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World J Gastrointest Oncol. Oct 15, 2025; 17(10): 110997
Published online Oct 15, 2025. doi: 10.4251/wjgo.v17.i10.110997
Effectiveness of multi-region 16S rRNA gene sequencing in studying the microbiome of gastric cancer tissues
Ting-Ting Wu, Xiang Zhou, Qi Huang, Qi Yang
Ting-Ting Wu, Xiang Zhou, Qi Huang, Qi Yang, Clinical Laboratory, Liyang People's Hospital, Changzhou 213300, Jiangsu Province, China
Author contributions: Wu TT designed the research study and contributed new reagents and analytical tools; Wu TT performed the research; Zhou X, Huang Q, and Yang Q analyzed the data and wrote the manuscript; all authors have read and approved the final version of the manuscript.
Supported by Liyang People's Hospital Technology Project, No. 2021YJKT0013.
Institutional review board statement: This study was approved by the Medical Ethics Committee of Liyang People's Hospital (approval No. 2025045).
Informed consent statement: All study participants or their legal guardians provided written informed consent before enrollment.
Conflict-of-interest statement: The authors report no relevant conflicts of interest.
Data sharing statement: No additional data are available.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Ting-Ting Wu, Deputy Director, Clinical Laboratory, Liyang People's Hospital, No. 70 Jianshe West Road, Licheng Town, Liyang, Changzhou 213300, Jiangsu Province, China. wtt15335009416@163.com
Received: July 11, 2025
Revised: August 9, 2025
Accepted: September 10, 2025
Published online: October 15, 2025
Processing time: 94 Days and 22.9 Hours
Abstract
BACKGROUND

The gastric microbiome is closely associated with gastric cancer, and single-region 16S rRNA sequencing has limitations in analyzing its characteristics, necessitating the search for a better sequencing method.

AIM

To evaluate the effectiveness of multi-region 16S rRNA gene sequencing in studying the microbiome of gastric cancer tissues.

METHODS

Patients with gastric cancer (n = 118) who underwent surgery at Liyang People's Hospital from January 2022 to December 2024 were enrolled. Fifty-nine paraffin-embedded and 59 fresh tissue samples were obtained. The ZymoBIOMICSTM microbial community standard and Escherichia coli ATCC 25922 were used as positive controls. Multi-region and single-region 16S rRNA gene sequencing were performed. Species identification, detection rates at varying microbial abundances, operational taxonomic unit (OTU) counts, and alpha diversity indices in gastric cancer tissues were compared between the two methods.

RESULTS

Multi-region 16S rRNA sequencing identified more species (eight species and eight genera) in the positive controls compared with single-region sequencing (one species and six genera). Detection rates at concentrations of 103, 102, and 10 CFU/mg were significantly higher using multi-region sequencing (P < 0.05). Multi-region sequencing also revealed significantly higher OTU counts and alpha diversity indices (Shannon, Simpson, and Chao1) in gastric cancer tissues (P < 0.05).

CONCLUSION

Compared with single-region sequencing, multi-region 16S rRNA gene sequencing demonstrates superior species resolution and detection sensitivity, providing a more comprehensive profile of microbial diversity in gastric cancer tissues.

Keywords: 16S rRNA gene; Multi-region sequencing; Gastric cancer; Species resolution; Microbiome; Alpha diversity

Core Tip: This study demonstrated that multi-region 16S rRNA gene sequencing provides significantly improved species resolution and detection rates compared with traditional single-region method. In both positive controls and gastric cancer tissue samples, it revealed richer and more diverse microbial communities. These findings suggest that compared to single-region sequencing, multi-region sequencing is a more accurate and effective approach for profiling the microbiome in gastric cancer research.