Colorectal cancer (CRC) is the fourth leading cause of cancer-related deaths in the world and its burden is expected to increase by 60% to more than 1.1 million cancer deaths by 2030. Among CRC risk factors, the contribution of the microbial ecosystem in the gut (gut microbiome) to CRC is not well understood. Some correlations between a microbe and cancer stages have been observed, but only Fusobacterium has shown consistent evidence as risk factor. Additionally, the enrichment of a microbe at a tumour site does not directly assume causation. Rather, microbes may find a carcinogenic ambient as underused nutritional niche (reverse causation) or external exposures can be independently influencing both microbial and host cell proliferation (confounding).
In order to reveal causal associations between microbiota and CRC risk and its biological mechanism, in this project, we assessed the potential causal effect of microbiota on host colon gene expression and on CRC risk, using genetic instruments under a Mendelian randomization approach.
The results did not clarify the role of microbiota to CRC risk; however, their reflected the effect of the gut microbiota composition in the gene expression of a healthy colon tissue. This can be used as a reference dataset for microbiome-based therapies in colon diseases, such as CRC and inflammatory bowel diseases.