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research article

Secondary bile acid production by gut bacteria promotes Western diet-associated colorectal cancer

Osswald, Annika
•
Wortmann, Esther
•
Wylensek, David
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December 18, 2025
Gut

Background Western diet and associated production of secondary bile acids (BAs) have been linked to the development of sporadic colorectal cancer (CRC). Despite observational studies showing that secondary BAs produced by 7α-dehydroxylating (7αDH+) gut bacteria are increased in CRC, a causal proof of their tumour-promoting effects is lacking. Objective Investigate the causal role of BAs produced by 7αDH+ gut bacteria in CRC. Design We performed feeding studies in a porcine model of CRC combined with multi-omics analyses and gnotobiotic mouse models colonised with 7αDH+ bacteria or a genetically modified strain to demonstrate causality. Results Western diet exacerbated the CRC phenotype in APC 1311/+ pigs. This was accompanied by increased levels of the secondary BA deoxycholic acid (DCA) and higher colonic epithelial cell proliferation. The latter was counteracted by the BA-scavenging drug colestyramine. Metagenomic analysis across multiple human cohorts revealed higher occurrence of bai (BA inducible) operons from Clostridium scindens and close relatives in faeces of patients with CRC. Addition of these specific 7αDH+ bacteria ( C. scindens / Extibacter muris ) to defined communities of gut bacteria led to DCA production and increased colon tumour burden in mouse models of chemically or genetically induced CRC. A mutant strain of Faecalicatena contorta lacking 7αDH caused fewer colonic tumours in azoxymethane/dextran sodium sulfate treated mice and triggered less epithelial cell proliferation in human colon organoids compared with wild-type F. contorta . Conclusion This work provides functional evidence for the causal role of secondary BAs produced by gut bacteria through 7αDH in CRC under adverse dietary conditions, opening avenues for future preventive strategies.

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Type
research article
DOI
10.1136/gutjnl-2024-332243
Author(s)
Osswald, Annika

Leibniz-Institute for Food Systems Biology at the Technical University of Munich

Wortmann, Esther

RWTH Aachen University

Wylensek, David

Universitätsklinikum Aachen

Kuhls, Stephanie

Technical University of Munich

Coleman, Olivia I

Technical University of Munich

Peuker, Kenneth

Universitätsmedizin Greifswald

Strigli, Anne

Universitätsmedizin Greifswald

Ducarmon, Quinten R

European Molecular Biology Laboratory

Larralde, Martin

Leiden University Medical Center

Liang, Wei

Technical University of Munich

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Date Issued

2025-12-18

Publisher

BMJ

Published in
Gut
Start page

gutjnl

End page

2024-332243

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
EML  
FunderFunding(s)Grant NumberGrant URL

Deutsche Forschungsgemeinschaft

338582098

Deutsche Forschungsgemeinschaft

395357507

Deutsche Forschungsgemeinschaft

453229399

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Available on Infoscience
December 22, 2025
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/257212
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