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肠道微生物群与免疫相互作用及其在结直肠癌中的意义。

Interaction between microbiota and immunity and its implication in colorectal cancer.

机构信息

Department of Medicine, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.

Norris Comprehensive Cancer Center, Keck School of Medicine, University of Southern California, Los Angeles, CA, United States.

出版信息

Front Immunol. 2022 Jul 29;13:963819. doi: 10.3389/fimmu.2022.963819. eCollection 2022.

Abstract

Colorectal cancer (CRC) is one of the leading causes of cancer-related death in the world. Besides genetic causes, colonic inflammation is one of the major risk factors for CRC development, which is synergistically regulated by multiple components, including innate and adaptive immune cells, cytokine signaling, and microbiota. The complex interaction between CRC and the gut microbiome has emerged as an important area of current CRC research. Metagenomic profiling has identified a number of prominent CRC-associated bacteria that are enriched in CRC patients, linking the microbiota composition to colitis and cancer development. Some microbiota species have been reported to promote colitis and CRC development in preclinical models, while a few others are identified as immune modulators to induce potent protective immunity against colitis and CRC. Mechanistically, microbiota regulates the activation of different immune cell populations, inflammation, and CRC crosstalk between innate and adaptive immune signaling pathways, including nuclear factor kappa B (NF-κB), type I interferon, and inflammasome. In this review, we provide an overview of the potential interactions between gut microbiota and host immunity and how their crosstalk could synergistically regulate inflammation and CRC, thus highlighting the potential roles and mechanisms of gut microbiota in the development of microbiota-based therapies to prevent or alleviate colitis and CRC.

摘要

结直肠癌(CRC)是全球癌症相关死亡的主要原因之一。除了遗传原因外,结肠炎症是 CRC 发展的主要危险因素之一,它受到多种成分的协同调节,包括先天和适应性免疫细胞、细胞因子信号和微生物组。CRC 与肠道微生物组之间的复杂相互作用已成为当前 CRC 研究的一个重要领域。宏基因组分析已经确定了一些与 CRC 相关的突出细菌,这些细菌在 CRC 患者中富集,将微生物组组成与结肠炎和癌症发展联系起来。一些微生物物种已被报道在临床前模型中促进结肠炎和 CRC 的发展,而少数其他微生物物种被鉴定为免疫调节剂,可诱导针对结肠炎和 CRC 的强大保护性免疫。从机制上讲,微生物组调节不同免疫细胞群体的激活、炎症和先天与适应性免疫信号通路之间的 CRC 串扰,包括核因子 kappa B(NF-κB)、I 型干扰素和炎性小体。在这篇综述中,我们提供了肠道微生物组和宿主免疫之间潜在相互作用的概述,以及它们的串扰如何协同调节炎症和 CRC,从而强调了肠道微生物组在开发基于微生物组的疗法以预防或缓解结肠炎和 CRC 中的潜在作用和机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1902/9373904/53229e2a576d/fimmu-13-963819-g001.jpg

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