Distinct mucosa-associated microbiota signatures and dysbiosis in Peutz-Jeghers syndrome polyps versus paired normal mucosa - Report - MDSpire

Distinct mucosa-associated microbiota signatures and dysbiosis in Peutz-Jeghers syndrome polyps versus paired normal mucosa

  • By

  • Shuai Tang

  • Lei Wang

  • Chong-xi Fan

  • Zhe-yi Han

  • Lei Zhang

  • Bai-rong Li

  • Shou-Bin Ning

  • June 22, 2026

  • 0 min

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Unique Microbiota Profiles and Dysbiosis in Polyps of Peutz-Jeghers Syndrome

Overview

This study investigates the mucosal microbial signatures in Peutz-Jeghers syndrome (PJS) polyps compared to normal mucosa. Significant dysbiosis was observed in PJS polyps.

Background

Peutz-Jeghers syndrome (PJS) is an autosomal dominant disorder characterized by gastrointestinal hamartomatous polyps and an increased risk of cancer. Understanding the role of mucosa-associated microbiota in PJS is crucial, as dysbiosis has been linked to various gastrointestinal diseases, including cancer. This study aims to elucidate the microbial profiles associated with PJS polyps.

Data Highlights

MeasurePolypNormal MucosaP-value
Alpha Diversity (Observed species)ReducedHigher< 0.001
Alpha Diversity (Chao1)ReducedHigher< 0.001
Alpha Diversity (Shannon)ReducedHigher< 0.001
Simpson IndexIncreasedDecreased< 0.001
Beta DiversitySignificant difference-P = 0.002
Microbial Dysbiosis IndexHigherLower< 0.001

Key Findings

  • Alpha diversity metrics were significantly lower in PJS polyps compared to normal mucosa (P < 0.001).
  • Beta diversity showed significant differences between PJS polyps and normal mucosa (ANOSIM, R = 0.0667, P = 0.002).
  • PJS polyps were enriched in Pseudomonadota and depleted in Bacillota and Bacteroidota (all P < 0.001).
  • The microbial dysbiosis index was significantly higher in polyps (P < 0.001).
  • A random forest model using 9 genera achieved an AUC of 0.897 for distinguishing polyp samples.
  • Escherichia-Shigella correlated with the number of polyps (P < 0.05).

Clinical Implications

The findings indicate mucosal microbial dysbiosis in PJS polyps.

Conclusion

PJS polyps exhibit significant microbial dysbiosis, highlighting the importance of mucosa-associated microbiota in the pathogenesis of this syndrome.

Related Resources & Content

  1. Merck Manual, Merck Manual Professional Edition, 2025 -- Peutz-Jeghers Syndrome
  2. NCCN Guidelines Insights, PubMed, 2026 -- Genetic/Familial High-Risk Assessment
  3. Journal of Gastroenterology, 2017 -- Endoscopic Brush Sample Analysis Reveals Mucosal Dysbiosis in Patients with Inflammatory Bowel Disease
  4. Infection, 2023 -- The Role of Helicobacter pylori in the Oral-Gut Microbiome: Clinical Significance
  5. Frontiers in Oncology, 2026 -- Mutation profile and therapeutic implications in Peutz-Jeghers syndrome-associated gastric-type endocervical adenocarcinoma
  6. Journal of Gastroenterology — Significant Intestinal Trans-Differentiation Associated with Autoimmune Gastritis and Ectopic Development of Pancreatic and Pulmonary Tissue
  7. Peutz-Jeghers Syndrome - Oncology - Merck Manual Professional Edition
  8. NCCN Guidelines® Insights: Genetic/Familial High-Risk Assessment: Breast, Ovarian, Pancreatic, and Prostate, Version 2.2026 - PubMed
  9. The landscape of tissue-resident microbiota across normal, polyp, and colorectal cancer tissues - PMC

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