautwein
author_sort Sisi Deng
collection DOAJ
description Abstract Background Malignant ascites is a common complication of advanced ovarian cancer (OC) and gastrointestinal cancer (GI), significantly impacting metastasis, quality of life, and survival. Increased intestinal permeability can lead to blood or lymphatic infiltration and microbial translocation from the gastrointestinal or uterine tract. This study aimed to identify microbiota-derived metabolites in ascites from OC (stages II-III and IV) and GI patients, assessing their roles in tumor progression. Methods Malignant ascites samples from 18 OC and GI patients were analyzed using a four-dimensional (4D) untargeted metabolomics approach combining reversed-phase (RP) and hydrophilic interaction liquid chromatography (HILIC) with trapped ion mobility spectrometry time-of-flight mass spectrometry (timsTOF-MS). Additonally, a targeted flow cytometry-based cytokine panel was used to screen for inflammatory markers. Non-endogenous, microbiota-derived metabolites were identified through the Human Microbial Metabolome Database (MiMeDB). Results OC stage IV exhibited metabolic profiles similar to GI cancers, while OC stage II-III differed significantly. Stage IV OC patients exhibited higher levels of 11 typically microbiome-derived metabolites, including 1-methylhistidine, 3-hydroxyanthranilic acid, 4-pyridoxic acid, biliverdin, butyryl-L-carnitine, hydroxypropionic acid, indole, lysophosphatidylinositol 18:1 (LPI 18:1), mevalonic acid, N-acetyl-L-phenylalanine, and nudifloramide, and lower levels of 5 metabolites, including benzyl alcohol, naringenin, o-cresol, octadecanedioic acid, and phenol, compared to stage II–III. Correlation analysis revealed positive associations between IL-10 and metabolites such as glucosamine and LPCs, while MCP-1 positively correlated with benzyl alcohol and phenol. Conclusion 4D metabolomics revealed distinct metabolic signatures in OC and GI ascites, highlighting microbiota-derived metabolites involved in lipid metabolism and inflammation. Metabolites like 3-hydroxyanthranilic acid, indole, and naringenin may serve as markers of disease progression and underscore the microbiota’s role in shaping malignant ascites and tumor biology.
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spelling doaj-art-c259f7727bff45e08061c2f2ed5374ec2025-08-20T03:24:52ZengBMCCancer & Metabolism2049-30022025-05-0113112010.1186/s40170-025-00391-5Identification and impact of microbiota-derived metabolites in ascites of ovarian and gastrointestinal cancerSisi Deng0Wooyong Kim1Kefan Cheng2Qianlu Yang3Yogesh Singh4Gyuntae Bae5Nicolas Bézière6Lukas Mager7Stefan Kommoss8Jannik Sprengel9Christoph Trautwein10Department of Preclinical Imaging and Radiopharmacy, Werner Siemens Imaging Center, University Hospital TübingenCore Facility Metabolomics, Faculty of Medicine, University of TübingenCore Facility Metabolomics, Faculty of Medicine, University of TübingenDepartment of Preclinical Imaging and Radiopharmacy, Werner Siemens Imaging Center, University Hospital TübingenInstitute of Medical Genetics and Applied Genomics, University of TübingenDepartment of Preclinical Imaging and Radiopharmacy, Werner Siemens Imaging Center, University Hospital TübingenDepartment of Preclinical Imaging and Radiopharmacy, Werner Siemens Imaging Center, University Hospital TübingenCluster of Excellence iFIT (EXC 2180) “Image Guided and Functionally Instructed Tumor Therapies”, University of TübingenDepartment of Obstetrics and Gynecology, Diak KlinikumCore Facility Metabolomics, Faculty of Medicine, University of TübingenDepartment of Preclinical Imaging and Radiopharmacy, Werner Siemens Imaging Center, University Hospital TübingenAbstract Background Malignant ascites is a common complication of advanced ovarian cancer (OC) and gastrointestinal cancer (GI), significantly impacting metastasis, quality of life, and survival. Increased intestinal permeability can lead to blood or lymphatic infiltration and microbial translocation from the gastrointestinal or uterine tract. This study aimed to identify microbiota-derived metabolites in ascites from OC (stages II-III and IV) and GI patients, assessing their roles in tumor progression. Methods Malignant ascites samples from 18 OC and GI patients were analyzed using a four-dimensional (4D) untargeted metabolomics approach combining reversed-phase (RP) and hydrophilic interaction liquid chromatography (HILIC) with trapped ion mobility spectrometry time-of-flight mass spectrometry (timsTOF-MS). Additonally, a targeted flow cytometry-based cytokine panel was used to screen for inflammatory markers. Non-endogenous, microbiota-derived metabolites were identified through the Human Microbial Metabolome Database (MiMeDB). Results OC stage IV exhibited metabolic profiles similar to GI cancers, while OC stage II-III differed significantly. Stage IV OC patients exhibited higher levels of 11 typically microbiome-derived metabolites, including 1-methylhistidine, 3-hydroxyanthranilic acid, 4-pyridoxic acid, biliverdin, butyryl-L-carnitine, hydroxypropionic acid, indole, lysophosphatidylinositol 18:1 (LPI 18:1), mevalonic acid, N-acetyl-L-phenylalanine, and nudifloramide, and lower levels of 5 metabolites, including benzyl alcohol, naringenin, o-cresol, octadecanedioic acid, and phenol, compared to stage II–III. Correlation analysis revealed positive associations between IL-10 and metabolites such as glucosamine and LPCs, while MCP-1 positively correlated with benzyl alcohol and phenol. Conclusion 4D metabolomics revealed distinct metabolic signatures in OC and GI ascites, highlighting microbiota-derived metabolites involved in lipid metabolism and inflammation. Metabolites like 3-hydroxyanthranilic acid, indole, and naringenin may serve as markers of disease progression and underscore the microbiota’s role in shaping malignant ascites and tumor biology.https://doi.org/10.1186/s40170-025-00391-5MicrobiotaMalignant AscitesTimsTOFFlow cytometryMiMeDB
spellingShingle Sisi Deng
Wooyong Kim
Kefan Cheng
Qianlu Yang
Yogesh Singh
Gyuntae Bae
Nicolas Bézière
Lukas Mager
Stefan Kommoss
Jannik Sprengel
Christoph Trautwein
Identification and impact of microbiota-derived metabolites in ascites of ovarian and gastrointestinal cancer
Cancer & Metabolism
Microbiota
Malignant Ascites
TimsTOF
Flow cytometry
MiMeDB
title Identification and impact of microbiota-derived metabolites in ascites of ovarian and gastrointestinal cancer
title_full Identification and impact of microbiota-derived metabolites in ascites of ovarian and gastrointestinal cancer
title_fullStr Identification and impact of microbiota-derived metabolites in ascites of ovarian and gastrointestinal cancer
title_full_unstemmed Identification and impact of microbiota-derived metabolites in ascites of ovarian and gastrointestinal cancer
title_short Identification and impact of microbiota-derived metabolites in ascites of ovarian and gastrointestinal cancer
title_sort identification and impact of microbiota derived metabolites in ascites of ovarian and gastrointestinal cancer
topic Microbiota
Malignant Ascites
TimsTOF
Flow cytometry
MiMeDB
url https://doi.org/10.1186/s40170-025-00391-5
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