Abstract
Various species of the intestinal microbiota have been associated with the development of colorectal cancer1,2, but it has not been demonstrated that bacteria have a direct role in the occurrence of oncogenic mutations. Escherichia coli can carry the pathogenicity island pks, which encodes a set of enzymes that synthesize colibactin3. This compound is believed to alkylate DNA on adenine residues4,5 and induces double-strand breaks in cultured cells3. Here we expose human intestinal organoids to genotoxic pks+ E. coli by repeated luminal injection over five months. Whole-genome sequencing of clonal organoids before and after this exposure revealed a distinct mutational signature that was absent from organoids injected with isogenic pks-mutant bacteria. The same mutational signature was detected in a subset of 5,876 human cancer genomes from two independent cohorts, predominantly in colorectal cancer. Our study describes a distinct mutational signature in colorectal cancer and implies that the underlying mutational process results directly from past exposure to bacteria carrying the colibactin-producing pks pathogenicity island.
Original language | English |
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Pages (from-to) | 269-273 |
Number of pages | 5 |
Journal | Nature |
Volume | 580 |
Issue number | 7802 |
DOIs | |
Publication status | Published - Apr 2020 |
Keywords
- Coculture Techniques
- Cohort Studies
- Colorectal Neoplasms/genetics
- Consensus Sequence
- DNA Damage
- Escherichia coli/genetics
- Gastrointestinal Microbiome
- Genomic Islands/genetics
- Humans
- Mutagenesis
- Mutation
- Organoids/cytology
- Peptides/genetics
- Polyketides