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188                       Xie et al. | Journal of Clinical and Translational Research 2024; 10(3): 180-190
        and elucidating the diversity of biliary and gut microbiota in   Ethical Approval and Consent to Participate
        gallstone diseases may facilitate the prognosis and management
        of gallstones.                                           Ethical approval was obtained from the Institutional Research
          Nonetheless, there were several limitations  in this study,   Ethics Committee of Beijing Tiantan Hospital, Capital Medical
        such as the small sample size. Cholecystectomy and endoscopic   University (KY2020-032-02).  We obtained  informed consent
        operations  are  invasive  procedures, and  this  study did  not   from human patients before their participation  by signing an
        include bile samples from the control group for comparisons.   informed consent form.
        This study selectively excluded the research subjects, resulting   Consent for Publication
        in self-selection and sample-selection biases, thereby limiting
        an accurate representation of the population.            We obtained informed consent from human patients before
                                                               their participation by signing an informed consent form.
        5. Conclusion
                                                               Availability of Data
          The biliary tract (e.g., gallstones, bile, and gallbladder
        mucosa) and gut microbiota of patients with gallstones exhibited   The datasets generated during the present study are available
        specific  changes  compared  to  healthy  individuals,  providing   in  the  NCBI database. The  raw sequence  reads  of this  study
        novel insights into the source of the biliary tract flora and the   were deposited at NCBI under Bioproject with the accession
        formation of gallstones. Patients with gallstones had an obvious   number PRJNA 929661.
        microbiota imbalance at the genus level. The diversity of gut
        microbiota  was higher  than  that  of  biliary  microbiota  among   References
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        Acknowledgments                                             doi: 10.1186/s12893-016-0160-3

          We thank the study team,  including study coordinators,   [5.   Wirth  J,  Di  Giuseppe  R,  Wientzek  A,  Katzke  VA,
        operating nurses, physicians, data management personnel, and   Kloss M, Kaaks R, et al. Presence of Gallstones and the
        other support staff, for the practical arrangements of the study,   Risk  of  Cardiovascular  Diseases:  The  EPIC-Germany
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        study materials.                                            doi: 10.1177/2047487313512218
                                                               [6]   Fan Y,  Hu  J,  Feng  B, Wang W, Yao  G,  Zhai  J,  et  al.
        Funding                                                     Increased Risk of Pancreatic Cancer Related to Gallstones
          This  work  was supported  by  the  Digestive  Medical    and Cholecystectomy: A Systematic Review and Meta-
        Coordinated  Development  Center  of the  Beijing  Hospitals   analysis. Pancreas 2016;45:503-9.
        Authority (Grant number: XXT14).                            doi: 10.1097/MPA.0000000000000502
        Conflict of Interest                                   [7]   Singh BP, Khan WF, Rathore YS, Pol MM. Incidental
                                                                    Carcinoma  Gallbladder:  Incidence,  Risk Factors,
          The  authors  have  no  relevant  financial  or  non-financial   and  Factors  Affecting  Survival-5-Year  Experience
        interests to disclose.                                      from  A  Tertiary  Care Institute.  J  Gastrointest  Cancer

                                               DOI: https://doi.org/10.36922/jctr.23.00118
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