Metagenomic Evaluation of the Gut Microbiome in Patients With Lynch Syndrome and Other Hereditary Colonic Polyposis Syndromes

N/AActive Not RecruitingNCT02371135

Memorial Sloan Kettering Cancer Center77 enrolled

Overview

The purpose of this study is to understand the role bacteria that normally live in the colon may play in colorectal cancer risk, in addition to the hereditary risk to colorectal cancer. The investigators will collect stool specimens as well as additional colon biopsy specimens during the patient's scheduled colonoscopy procedure. The investigators will also collect a questionnaire about diet and lifestyle. The samples will be used to study the impact of diet on naturally-occurring oral and gut bacteria and their influences on human health including risk of cancer.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Lynch Syndrome Hereditary Colonic Polyposis Syndromes

Interventions

colonic biopsiesGENETIC

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Male or Female age 18 or older * Hereditary colorectal cancer syndrome with one of the following: * Lynch syndrome, as defined by the presence of a deleterious germline mutation in the MLH1, MSH2, MSH6, PMS2 or EPCAM genes * Other hereditary colonic polyposis syndromes, as defined by the presence of a deleterious germline mutation in any one of the following polyposis genes (APC, biallelic MYH, STK11, SMAD4, BMPR1A, or other CRC-risk associated genes at discretion of PI) Exclusion Criteria: * Unable to provide informed consent for testing * Unable to complete English language questionnaire * Receiving active chemotherapy * Having completed active chemotherapy less then 12 months prior to day of scheduled lower endoscopy * No infectious or drug induced colitis less then 12 months prior to day of scheduled lower endoscopy * No history of inflammatory colitis (Crohn's disease or ulcerative colitis)

Outcomes

Primary Outcomes

association of the gut microbiome and dietary factors (To validate said associations, individual questions from the Brief Diet and Lifestyle Questionnaire will be primarily used in the overall analyses)

with risk of adenoma or cancer in Lynch syndrome and other hereditary colonic polyposis syndrome patients. To validate said associations, individual questions from the Brief Diet and Lifestyle Questionnaire will be primarily used in the overall analyses.

Time frame: 2 years