Secondary bile acid-induced dysbiosis promotes intestinal carcinogenesis

Int J Cancer. 2017 Jun 1;140(11):2545-2556. doi: 10.1002/ijc.30643. Epub 2017 Mar 1.

Abstract

The gut microbiota plays an important role in maintaining intestinal homeostasis. Dysbiosis is associated with intestinal tumorigenesis. Deoxycholic acid (DCA), a secondary bile acid increased by a western diet, correlates with intestinal carcinogenesis. However, evidence relating bile acids, intestinal microbiota and tumorigenesis are limited. In our study, we investigated the effect of DCA on induction of intestinal dysbiosis and its roles in intestinal carcinogenesis. Alteration of the composition of the intestinal microbiota was induced in DCA-treated APCmin/+ mice, which was accompanied by impaired intestinal barrier, gut low grade inflammation and tumor progression. The transfer of fecal microbiota from DCA-treated mice to another group of Apcmin/+ mice increased tumor multiplicity, induced inflammation and recruited M2 phenotype tumor-associated macrophages. Importantly, the fecal microbiota transplantation activated the tumor-associated Wnt/β-catenin signaling pathway. Moreover, microbiota depletion by a cocktail of antibiotics was sufficient to block DCA-induced intestinal carcinogenesis, further suggesting the role of dysbiosis in tumor development. Our study demonstrated that alteration of the microbial community induced by DCA promoted intestinal carcinogenesis.

Keywords: Apcmin/+ mice; deoxycholic acid; intestinal carcinogenesis; intestinal microbiota; tumor-associated macrophages.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Bile Acids and Salts / adverse effects*
  • Carcinogenesis / chemically induced*
  • Carcinogenesis / pathology
  • Deoxycholic Acid / adverse effects
  • Dysbiosis / chemically induced*
  • Dysbiosis / microbiology
  • Dysbiosis / pathology
  • Feces / microbiology
  • Inflammation / microbiology
  • Inflammation / pathology
  • Intestines / microbiology
  • Intestines / pathology*
  • Mice
  • Mice, Inbred C57BL
  • Microbiota / drug effects
  • Wnt Signaling Pathway / drug effects
  • beta Catenin / metabolism

Substances

  • Bile Acids and Salts
  • beta Catenin
  • Deoxycholic Acid