ArticleJournal of gastroenterology and hepatology2026
Differences in the Gastric Microbiotas of Neighboring Populations With Divergent Risks of Gastric Cancer.
Article in Journal of gastroenterology and hepatology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundAlthough Helicobacter pylori plays a central role in gastric cancer (GC), other microorganisms involved in gastric dysbiosis may also impact carcinogenesis. We aimed to characterize gastric dysbiosis and its role in the transition from non-atrophic gastritis (NAG) to gastric premalignant lesions (GPLs) in two populations from Nariño, Colombia, with distinct GC risks: low-risk Afro-Colombians from Barbacoas and high-risk Amerindian-Mestizos from Cumbal.
methodsGastric biopsies from 200 individuals were analyzed using 16S rRNA gene sequencing. Microbial diversity and composition were assessed based on relevant clinical and sociodemographic characteristics.
resultsH. pylori infection was more prevalent in Barbacoas (83.8%) than Cumbal (70.5%), alongside higher rates of obesity (p < 0.001), alcohol intake (p : 0.07), and smoking (p : 0.02), but less severe OLGIM stages (p : 0.04). In Barbacoas, alpha diversity remained stable, whereas in Cumbal, richness significantly increased in GPL (p < 0.001). Beta diversity showed significant microbial composition differences between municipalities (p < 0.001). In Barbacoas, taxa such as Prevotella, Haemophilus, and Veillonella were dominant, whereas lactic acid bacteria such as Streptococcus were predominant in Cumbal. Barbacoas showed stable gastric microbiota composition across histological stages, whereas Cumbal exhibited enrichment of Gemella, Leptotrichia, and Prevotella in GPL.
conclusionThe Streptococcus-driven dysbiosis in Cumbal may help identify microbial biomarkers for GC progression, particularly other oral pathobionts.
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