Published online Oct 15, 2025. doi: 10.4251/wjgo.v17.i10.110997
Revised: August 9, 2025
Accepted: September 10, 2025
Published online: October 15, 2025
Processing time: 94 Days and 22.9 Hours
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.
To evaluate the effectiveness of multi-region 16S rRNA gene sequencing in studying the microbiome of gastric cancer tissues.
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 abun
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).
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.
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.
