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一个意想不到的联系:乳腺和肠道微生物群在乳腺癌发生和治疗中的作用(综述)。

An unexpected link: The role of mammary and gut microbiota on breast cancer development and management (Review).

机构信息

Department of Basic and Clinical Sciences, University of Nicosia Medical School, CY‑1700 Nicosia, Cyprus.

出版信息

Oncol Rep. 2021 May;45(5). doi: 10.3892/or.2021.8031. Epub 2021 Mar 31.

Abstract

Breast cancer (BC) impacts 2.3 million women each year, making it the most frequent cancer diagnosed among the female population. An unexpected link has been discovered between BC and alterations in the mammary and gut microbiota, suggesting their possible role in BC development, prevention and management. Studies suggest a distinct microbiome in healthy breast tissue compared to BC tissue. The healthy breast tissue has been found to be mostly enriched with bacteria of the phyla and . However, certain bacteria are more abundant in cancerous tissues compared to adjacent non‑cancerous tissues in BC women or compared to the breast tissues of healthy women. On the other hand, bacteria such as spp. are increased in the breast tissues of healthy women compared to the cancerous tissues of BC women and may therefore have potential protective effects against BC. Additionally, preliminary studies propose that the mammary microbiota is distinct in the different subtypes of BC, proposing a specific role of microbes in the development of BC and suggesting their possible use as biomarkers. Similarly, dysbiosis in the gut microbiota has been further linked to BC since certain gut bacteria can alter the production of beneficial metabolites and disrupt estrogen metabolism in the gut. While still at its infancy, such unexpected links between breast and gut microbiota and BC propose possible alternatives with regards to the prevention but also management of BC such as through the use of probiotics. The current review is focused on evaluating the recent evidence regarding the association between mammary and gut microbiota and BC and discusses the most important bacteria involved.

摘要

乳腺癌(BC)每年影响 230 万女性,是女性中最常见的癌症。人们发现 BC 与乳腺和肠道微生物群的改变之间存在意外联系,这表明它们可能在 BC 的发展、预防和治疗中发挥作用。研究表明,健康的乳腺组织与 BC 组织的微生物组有明显区别。健康的乳腺组织中,菌属 和 最为丰富。然而,与 BC 女性的非癌组织或健康女性的乳腺组织相比,某些细菌在癌组织中更为丰富。另一方面,与 BC 女性的癌组织相比,某些细菌如 spp. 在健康女性的乳腺组织中更为丰富,因此可能对 BC 具有潜在的保护作用。此外,初步研究表明,乳腺微生物群在不同类型的 BC 中存在差异,这表明微生物在 BC 发展中的特定作用,并提示它们可能作为生物标志物被使用。同样,肠道微生物群的失调也与 BC 进一步相关,因为某些肠道细菌可以改变有益代谢物的产生并破坏肠道中的雌激素代谢。尽管仍处于起步阶段,但乳腺和肠道微生物群与 BC 之间的这些意外联系提出了关于 BC 预防和管理的可能替代方法,例如使用益生菌。本综述重点评估了关于乳腺和肠道微生物群与 BC 之间关联的最新证据,并讨论了涉及的最重要的细菌。

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