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The Impact of Bacterial Dysbiosis on the Development of Pancreatic Cancer and Its Treatment in Humans? Cover

The Impact of Bacterial Dysbiosis on the Development of Pancreatic Cancer and Its Treatment in Humans?

Open Access
|Jul 2025

Figures & Tables

Figure 1.

Occurrence of taxonomic groups of bacteria in the oral and intestinal microbiome of patients with pancreatic cancer compared to the population of healthy people. Red fields in the pie chart - a decrease in the number of bacteria, blue fields in the pie chart - an increase in the number of bacteria. Original graphic.
Occurrence of taxonomic groups of bacteria in the oral and intestinal microbiome of patients with pancreatic cancer compared to the population of healthy people. Red fields in the pie chart - a decrease in the number of bacteria, blue fields in the pie chart - an increase in the number of bacteria. Original graphic.

Summary of key research articles on the associations between the microbiome and pancreatic cancer_ Legend: CP - Chronic Pancreatitis, PC - Pancreatic Cancer, PDAC – Pancreatic Ductal Adenocarcinoma, NK – Natural Killer Cells, Th – T helper cells, PHC – Pancreatic Head Carcinoma, IM – Intestinal Microbiota, EPI – Exocrine Pancreatic Insufficiency, SI – surgical intervention, CPS – Chronic Pancreatitis Syndrome, IBS – Irritable Bowel Syndrome, PA – Pancreatic Adenocarcinoma, LTS – Long-Term Survival, PFS – progression-free survival, OS – overall survival, GI – gastrointestinal

