Associations between the gut microbiome and fatigue in cancer patients

Abstract Fatigue is the most prevalent symptom of cancer and its treatments. Changes in the intestinal microbiome have been identified in chronic fatigue syndrome and other neuropsychiatric disorders, and cancer patients. However, the association between intestinal microbiome and fatigue in patients...

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Autores principales: Joud Hajjar, Tito Mendoza, Liangliang Zhang, Siqing Fu, Sarina A. Piha-Paul, David S. Hong, Filip Janku, Daniel D. Karp, Alexej Ballhausen, Jing Gong, Abdulrazzak Zarifa, Christine B. Peterson, Funda Meric-Bernstam, Robert Jenq, Aung Naing
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Lenguaje:EN
Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/8df7e07740964adfadc98678f9ef6a50
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spelling oai:doaj.org-article:8df7e07740964adfadc98678f9ef6a502021-12-02T13:31:11ZAssociations between the gut microbiome and fatigue in cancer patients10.1038/s41598-021-84783-92045-2322https://doaj.org/article/8df7e07740964adfadc98678f9ef6a502021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84783-9https://doaj.org/toc/2045-2322Abstract Fatigue is the most prevalent symptom of cancer and its treatments. Changes in the intestinal microbiome have been identified in chronic fatigue syndrome and other neuropsychiatric disorders, and cancer patients. However, the association between intestinal microbiome and fatigue in patients with advanced cancers has not been evaluated. Understanding the connection between intestinal microbiome and fatigue will provide interventional and therapeutic opportunities to manipulate the microbiome to improve fatigue and other patients’ reported outcomes. In this project, we aimed to identify associations between microbiome composition and fatigue in advanced cancer patients. In this cross-sectional observational study at a tertiary cancer care center, we included 88 patients with advanced, metastatic, unresectable cancers who were in a washout period from chemotherapy. We measured fatigue using the MD Anderson Symptom Inventory—Immunotherapy fatigue score, and used 16srRNA to analyze intestinal microbiome. Using correlation analysis we found that Eubacterium hallii was negatively associated with fatigue severity scores (r = − 0.30, p = 0.005), whereas Cosenzaea was positively associated with fatigue scores (r = 0.33, p = 0.0002). We identified microbial species that exhibit distinct composition between high-fatigued and low-fatigued cancer patients. Further studies are warranted to investigate whether modulating the microbiome reduces cancer patients’ fatigue severity and improves their quality of life.Joud HajjarTito MendozaLiangliang ZhangSiqing FuSarina A. Piha-PaulDavid S. HongFilip JankuDaniel D. KarpAlexej BallhausenJing GongAbdulrazzak ZarifaChristine B. PetersonFunda Meric-BernstamRobert JenqAung NaingNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Joud Hajjar
Tito Mendoza
Liangliang Zhang
Siqing Fu
Sarina A. Piha-Paul
David S. Hong
Filip Janku
Daniel D. Karp
Alexej Ballhausen
Jing Gong
Abdulrazzak Zarifa
Christine B. Peterson
Funda Meric-Bernstam
Robert Jenq
Aung Naing
Associations between the gut microbiome and fatigue in cancer patients
description Abstract Fatigue is the most prevalent symptom of cancer and its treatments. Changes in the intestinal microbiome have been identified in chronic fatigue syndrome and other neuropsychiatric disorders, and cancer patients. However, the association between intestinal microbiome and fatigue in patients with advanced cancers has not been evaluated. Understanding the connection between intestinal microbiome and fatigue will provide interventional and therapeutic opportunities to manipulate the microbiome to improve fatigue and other patients’ reported outcomes. In this project, we aimed to identify associations between microbiome composition and fatigue in advanced cancer patients. In this cross-sectional observational study at a tertiary cancer care center, we included 88 patients with advanced, metastatic, unresectable cancers who were in a washout period from chemotherapy. We measured fatigue using the MD Anderson Symptom Inventory—Immunotherapy fatigue score, and used 16srRNA to analyze intestinal microbiome. Using correlation analysis we found that Eubacterium hallii was negatively associated with fatigue severity scores (r = − 0.30, p = 0.005), whereas Cosenzaea was positively associated with fatigue scores (r = 0.33, p = 0.0002). We identified microbial species that exhibit distinct composition between high-fatigued and low-fatigued cancer patients. Further studies are warranted to investigate whether modulating the microbiome reduces cancer patients’ fatigue severity and improves their quality of life.
format article
author Joud Hajjar
Tito Mendoza
Liangliang Zhang
Siqing Fu
Sarina A. Piha-Paul
David S. Hong
Filip Janku
Daniel D. Karp
Alexej Ballhausen
Jing Gong
Abdulrazzak Zarifa
Christine B. Peterson
Funda Meric-Bernstam
Robert Jenq
Aung Naing
author_facet Joud Hajjar
Tito Mendoza
Liangliang Zhang
Siqing Fu
Sarina A. Piha-Paul
David S. Hong
Filip Janku
Daniel D. Karp
Alexej Ballhausen
Jing Gong
Abdulrazzak Zarifa
Christine B. Peterson
Funda Meric-Bernstam
Robert Jenq
Aung Naing
author_sort Joud Hajjar
title Associations between the gut microbiome and fatigue in cancer patients
title_short Associations between the gut microbiome and fatigue in cancer patients
title_full Associations between the gut microbiome and fatigue in cancer patients
title_fullStr Associations between the gut microbiome and fatigue in cancer patients
title_full_unstemmed Associations between the gut microbiome and fatigue in cancer patients
title_sort associations between the gut microbiome and fatigue in cancer patients
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/8df7e07740964adfadc98678f9ef6a50
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