Abstract
Emerging evidence suggests that tissue-resident microbiota (TRM) is associated with tumor biology; however, their distribution and compositional characteristics across different colorectal tissue types remain incompletely defined. Here, we conducted a comprehensive cross-sectional analysis of TRM distribution and abundance across 1134 clinical specimens, including normal mucosa, precancerous polyps, and colorectal cancer (CRC) tissues. Our results reveal distinct microbial profiles among these diagnostic groups, with consistent differences in community composition between normal, polyps, and CRC samples. Integrative analyses further identified microbial signatures capable of distinguishing tissue categories and reflected differences in the local tumor microenvironment. In contrast, intratumoral microbiota composition showed subtle variation across established tumor stages and was not associated with clinical outcomes. These findings define diagnostic group-associated patterns of TRM in colorectal tissues and establish a foundation for future mechanistic investigations into the biological roles of TRM in colorectal cancer.
Data availability
The data generated in this study is available at https://github.com/Lingning927/microbioInCRC. The raw sequence data reported in this paper have been deposited in the Genome Sequence Archive (Genomics, Proteomics & Bioinformatics 2021) in the National Genomics Data Center (Nucleic Acids Res 2022), China National Center for Bioinformation / Beijing Institute of Genomics, Chinese Academy of Sciences (GSA: CRA025367) that are publicly accessible at https://ngdc.cncb.ac.cn/gsa. The fecal sample cohort of CRC patients was sourced from the NCBI database, with accession code PRJEB10878, PRJEB27928 [DOI: 10.1038/s41591-019-0406-6], PRJEB7774, PRJEB12449, PRJDB4176, PRJEB6070 and PRJNA447983. Source data are provided with this paper.
Code availability
All R scripts used for the analysis and plotting in this study are available in the GitHub repository (https://github.com/Lingning927/microbioInCRC) and are permanently archived on Zenodo (https://doi.org/10.5281/zenodo.18015706).
References
Sung, H. et al. Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA Cancer J. Clin. 71, 209–249 (2021).
Garrett, W. S. Cancer and the microbiota. Science 348, 80–86 (2015).
Cao, Y. et al. Commensal microbiota from patients with inflammatory bowel disease produce genotoxic metabolites. Science 378, eabm3233 (2022).
Maddocks, O. D., Scanlon, K. M. & Donnenberg, M. S. An Escherichia coli effector protein promotes host mutation via depletion of DNA mismatch repair proteins. mBio 4, e00152–00113 (2013).
Abed, J. et al. Fap2 Mediates Fusobacterium nucleatum Colorectal Adenocarcinoma Enrichment by Binding to Tumor-Expressed Gal-GalNAc. Cell Host Microbe 20, 215–225 (2016).
Rubinstein, M. R. et al. Fusobacterium nucleatum promotes colorectal carcinogenesis by modulating E-cadherin/beta-catenin signaling via its FadA adhesin. Cell Host Microbe 14, 195–206 (2013).
Dejea, C. M. et al. Patients with familial adenomatous polyposis harbor colonic biofilms containing tumorigenic bacteria. Science 359, 592–597 (2018).
Nejman, D. et al. The human tumor microbiome is composed of tumor type-specific intracellular bacteria. Science 368, 973–980 (2020).
Liu, Y. et al. Bacterial Genotoxin Accelerates Transient Infection-Driven Murine Colon Tumorigenesis. Cancer Discov. 12, 236–249 (2022).
Pleguezuelos-Manzano, C. et al. Mutational signature in colorectal cancer caused by genotoxic pks(+) E. coli. Nature 580, 269–273 (2020).
Dohlman, A. B. et al. A pan-cancer mycobiome analysis reveals fungal involvement in gastrointestinal and lung tumors. Cell 185, 3807–3822.e3812 (2022).
Gnanasekaran, J. et al. Intracellular Porphyromonas gingivalis Promotes the Tumorigenic Behavior of Pancreatic Carcinoma Cells. Cancers 12 (2020).
Yang, L., Li, A., Wang, Y. & Zhang, Y. Intratumoral microbiota: roles in cancer initiation, development and therapeutic efficacy. Signal Transduct. Target Ther. 8, 35 (2023).
Fu, A. et al. Tumor-resident intracellular microbiota promotes metastatic colonization in breast cancer. Cell 185, 1356–1372 e1326 (2022).
Choi, J. K. et al. Cross-talk between cancer and Pseudomonas aeruginosa mediates tumor suppression. Commun. Biol. 6, 16 (2023).
Hayashi, N. et al. Extracellular Signals of a Human Epithelial Colorectal Adenocarcinoma (Caco-2) Cell Line Facilitate the Penetration of Pseudomonas aeruginosa PAO1 Strain through the Mucin Layer. Front. Cell Infect. Microbiol 7, 415 (2017).
Bullman, S. et al. Analysis of Fusobacterium persistence and antibiotic response in colorectal cancer. Science 358, 1443–1448 (2017).
