Metagenomic next-generation sequencing for lung cancer low respiratory tract infections diagnosis and characterizing microbiome features

BackgroundThe capability of mNGS in diagnosing suspected LRTIs and characterizing the respiratory microbiome in lung cancer patients requires further evaluation.MethodsThis study evaluated mNGS diagnostic performance and utilized background microbial sequences to characterize LRT microbiome in these...

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Main Authors: Yao Liu, Bohan Yang, Qi Qi, Shijie Liu, Yiheng Du, Linlin Ye, Qiong Zhou
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Cellular and Infection Microbiology
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Online Access:https://www.frontiersin.org/articles/10.3389/fcimb.2024.1518199/full
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author Yao Liu
Bohan Yang
Qi Qi
Shijie Liu
Yiheng Du
Linlin Ye
Qiong Zhou
author_facet Yao Liu
Bohan Yang
Qi Qi
Shijie Liu
Yiheng Du
Linlin Ye
Qiong Zhou
author_sort Yao Liu
collection DOAJ
description BackgroundThe capability of mNGS in diagnosing suspected LRTIs and characterizing the respiratory microbiome in lung cancer patients requires further evaluation.MethodsThis study evaluated mNGS diagnostic performance and utilized background microbial sequences to characterize LRT microbiome in these patients. GSVA was used to analyze the potential functions of identified genera.ResultsBacteria were the most common pathogens (n=74) in LRTIs of lung cancer patients, and polymicrobial infections predominated compared to monomicrobial infections (p<0.001). In diagnosing LRTIs in lung cancer patients, the pathogen detection rate of mNGS (83.3%, 70/84) was significantly higher than that of sputum culture (34.5%, 29/84) (p<0.001). This result was consistent with that of non-lung cancer patients (p<0.001). Furthermore, in the specific detection of bacteria (95.7% vs. 22.6%) and fungi (96.0% vs. 22.2%), the detection rate of mNGS was also significantly higher than that of CMTs mainly based on culture (p<0.001, p<0.001). However, in the detection of CMV/EBV viruses, there was no significant difference between the detection rate of mNGS and that of viral DNA quantification (p = 1.000 and 0.152). mNGS analysis revealed Prevotella, Streptococcus, Veillonella, Rothia, and Capnocytophaga as the most prevalent genera in the LRT of lung cancer patients. GSVA revealed significant correlations between these genera and tumor metabolic pathways as well as various signaling pathways including PI3K, Hippo, and p53.ConclusionmNGS showed a higher pathogen detection rate than culture-based CMTs in lung cancer patients with LRTIs, and also characterizing LRT microbiome composition and revealing potential microbial functions linked to lung carcinogenesis.
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spelling doaj-art-0b1a7e35994e4bafb7a22f2b0a5917e32025-01-23T06:56:36ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882025-01-011410.3389/fcimb.2024.15181991518199Metagenomic next-generation sequencing for lung cancer low respiratory tract infections diagnosis and characterizing microbiome featuresYao LiuBohan YangQi QiShijie LiuYiheng DuLinlin YeQiong ZhouBackgroundThe capability of mNGS in diagnosing suspected LRTIs and characterizing the respiratory microbiome in lung cancer patients requires further evaluation.MethodsThis study evaluated mNGS diagnostic performance and utilized background microbial sequences to characterize LRT microbiome in these patients. GSVA was used to analyze the potential functions of identified genera.ResultsBacteria were the most common pathogens (n=74) in LRTIs of lung cancer patients, and polymicrobial infections predominated compared to monomicrobial infections (p<0.001). In diagnosing LRTIs in lung cancer patients, the pathogen detection rate of mNGS (83.3%, 70/84) was significantly higher than that of sputum culture (34.5%, 29/84) (p<0.001). This result was consistent with that of non-lung cancer patients (p<0.001). Furthermore, in the specific detection of bacteria (95.7% vs. 22.6%) and fungi (96.0% vs. 22.2%), the detection rate of mNGS was also significantly higher than that of CMTs mainly based on culture (p<0.001, p<0.001). However, in the detection of CMV/EBV viruses, there was no significant difference between the detection rate of mNGS and that of viral DNA quantification (p = 1.000 and 0.152). mNGS analysis revealed Prevotella, Streptococcus, Veillonella, Rothia, and Capnocytophaga as the most prevalent genera in the LRT of lung cancer patients. GSVA revealed significant correlations between these genera and tumor metabolic pathways as well as various signaling pathways including PI3K, Hippo, and p53.ConclusionmNGS showed a higher pathogen detection rate than culture-based CMTs in lung cancer patients with LRTIs, and also characterizing LRT microbiome composition and revealing potential microbial functions linked to lung carcinogenesis.https://www.frontiersin.org/articles/10.3389/fcimb.2024.1518199/fullmetagenomic next-generation sequencing (mNGS)lung cancerlower respiratory tract infections (LRTIs)microbiomegene set variation analysis (GSVA)
spellingShingle Yao Liu
Bohan Yang
Qi Qi
Shijie Liu
Yiheng Du
Linlin Ye
Qiong Zhou
Metagenomic next-generation sequencing for lung cancer low respiratory tract infections diagnosis and characterizing microbiome features
Frontiers in Cellular and Infection Microbiology
metagenomic next-generation sequencing (mNGS)
lung cancer
lower respiratory tract infections (LRTIs)
microbiome
gene set variation analysis (GSVA)
title Metagenomic next-generation sequencing for lung cancer low respiratory tract infections diagnosis and characterizing microbiome features
title_full Metagenomic next-generation sequencing for lung cancer low respiratory tract infections diagnosis and characterizing microbiome features
title_fullStr Metagenomic next-generation sequencing for lung cancer low respiratory tract infections diagnosis and characterizing microbiome features
title_full_unstemmed Metagenomic next-generation sequencing for lung cancer low respiratory tract infections diagnosis and characterizing microbiome features
title_short Metagenomic next-generation sequencing for lung cancer low respiratory tract infections diagnosis and characterizing microbiome features
title_sort metagenomic next generation sequencing for lung cancer low respiratory tract infections diagnosis and characterizing microbiome features
topic metagenomic next-generation sequencing (mNGS)
lung cancer
lower respiratory tract infections (LRTIs)
microbiome
gene set variation analysis (GSVA)
url https://www.frontiersin.org/articles/10.3389/fcimb.2024.1518199/full
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