Kaźmierczak-Siedlecka Karolina, Dvořák Aleš, Folwarski Marcin, Daca Agnieszka, Przewłócka Katarzyna, Makarewicz Wojciech
Department of Surgical Oncology, Medical University of Gdansk, 80-214 Gdańsk, Poland.
Institute of Medical Biochemistry and Laboratory Diagnostics, Faculty General Hospital and 1st Faculty of Medicine, Charles University, 12108 Prague, Czech Republic.
Cancers (Basel). 2020 May 22;12(5):1326. doi: 10.3390/cancers12051326.
The association between bacterial as well as viral gut microbiota imbalance and carcinogenesis has been intensively analysed in many studies; nevertheless, the role of fungal gut microbiota (mycobiota) in colorectal, oral, and pancreatic cancer development is relatively new and undiscovered field due to low abundance of intestinal fungi as well as lack of well-characterized reference genomes. Several specific fungi amounts are increased in colorectal cancer patients; moreover, it was observed that the disease stage is strongly related to the fungal microbiota profile; thus, it may be used as a potential diagnostic biomarker for adenomas. , which is the major microbe contributing to oral cancer development, may promote carcinogenesis via several mechanisms, mainly triggering inflammation. Early detection of pancreatic cancer provides the opportunity to improve survival rate, therefore, there is a need to conduct further studies regarding the role of fungal microbiota as a potential prognostic tool to diagnose this cancer at early stage. Additionally, growing attention towards the characterization of mycobiota may contribute to improve the efficiency of therapeutic methods used to alter the composition and activity of gut microbiota. The administration of in oncology, mainly in immunocompromised and/or critically ill patients, is still controversial.
许多研究对细菌和病毒肠道微生物群失衡与致癌作用之间的关联进行了深入分析;然而,由于肠道真菌丰度低以及缺乏特征明确的参考基因组,肠道真菌微生物群(真菌群)在结直肠癌、口腔癌和胰腺癌发展中的作用是一个相对较新的未被探索的领域。结直肠癌患者体内几种特定真菌的数量增加;此外,观察到疾病阶段与真菌微生物群谱密切相关;因此,它可能用作腺瘤的潜在诊断生物标志物。 是导致口腔癌发展的主要微生物,可能通过多种机制促进致癌作用,主要是引发炎症。胰腺癌的早期检测为提高生存率提供了机会,因此,有必要进一步研究真菌微生物群作为早期诊断这种癌症的潜在预后工具的作用。此外,对真菌群特征的日益关注可能有助于提高用于改变肠道微生物群组成和活性的治疗方法的效率。在肿瘤学中,主要是在免疫功能低下和/或重症患者中使用 仍然存在争议。