Gynecologic Oncology Patients have Urobiomes that are Similar to Women Without Gynecologic Cancer
摘要
To compare the bladder microbiomes of participants with and without a gynecological cancer at the time of diagnostic surgery to determine their suitability as control participants in urobiome research studies.
MethodsIRB-approved clinical sample of continent adult female patients undergoing surgery for suspected gynecologic malignancy. Participants contributed clinical data (abstracted from the electronic medical record), and a catheterized urine sample obtained prior to antibiotic administration on the day of surgery. The study urine sample underwent DNA sequencing following amplification of hyper-variable region 4 (V4) of the bacterial 16S rRNA gene. The sequences were processed, annotated, and decontaminated. Alpha (within-sample) and beta (between-sample) diversity indices were computed, and the microbiome compositions across all participants were compared.
ResultsNinety-two women participated, including 20 with a gynecological cancer diagnosis and a comparison group of 72 without gynecologic cancer detected. The mean age was 53 years old (range 22–92) with a mean BMI of 31 kg/m2 (26–38 kg/m2); the majority (62%) were White. We observed no significant difference in the bladder microbiomes of the group with a cancer diagnosis and the controls.
ConclusionsParticipants with a gynecological cancer diagnosis can be used as controls for bladder microbiome studies.