Serna, G. et al. Fusobacterium nucleatum persistence and risk of recurrence after preoperative treatment in locally advanced rectal cancer. Ann. Oncol. 31, 1366–1375 (2020).
Xue, M. et al. Effects of fucoidan on gut flora and tumor prevention in 1,2-dimethylhydrazine-induced colorectal carcinogenesis. J. Nutr. Biochem. 82, 108396 (2020).
Drewes, J. L. et al. Human colon cancer-derived clostridioides difficile strains drive colonic Tumorigenesis in Mice. Cancer Discov. 12, 1873–1885 (2022).
Magdy, A. et al. Enteropathogenic Escherichia coli (EPEC): Does it have a role in colorectal tumourigenesis? A Prospective Cohort Study. Int J. Surg. 18, 169–173 (2015).
Andrew Maltez, T. et al. Metagenomic analysis of colorectal cancer datasets identifies cross-cohort microbial diagnostic signatures and a link with choline degradation. Nat. Med. 25, 667–678 (2019).
Georg, Z. et al. Potential of fecal microbiota for early-stage detection of colorectal cancer. Mol. Syst. Biol. 10, 766 (2014).
Kenneth, K. et al. The Sequence Read Archive: a decade more of explosive growth. Nucleic Acids Res. 50, D387-D390 (2021).
Emily, V. et al. Colorectal cancer and the human gut microbiome: reproducibility with whole-genome shotgun sequencing. PLoS One 11, e0155362 (2016).
Qiang, F. et al. Gut microbiome development along the colorectal adenoma-carcinoma sequence. Nat. Commun. 6, 6528 (2015).
Jakob, W. et al. Meta-analysis of fecal metagenomes reveals global microbial signatures that are specific for colorectal cancer. Nat. Med. 25, 679–689 (2019).
Jun, Y. et al. Metagenomic analysis of faecal microbiome as a tool towards targeted non-invasive biomarkers for colorectal cancer. Gut 66, 70–78 (2015).
NaNa, K. & Edward, G. Global burden of colorectal cancer: emerging trends, risk factors and prevention strategies. Nat. Rev. Gastroenterol. Hepatol. 16, 713–732 (2019).
Petra, L., Georgina, L. H. & Harry, J. F. The gut microbiota, bacterial metabolites and colorectal cancer. Nat. Rev. Microbiol. 12, 661–672 (2014).
Guo, P. et al. FadA promotes DNA damage and progression of Fusobacterium nucleatum-induced colorectal cancer through up-regulation of chk2. J. Exp. Clin. Cancer Res. 39, 202 (2020).
Rubinstein, M. R. et al. Fusobacterium nucleatum promotes colorectal cancer by inducing Wnt/beta-catenin modulator Annexin A1. EMBO Rep. 20, e47638 (2019).
Karpinski, T. M., Ozarowski, M. & Stasiewicz, M. Carcinogenic microbiota and its role in colorectal cancer development. Semin Cancer Biol. 86, 420–430 (2022).
Fu, K. et al. Streptococcus anginosus promotes gastric inflammation, atrophy, and tumorigenesis in mice. Cell 187, 882–896 e817 (2024).
Cui, W. et al. Gut microbial metabolite facilitates colorectal cancer development via ferroptosis inhibition. Nat. Cell Biol. 26, 124–137 (2024).
Tsoi, H. et al. Peptostreptococcus anaerobius Induces Intracellular Cholesterol Biosynthesis in Colon Cells to Induce Proliferation and Causes Dysplasia in Mice. Gastroenterology 152, 1419–1433.e1415 (2017).
Vyara, M. et al. The commensal microbiome is associated with anti-PD-1 efficacy in metastatic melanoma patients. Science 359, 104–108 (2018).
Wang, L. et al. A purified membrane protein from Akkermansia muciniphila or the pasteurised bacterium blunts colitis associated tumourigenesis by modulation of CD8(+) T cells in mice. Gut 69, 1988–1997 (2020).
Zhang, L. et al. Akkermansia muciniphila inhibits tryptophan metabolism via the AhR/beta-catenin signaling pathway to counter the progression of colorectal cancer. Int J. Biol. Sci. 19, 4393–4410 (2023).
Riquelme, E. et al. Tumor microbiome diversity and composition influence pancreatic cancer outcomes. Cell 178, 795–806.e712 (2019).
Hezaveh, K. et al. Tryptophan-derived microbial metabolites activate the aryl hydrocarbon receptor in tumor-associated macrophages to suppress anti-tumor immunity. Immunity 55, 324–340.e328 (2022).
He, Z. et al. Campylobacter jejuni promotes colorectal tumorigenesis through the action of cytolethal distending toxin. Gut 68, 289–300 (2019).
Torbjørn, R., Tomáš, F., Ben, N., Christopher, Q. & Frédéric, M. VSEARCH: a versatile open source tool for metagenomics. PeerJ 4, e2584 (2016).
Robert, C. E. Search and clustering orders of magnitude faster than BLAST. Bioinformatics 26, 2460-1 (2010).
