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* The Muchmore Laboratories for Infectious Diseases Research, Department of Veterans Affairs Medical Center and University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73104; and Institute for Genomic Biology, Departments of Animal Sciences and Veterinary Pathobiology and Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana, Illinois 61801
To whom requests for reprints should be addressed at 1 The Muchmore Laboratories for Infectious Diseases Research, Department of Veterans Affairs Medical Center and University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104 (E-mail: mark-huycke{at}ouhsc.edu); or Institute for Genomic Biology, Departments of Animal Sciences and Veterinary Pathobiology and Division of Nutritional Sciences, University of Illinois at Urbana-Champaign, Urbana, IL 61801 (E-mail: hgaskins{at}uiuc.edu).
The potential role for commensal bacteria in colorectal carcinogenesis is explored in this review. Most colorectal cancers (CRCs) occur sporadically and arise from the gradual accumulation of mutations in genes regulating cell growth and DNA repair. Genetic mutations followed by clonal selection result in the transformation of normal cells into malignant derivatives. Numerous toxicological effects of colonic bacteria have been reported. However, those recognized as damaging epithelial cell DNA are most easily reconciled with the currently understood genetic basis for sporadic CRC. Thus, we focus on mechanisms by which particular commensal bacteria may convert dietary procarcinogens into DNA damaging agents (e.g., ethanol and heterocyclic amines) or directly generate carcinogens (e.g., fecapentaenes). Although these and other metabolic activities have yet to be linked directly to sporadic CRC, several lines of investigation are reviewed to highlight difficulties and progress in the area. Particular focus is given to commensal bacteria that alter the epithelial redox environment, such as production of oxygen radicals by Enterococcus faecalis or production of hydrogen sulfide by sulfate-reducing bacteria (SRB). Super-oxide-producing E. faecalis has conclusively been shown to cause colonic epithelial cell DNA damage. Though SRB-derived hydrogen sulfide (H2S) has not been reported thus far to induce DNA damage or function as a carcinogen, recent data demonstrate that this reductant activates molecular pathways implicated in CRC. These observations combined with evidence that SRB carriage may be genetically encoded evoke a working model that incorporates multifactorial gene-environment interactions that appear to underlie the development of sporadic CRC.
Key Words: colorectal cancer • chromosomal instability • colonic microbiota • redox stress • Enterococcus faecalis • sulfate-reducing bacteria
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