1. A GWAS on Helicobacter pylori strains points to genetic variants associated with gastric cancer risk
- Author
-
Berthenet, Elvire, Yahara, Koji, Thorell, Kaisa, Pascoe, Ben, Meric, Guillaume, Mikhail, Jane, Engstrand, Lars, Enroth, Helena, Burette, Alain, Megraud, Francis, Varon, Christine, Atherton, John, Smith, Sinead, Wilkinson, Thomas, Hitchings, Matthew, Falush, Daniel, Sheppard, Samuel, Bodescot, Myriam, Microbiology and Infectious Disease Group [Swansea, Royaume-Uni], Swansea University Medical School [Swansea, Royaume-Uni], Swansea University-Swansea University, Antimicrobial Resistance Research Centre [Toyama, Japon], National Institute of Infectious Diseases [Toyama, Japon], Department of Microbiology, Tumour and Cell Biology [Stockholm, Suède], Karolinska Institutet [Stockholm], University of Bath [Bath], School of Biosciences [Cardiff, Royaume-Uni], College of Biomedical and Life Sciences [Cardiff, Royaume-Uni], Cardiff University-Cardiff University, Systems Biology Research Group [Skövde, Suède], School of Biosciences [Skövde, Suède], University of Skövde [Sweden]-University of Skövde [Sweden], Department of Gastroenterology [Bruxelles, Belgique], Centre Hospitalier Interrégional Edith Cavell (CHIREC), Laboratoire de Bactériologie [Bordeaux], Centre National de Référence des Campylobacters et des Hélicobacters [Bordeaux] (CNRCH), Bordeaux Research In Translational Oncology [Bordeaux] (BaRITOn), Université de Bordeaux (UB)-CHU Bordeaux [Bordeaux]-Institut National de la Santé et de la Recherche Médicale (INSERM), Nottingham Digestive Diseases Centre [Nottingham, Royaume-Uni], University of Nottingham, UK (UON), Department of Clinical Medicine [Dublin, Irlande], School of Medicine [Dublin], Trinity College Dublin-Trinity College Dublin, Elvire Berthenet is funded by a grant from HCRW. Sam K Sheppard is a principal investigator for the MRC CLIMB consortium (MR/L015080/1) and Daniel Falush is supported by a fellowship as part of MRC CLIMB (MR/M501608/1). S.K.S. is also funded by MRC grant G0801929, BBSRC grant BB/I02464X/1 and the Wellcome Trust. Jane Mikhail received funding from MITReG, St David’s Medical Foundation and ABMUHB., Department of Biology and Biochemistry [Bath, Royaume-Uni], Milner Centre for Evolution [Bath, Royaume-Uni], and University of Bath [Bath]-University of Bath [Bath]
- Subjects
Risk ,Metaplasia ,Helicobacter pylori ,Virulence Factors ,Genetic Variation ,[SDV.CAN]Life Sciences [q-bio]/Cancer ,Polymorphism, Single Nucleotide ,[SDV.MP.BAC]Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology ,Microbiology in the medical area ,[SDV.CAN] Life Sciences [q-bio]/Cancer ,lcsh:Biology (General) ,Stomach Neoplasms ,Gastritis ,[SDV.BBM.GTP]Life Sciences [q-bio]/Biochemistry, Molecular Biology/Genomics [q-bio.GN] ,Mikrobiologi inom det medicinska området ,Humans ,[SDV.BBM.GTP] Life Sciences [q-bio]/Biochemistry, Molecular Biology/Genomics [q-bio.GN] ,GWAS ,[SDV.MP.BAC] Life Sciences [q-bio]/Microbiology and Parasitology/Bacteriology ,Gastric cancer ,lcsh:QH301-705.5 ,Genome, Bacterial ,Research Article ,Genome-Wide Association Study - Abstract
Background Helicobacter pylori are stomach-dwelling bacteria that are present in about 50% of the global population. Infection is asymptomatic in most cases, but it has been associated with gastritis, gastric ulcers and gastric cancer. Epidemiological evidence shows that progression to cancer depends upon the host and pathogen factors, but questions remain about why cancer phenotypes develop in a minority of infected people. Here, we use comparative genomics approaches to understand how genetic variation amongst bacterial strains influences disease progression. Results We performed a genome-wide association study (GWAS) on 173 H. pylori isolates from the European population (hpEurope) with known disease aetiology, including 49 from individuals with gastric cancer. We identified SNPs and genes that differed in frequency between isolates from patients with gastric cancer and those with gastritis. The gastric cancer phenotype was associated with the presence of babA and genes in the cag pathogenicity island, one of the major virulence determinants of H. pylori, as well as non-synonymous variations in several less well-studied genes. We devised a simple risk score based on the risk level of associated elements present, which has the potential to identify strains that are likely to cause cancer but will require refinement and validation. Conclusion There are a number of challenges to applying GWAS to bacterial infections, including the difficulty of obtaining matched controls, multiple strain colonization and the possibility that causative strains may not be present when disease is detected. Our results demonstrate that bacterial factors have a sufficiently strong influence on disease progression that even a small-scale GWAS can identify them. Therefore, H. pylori GWAS can elucidate mechanistic pathways to disease and guide clinical treatment options, including for asymptomatic carriers. Electronic supplementary material The online version of this article (10.1186/s12915-018-0550-3) contains supplementary material, which is available to authorized users.
- Published
- 2018
- Full Text
- View/download PDF