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        <datestamp>2026-10-01T15:56:14Z</datestamp>
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          <dc:title>Image 2_Etiology-associated differences in the gut microbiome and metabolome in hepatocellular carcinoma: an exploratory study of alcohol-related and HBV-related cases.tif</dc:title>
          <dc:creator>Yongguang Wei (17145991)</dc:creator>
          <dc:creator>Kejian Yang (7027397)</dc:creator>
          <dc:creator>Qinchen Lu (11064702)</dc:creator>
          <dc:creator>Xin Zhou (54275)</dc:creator>
          <dc:creator>Huasheng Huang (3425024)</dc:creator>
          <dc:creator>Meiliang Liu (8902670)</dc:creator>
          <dc:creator>Lijun Wang (176511)</dc:creator>
          <dc:creator>Liming Shang (25141257)</dc:creator>
          <dc:creator>Tao Peng (81319)</dc:creator>
          <dc:creator>Xiaoyun Zeng (698516)</dc:creator>
          <dc:subject>Microbiology</dc:subject>
          <dc:subject>alcohol-related liver disease</dc:subject>
          <dc:subject>gut microbiome</dc:subject>
          <dc:subject>hepatitis B virus</dc:subject>
          <dc:subject>hepatocellular carcinoma</dc:subject>
          <dc:subject>metabolomics</dc:subject>
          <dc:description>&lt;p&gt;Hepatocellular carcinoma (HCC) arises in heterogeneous etiological contexts, but direct cross-omics comparisons between HCC subgroups defined by different etiologies remain limited. In this exploratory study, we combined fecal 16S rRNA gene sequencing and untargeted serum metabolomics with exploratory cross-omics analyses to compare gut microbial composition, serum metabolic profiles, and microbiome–metabolite association patterns between hepatitis B virus-related HCC (HBV-HCC) and alcohol-related HCC (ALD-HCC). Forty patients who underwent primary tumor resection were included, comprising 26 with HBV-HCC and 14 with ALD-HCC. Alpha diversity indices did not differ significantly between groups, whereas within-group Bray–Curtis dissimilarity was greater in ALD-HCC and genus-level beta-diversity ordination showed only modest separation between the two groups. LEfSe-based screening suggested the enrichment of candidate taxa, including Faecalibacterium, Roseburia, Lachnospira, Turicibacter, and Butyribacter in HBV-HCC, whereas Allisonella and Coprobacillus were enriched in ALD-HCC. Untargeted metabolomics showed group separation in supervised models and identified exploratory candidate metabolic features mainly involving glycerophospholipid metabolism, primary bile acid biosynthesis, aminoacyl-tRNA biosynthesis, and central carbon metabolism in cancer; however, these metabolite-level findings did not remain significant after multiple-testing correction. Procrustes and O2PLS analyses indicated limited global concordance between the microbiome and metabolome, although exploratory associations were observed between several phosphatidylcholine-related features and microbial taxa. Overall, HBV-HCC and ALD-HCC may be associated with different gut microbial and serum metabolic patterns, and these findings should be considered exploratory and hypothesis-generating.&lt;/p&gt;</dc:description>
          <dc:date>2026-10-01T15:56:14Z</dc:date>
          <dc:type>Image</dc:type>
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          <dc:identifier>10.3389/fmicb.2026.1927595.s003</dc:identifier>
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