ReferencesType of researchMaterials and methodsConclusions
Fan et al. 2016Case-control studyAdenocarcinomaa of pancreas patients (n=361), 16S rRNA sequencing of mouthwash samplesCarriage of oral pathogens, P. gingivalis and A. actinomycetemcomitans were associated with higher risk of pancreatic cancer
Wei et al. 2020Prospective studyPancreatic cancer patients (n=41), healthy individuals (n=69); 16S rRNA sequencing of salivaCarriage of Streptococcus spp. and Leptotrichia spp. (z-score) was associated with a higher risk of PDAC
Chen et al. 2023Multisite analysispancreatic cancer patients (n=40), chronic pancreatitis patients (n-15), healthy controls (n=39); 16S rRNA sequencing of salivaThe chronic pancreatitis group exhibited the lowest microbial diversity, while no significant difference was found between the pancreatic cancer and healthy controls groups
Lu et al. 2019Clinical study/analysispatients with pancreatic head carcinoma (n=30), healthy individuals (n=25); 16S rRNA sequencing of the tongue coating samplesThe microbiota dysbiosis of the tongue coat in PHC patients and provide insight into the association between the human microbiome and pancreatic cancer
Pietzner et al. 2021Study population/analysis16S rRNA sequencing of fecal samples (n=2226)The effect of exocrine pancreatic function on intestinal microbiota composition alters the availability of microbial-derived metabolites in the blood and thus directly contributes to the host metabolic changes associated with exocrine pancreatic dysfunction
Zhou et al. 2020Correlation analysishealthy controls (n=69), chronic pancreatitis (n=71); 16S rRNA sequencing of fecal samplesPatients with chronic pancreatitis have gut microbiota dysbiosis that is partly affected by pancreatic exocrine function
Maev et al.. 2023Comparative analysispatients (n=85) including pancreatitis without extrinsic pancreatic insufficiency (EPI, n=16), with chronic pancreatitis and mild EPI (n=11), with severe pancreatitis and EPI (n=17); 16S rRNA sequencing of fecal samplesThe IM of all groups showed the dominance of phyla Firmicutes with the lowest representation in the severe EPI group, both with SI and CP, and the growth of the phyla of Actinobacteria, Verrucomicrobiota and Fusobacteria
Nii et al., 2023Experimental studyBacterial strains (n=13) isolated from the feces of patients and healthy controls; in vitro stimulation of bone marrow-derived dendritic cells, genome sequencing of Prevotella copriStimulation experiments have shown up-regulation of IL-17 and Th17-related cytokines (IL-6, IL-23) of Prevotella copri, which contributes to causing rheumatoid arthritis, the same pathway may contribute to pancreatic cancer through Th17 activation
Maekawa et al. 2018Metagenomic analysis16S rRNA sequencing of pancreatic juice from pancreatic cancer patients (n=20) and duodenal cancer patients (n=16)E. faecalis was frequently detected in pancreatic tissue from patients with CP and PC, and antibody titers against E. faecalis capsular polysaccharide were elevated in E. faecalis-positive patients compared to healthy donors
Stein-Thoeringer et al. 2024Prospective studynon-cancer participants (n=38), pancreatic cancers patients (n= 63); 16S rRNA sequencing of samples collected from various sites of the GI tract and surgical sites, microbial culturingThe presence of Enterococcus spp. in bile ducts of PDAC patients undergoing pancreatic surgery represents a significant risk factor for perioperative infections and, thereby, elevated postoperative and long-term mortality
Ren et al. 2017Prospective studypancreatic cancer patients (n=85), healthy controls (n=57); 16S rRNA sequencing of fecal samplesThe gut microbial profile was unique in PC, providing a microbial marker for non-invasive PC diagnosis
Risch et al. 2014Case-control studypancreatic cancer patients (n=761), random controls (n=794); venipuncture specimens, antibody seropositivity for H. pylori and its virulence protein CagA was assessed using commercial enzyme-linked immunosorbent IgG assays.H. pylori colonization may have diverse effects on cancer risk, depending on the organism strain type as well as on the cancer site.
Wang et al. 2014Meta-analysiscases of H. pylori infection on pancreatic cancer (n=2049), control group (n= 2861); databases analysisHp+ and CagA+ infections are associated with a decreased risk of pancreatic cancer in Eastern populations but have no significant associations in Western countries.
Xu et al. 2022Meta-analysiscase-control studies (n=8), nested case-control studies (n=5), cohort studies (n=4); databases analysisH. pylori infection can increase the incidence of pancreatic cancer in general. CagA/VacA-positive H. pylori infection is not associated with the incidence of pancreatic cancer
Half et al. 2019Comparative studypancreatic adenocarcinoma patients (n=30), pre-cancerous lesions patients (n=6), healthy individuals (n=13), non-alcoholic fatty liver disease patients (n=16); 16S rRNA sequencing of fecal samplesFind a distinct PC-associated gut microbiome signature in an Israeli cohort, manifesting primarily as an under-representation in several bacterial families prevalent in the healthy gut
Edogawa et al. 2020Prospective studypatients with IBS (n=39), healthy volunteers (n=25), 16S rRNA sequencing of fecal samplesA subset of patients with IBS, especially in PI-IBS, has substantially high fecal PA, greater symptoms, impaired barrier and reduced microbial diversity.
Ubachs et al. 2021Clinical studyPancreatic cancer patients (n=107), household partners (n=76); 16S rRNA sequencing of fecal samplesThere were no significant differences in the composition of the bacteriobiota, although cachexia prevalence was highest in pancreatic cancer (66.7%). Faecal calprotectin levels were positively correlated with the abundance of Peptococcus, Enterobacteriaceae, and Veillonella.
Riquelme et al. 2019Clinical studysurgically resected PDAC tumor samples (n=68; 36 of LTS and 32 of STS); 16S rRNA sequencing of surgically resected PDAC tumors, PCR flow cytometryThe tumor microbiome unique to LTS may contribute towards shaping a favorable tumor microenvironment.
Yu et al. 2022Cohort studyMice model; NK cell depletion, bacterial manipulationThe gut microbiota mediates PDAC progression through NK cell modulation and that gut microbiota-derived supernatant can modulate anti-tumor NK cell activity
DOI: https://doi.org/10.2478/am-2025-0007 | Journal eISSN: 2545-3149 | Journal ISSN: 0079-4252
Language: English, Polish
Page range: 74 - 85
Submitted on: Mar 7, 2025
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Accepted on: Jun 9, 2025
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Published on: Jul 8, 2025
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Agata Mikołajczyk, Amelia Wardak, Stanisław Głuszek, Wioletta Adamus-Białek, published by Polish Society of Microbiologists
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.