Christian, Q. et al. The SILVA ribosomal RNA gene database project: improved data processing and web-based tools. Nucleic Acids Res, 41, D590-6 (2012).
Oksanen, J., Blanchet, F. G., Kindt, R., Legendre, P. & O’Hara, R. B.…. Wagner, H.(2016). vegan: Community Ecology Package Software. (2016).
GOWER, J. C. Some distance properties of latent root and vector methods used in multivariate analysis. Biometrika 53, 325–338 (1966).
CLARKE, K. R. Non-parametric multivariate analyses of changes in community structure. Aust. J. Ecol. 18, 117–143 (1993).
Anderson, M. J. A new method for non-parametric multivariate analysis of variance. Austral Ecol. 26, 32–46 (2001).
Oksanen, J., Blanchet, G. F., Kindt, R., Legendre, P. & Stevens, H. Vegan: community ecology package. R package version 2.0-10. The R Project. (2013).
R Core Team. R: A Language and Environment for Statistical Computing. R Foundation for Statistical Computing, Vienna, Austria (2023).
Liu, C., Cui, Y., Li, X. & Yao, M. microeco: An R package for data mining in microbial community ecology. FEMS Microbiol. Ecol. (2020).
Kruskal, W. H. & Wallis, W. A. Errata: Use of Ranks in One-Criterion Variance Analysis. Publ. Am. Stat. Assoc. 47, 583–621 (1952).
Wilcoxon, F. Individual comparisons by ranking methods. Biometr. Bull. 1, 80–83 (1945).
Benjamini, Y. & Hochberg, Y. Controlling the False Discovery Rate: A Practical and Powerful Approach to Multiple Testing. J. R. Stat. Soc. Ser. B: Methodol. 57, 289–300 (1995).
Cochran, W. C. Some methods for strengthening the common 2 tests. Biometrics 10, 417 (1954).
Kolde, R. pheatmap: Pretty Heatmaps. R package version 1.0.12. The R Project. (2019).
Ma, S. et al. Population structure discovery in meta-analyzed microbial communities and inflammatory bowel disease using MMUPHin. Genome Biol. 23, 208 (2022).
Huang, L. & Shyamal Das, P. Analysis of compositions of microbiomes with bias correction. Nat Commun 11, 3514 (2020).
Paulson, J. N., Stine, O. C., Bravo, H. C. & Pop, M. Differential abundance analysis for microbial marker-gene surveys. Nat. Methods 10, 1200–1202 (2013).
Mcmurdie, P. J., Holmes, S. & Mchardy, A. C. Waste not, want not: why rarefying microbiome data is inadmissible. PLoS Comput. Biol.,10,4(2014-4-3) 10, e1003531 (2014).
Kuhn, M. Building Predictive Models in R Using the caret Package. J. Stat. Softw. 28, 1–26 (2008).
Breiman, L. Random forests, machine learning 45. J. Clin. Microbiol. 2, 199–228 (2001).
Peterson, C. B., Saha, S. & Do, K. A. Analysis of microbiome data. Ann. Rev. Stat. Appl. vol. 5 11, 483–504 (2024).
Tibshirani, R. & Hastie, W. T. Estimating the number of clusters in a data set via the gap statistic. J. R. Stat. Soc. B 63, 411–423 (2001).
Acknowledgements
This research was partially supported by the National Natural Science Foundation of China (nos. 82273265, 32271213 and 32471189), Department of Science and Technology of Zhejiang Province (2023C03065 and 2025C02128), Zhejiang Provincial Major Medical and Health Science and Technology Program (WKJ-ZJ-2504), Zhejiang Provincial Administration of Traditional Chinese Medicine co-constructs scientific and technological projects (GZY-ZJ-KJ-23029), and High-level Talent Special Support Program of Zhejiang Province.
Author information
Authors and Affiliations
Contributions
Z.S. and Y.W. designed the study. Z.S., Y.W., H.J., and H.C. initiated and directed the project. W.L., M.C., B.B., and H.X. collected the samples. H.C. managed the 16S rRNA sequencing library construction. H.X. and B.S. completed the experiment, performed the bioinformatic analyses, and prepared the figures. W.Z., G.Y,. and L.Z. provided samples of the Changhai cohort. All authors contributed to the writing and revision of the manuscript.
Corresponding authors
Ethics declarations
Competing interests
All authors declare no competing interests.
Peer review
Peer review information
Nature Communications thanks the anonymous reviewers for their contribution to the peer review of this work. A peer review file is available.
Additional information
Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary information
Source data
Rights and permissions
Open Access This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/.
About this article
Cite this article
Xiang, H., Shen, B., Lao, W. et al. The landscape of tissue-resident microbiota across normal, polyp, and colorectal cancer tissues. Nat Commun (2026). https://doi.org/10.1038/s41467-026-69705-5
Received:
Accepted:
Published:
DOI: https://doi.org/10.1038/s41467-026-69705-5