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      Gut microbiome of Moroccan colorectal cancer patients

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          Abstract

          Although colorectal cancer is the third leading cause of death in Morocco, there are no studies of the microbiome changes associated with the disease in the Moroccan population. The aim of our study was to compare the stool microbiome of Moroccan cancer patients with healthy individuals. We analyzed the microbiome composition of samples from 11 CRC patients and 12 healthy individuals by 16S rRNA amplicon sequencing. Principal coordinate analysis of samples revealed defined cancer versus healthy clusters. Our findings showed that cancer samples had higher proportions of Firmicutes ( T = 50.5%; N = 28.4%; p = 0.04), specifically of Clostridia ( T = 48.3%; N = 19.0%; p = 0.002), and Fusobacteria ( T = 0.1%; N = 0.0%; p = 0.02), especially of Fusobacteriia ( T = 0.1%; N = 0.0%; p = 0.02), while Bacteroidetes were enriched in healthy samples ( T = 35.1%; N = 62.8%; p = 0.06), particularly the class Bacteroidia ( T = 35.1%; N = 62.6%; p = 0.06). Porphyromonas, Clostridium, Ruminococcus, Selenomonas, and Fusobacterium were significantly overrepresented in diseased patients, similarly to other studies. Predicted functional information showed that bacterial motility proteins, flagellar assembly, and fatty acid biosynthesis metabolism were significantly overrepresented in cancer patients, while amino acid metabolism and glycan biosynthesis were overrepresented in controls. This suggests that involvement of these functional metagenomes is similar and relevant in the carcinogenesis process, independent of the origin of the samples. Results from this study allowed identification of bacterial taxa relevant to the Moroccan population and encourages larger studies to facilitate population-directed therapeutic approaches.

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          The online version of this article (10.1007/s00430-018-0542-5) contains supplementary material, which is available to authorized users.

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          Most cited references66

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          Global cancer statistics.

          The global burden of cancer continues to increase largely because of the aging and growth of the world population alongside an increasing adoption of cancer-causing behaviors, particularly smoking, in economically developing countries. Based on the GLOBOCAN 2008 estimates, about 12.7 million cancer cases and 7.6 million cancer deaths are estimated to have occurred in 2008; of these, 56% of the cases and 64% of the deaths occurred in the economically developing world. Breast cancer is the most frequently diagnosed cancer and the leading cause of cancer death among females, accounting for 23% of the total cancer cases and 14% of the cancer deaths. Lung cancer is the leading cancer site in males, comprising 17% of the total new cancer cases and 23% of the total cancer deaths. Breast cancer is now also the leading cause of cancer death among females in economically developing countries, a shift from the previous decade during which the most common cause of cancer death was cervical cancer. Further, the mortality burden for lung cancer among females in developing countries is as high as the burden for cervical cancer, with each accounting for 11% of the total female cancer deaths. Although overall cancer incidence rates in the developing world are half those seen in the developed world in both sexes, the overall cancer mortality rates are generally similar. Cancer survival tends to be poorer in developing countries, most likely because of a combination of a late stage at diagnosis and limited access to timely and standard treatment. A substantial proportion of the worldwide burden of cancer could be prevented through the application of existing cancer control knowledge and by implementing programs for tobacco control, vaccination (for liver and cervical cancers), and early detection and treatment, as well as public health campaigns promoting physical activity and a healthier dietary intake. Clinicians, public health professionals, and policy makers can play an active role in accelerating the application of such interventions globally.
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            Isolation and direct complete nucleotide determination of entire genes. Characterization of a gene coding for 16S ribosomal RNA.

            Using a set of synthetic oligonucleotides homologous to broadly conserved sequences in-vitro amplification via the polymerase chain reaction followed by direct sequencing results in almost complete nucleotide determination of a gene coding for 16S ribosomal RNA. As a model system the nucleotide sequence of the 16S rRNA gene of M.kansasii was determined and found to be 98.7% homologous to that of M.bovis BCG. This is the first report on a contiguous sequence information of an entire amplified gene spanning 1.5 kb without any subcloning procedures.
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              Cancer statistics, 2012.

              Each year, the American Cancer Society estimates the numbers of new cancer cases and deaths expected in the United States in the current year and compiles the most recent data on cancer incidence, mortality, and survival based on incidence data from the National Cancer Institute, the Centers for Disease Control and Prevention, and the North American Association of Central Cancer Registries and mortality data from the National Center for Health Statistics. A total of 1,638,910 new cancer cases and 577,190 deaths from cancer are projected to occur in the United States in 2012. During the most recent 5 years for which there are data (2004-2008), overall cancer incidence rates declined slightly in men (by 0.6% per year) and were stable in women, while cancer death rates decreased by 1.8% per year in men and by 1.6% per year in women. Over the past 10 years of available data (1999-2008), cancer death rates have declined by more than 1% per year in men and women of every racial/ethnic group with the exception of American Indians/Alaska Natives, among whom rates have remained stable. The most rapid declines in death rates occurred among African American and Hispanic men (2.4% and 2.3% per year, respectively). Death rates continue to decline for all 4 major cancer sites (lung, colorectum, breast, and prostate), with lung cancer accounting for almost 40% of the total decline in men and breast cancer accounting for 34% of the total decline in women. The reduction in overall cancer death rates since 1990 in men and 1991 in women translates to the avoidance of about 1,024,400 deaths from cancer. Further progress can be accelerated by applying existing cancer control knowledge across all segments of the population, with an emphasis on those groups in the lowest socioeconomic bracket. Copyright © 2012 American Cancer Society, Inc.
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                Author and article information

                Contributors
                00 212 668 191919 , hassan.ghazal@fulbrightmail.org
                Journal
                Med Microbiol Immunol
                Med. Microbiol. Immunol
                Medical Microbiology and Immunology
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                0300-8584
                1432-1831
                23 April 2018
                23 April 2018
                2018
                : 207
                : 3
                : 211-225
                Affiliations
                [1 ]ISNI 0000 0001 2168 4024, GRID grid.31143.34, Laboratory of Biochemistry and Immunology, Faculty of Sciences, , Mohammed V University in Rabat, ; Rabat, Morocco
                [2 ]ISNI 0000 0004 1772 8348, GRID grid.410890.4, Laboratory of Physiology, Genetics and Ethnopharmacology, Faculty of Sciences of Oujda, , University Mohammed Premier, ; Oujda, Morocco
                [3 ]Polydisciplinary Faculty of Nador, University Mohammed Premier, Nador, Morocco
                [4 ]GRID grid.412817.9, Department of Molecular Genetics, , University Hospital Hassan II of Fez, ; Fez, Morocco
                [5 ]ISNI 0000 0001 1034 1720, GRID grid.410711.2, Department of Medicine, and Microbiome Core Facility, School of Medicine, , University of North Carolina, ; Chapel Hill, NC USA
                [6 ]National Center for Scientific and Technolgical Research, Rabat, Morocco
                Article
                542
                10.1007/s00430-018-0542-5
                6096775
                29687353
                a1d919f3-48db-40a4-bac4-3aab2d9fbe5c
                © The Author(s) 2018

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

                History
                : 8 June 2017
                : 24 March 2018
                Categories
                Original Investigation
                Custom metadata
                © Springer-Verlag GmbH Germany, part of Springer Nature 2018

                Microbiology & Virology
                gut microbiome composition,colorectal cancer,bacterial community,16s rrna sequencing,moroccan population

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