Table 2 Studies exploring the gut microbiome alterations in patients with extraintestinal cancers
Tumor type | Cases with cancer, controls, n | Sample type and method for detection | Alterations of gut microbiome | Findings | Ref. |
|---|---|---|---|---|---|
Pancreatic tumor | 32 patients with PDA vs. 31 healthy controls | Fecal specimens, 16S rRNA gene sequencing | Proteobacteria and Synergistetes ↓; Euryarchaeota ↑ | Increased feces microbiome in patients | [349] |
Liver cancer | 15 HCC patients vs. 15 non-HCC patients | Stool specimens, E. coli counts | E. coli ↑ | Potentially drive tumorigenesis | [370] |
|  | 75 HCC patients vs. 75 healthy controls | Fecal samples,16S rRNA gene sequencing | Butyrate-producing genera (including Faecalibacterium, Clostridium IV) ↓; LPS-producing genera (such as Klebsiella and Haemophilus) ↑ | Potential biomarkers for early diagnosis of HCC | [362] |
|  | 21 NAFLD-related HCC vs. 20 healthy controls | Stool specimens,16S rRNA gene sequencing | Bacteroides and Ruminococcaceae ↑; Bifidobacteria ↓ | Correlate with systemic inflammation and tumorigenesis | [371] |
|  | 68 HCC patients vs. 18 healthy controls | Stool specimens,16S rRNA gene sequencing | Proinflammatory bacteria Proteobacteria, Enterobacter, Haemophilus ↑ | Degree of dysbiosis reflects the severity of HCC | [372] |
|  | 25 cirrhotic patients with HCC vs. 25 cirrhotic patients without HCC | Fecal stool samples,16S rRNA gene sequencing | Fusobacterium, Leuconostocaceae ↓; Butyricimonas, Erysipelotrichaceae, ratio Bacteriodes/Prevotella ↑ | Linked to inflammation and potential HCC biomarker | [373] |
|  | 35 individuals with HBV related HCC vs. 22 individuals with non-HBV non-HCV-related HCC | Stool samples, 16S rRNA gene sequencing | NBNC-HCC: proinflammatory bacteria (Escherichia–Shigella, Enterococcus) ↑; SCFA-producing bacteria (Faecalibacterium, Ruminococcus, Ruminoclostridium) ↓ | Different gut microbiome composition corresponds to different pathological types | [374] |
Breast cancer | 48 postmenopausal BC patients vs. 48 controls | Stool samples, 16S rRNA gene sequencing | Clostridiaceae, Faecalibacterium↑; Dorea and Lachnospiraceae ↓ | Altered composition and low diversity of gut microbiome in patients | [403] |
|  | 44 postmenopausal BC patients vs. 46 postmenopausal healthy controls | Feces samples, 16S rRNA gene sequencing | Escherichia coli, Klebsiella, Prevotella amnii, Enterococcus gallinarum, Actinomyces, Shewanella, Putrefaciens ↑; Eubacterium eligens and Lactobacillus vaginalis, Acinetobacter radioresistens and Enterococcus gallinarum ↓ | The composition and functions of the gut microbial community differ between postmenopausal BC patients and healthy controls | [402] |
|  | 48 postmenopausal BC patients vs. 48 postmenopausal healthy controls | Fecal samples, 16S rRNA gene amplicon sequencing | Reduced α-diversity; altered composition of both their IgA-positive and IgA-negative fecal microbiome | BC cases have estrogen-independent associations with the IgA-positive and IgA-negative gut microbiota | [401] |
|  | 31 patients with early-stage BC | Fecal samples, 16S rRNA gene amplicon sequencing | Firmicutes, Faecalibacterium prausnitzii, and Blautia differ according to the patient’s BMI and clinical stages | Gut microbiome composition in BC patients differs according to clinical characteristics and BMI | [404] |
Pulmonary cancer | 41 patients with lung cancer vs. 41 healthy volunteers | Fecal samples, 16S rRNA gene amplicon sequencing | Bacteroides, Veillonella, Fusobacterium ↑; Escherichia, Shigella, Fecalibacterium, Enterobacter, and Dialister ↓ | An altered bacterial community in patients with lung cancer | [439] |
Prostate cancer | 64 patients with prostate cancer vs. 41 individuals without cancer | Rectal swab samples,16S rRNA amplicon sequencing | Bacteroides and Streptococcus ↑ | An altered bacterial community in patients with prostate cancer | [435] |
|  | 30 patients with or without oral androgen receptor axis- ies (ATT) | Rectal swab samples,16S rDNA amplicon sequencing | Patients receving ATT: Akkermansia muciniphila, Ruminococcaceae spp. ↑ | There are measurable differences in the bacterial community of men receiving oral ATT | [436] |