Department of Urology, Huashan Hospital Fudan University, No. 12 Middle Wulumuqi Road, Shanghai 200040, China.
Department of Urology, Huashan Hospital Fudan University, No. 12 Middle Wulumuqi Road, Shanghai 200040, China.
Neoplasia. 2023 Sep;43:100928. doi: 10.1016/j.neo.2023.100928. Epub 2023 Aug 12.
We have previously demonstrated abnormal gut microbial composition in castration-resistant prostate cancer (CRPC) patients, here we revealed the mechanism of gut microbiota-derived short-chain fatty acids (SCFAs) as a mediator linking CRPC microbiota dysbiosis and prostate cancer (PCa) progression. By using transgenic TRAMP mouse model, PCa patient samples, in vitro PCa cell transwell and macrophage recruitment assays, we examined the effects of CRPC fecal microbiota transplantation (FMT) and SCFAs on PCa progression. Our results showed that FMT with CRPC patients' fecal suspension increased SCFAs-producing gut microbiotas such as Ruminococcus, Alistipes, Phascolarctobaterium in TRAMP mice, and correspondingly raised their gut SCFAs (acetate and butyrate) levels. CRPC FMT or SCFAs supplementation significantly accelerated mice's PCa progression. In vitro, SCFAs enhanced PCa cells migration and invasion by inducing TLR3-triggered autophagy that further activated NF-κB and MAPK signalings. Meanwhile, autophagy of PCa cells released higher level of chemokine CCL20 that could reprogramme the tumor microenvironment by recruiting more macrophage infiltration and simultaneously polarizing them into M2 type, which in turn further strengthened PCa cells invasiveness. Finally in a cohort of 362 PCa patients, we demonstrated that CCL20 expression in prostate tissue was positively correlated with Gleason grade, pre-operative PSA, neural/seminal vesical invasion, and was negatively correlated with post-operative biochemical recurrence-free survival. Collectively, CRPC gut microbiota-derived SCFAs promoted PCa progression via inducing cancer cell autophagy and M2 macrophage polarization. CCL20 could become a biomarker for prediction of prognosis in PCa patients. Intervention of SCFAs-producing microbiotas may be a useful strategy in manipulation of CRPC.
我们之前已经证明了去势抵抗性前列腺癌(CRPC)患者的肠道微生物组成异常,在这里,我们揭示了肠道微生物衍生的短链脂肪酸(SCFAs)作为一种介导物,将 CRPC 微生物失调与前列腺癌(PCa)进展联系起来的机制。通过使用转基因 TRAMP 小鼠模型、PCa 患者样本、体外 PCa 细胞 Transwell 和巨噬细胞募集测定,我们研究了 CRPC 粪便微生物群移植(FMT)和 SCFAs 对 PCa 进展的影响。我们的结果表明,用 CRPC 患者粪便悬浮液进行 FMT 增加了 Ruminococcus、Alistipes、Phascolarctobaterium 等产生 SCFAs 的肠道微生物群,相应地提高了它们的肠道 SCFAs(乙酸盐和丁酸盐)水平。CRPC FMT 或 SCFAs 补充显著加速了小鼠的 PCa 进展。在体外,SCFAs 通过诱导 TLR3 触发的自噬增强了 PCa 细胞的迁移和侵袭,进一步激活了 NF-κB 和 MAPK 信号通路。同时,PCa 细胞的自噬释放出更高水平的趋化因子 CCL20,通过招募更多的巨噬细胞浸润并同时将其极化为 M2 型,从而进一步增强了 PCa 细胞的侵袭性,重塑了肿瘤微环境。最后,在 362 名 PCa 患者的队列中,我们证明了前列腺组织中的 CCL20 表达与 Gleason 分级、术前 PSA、神经/精囊侵犯呈正相关,与术后生化无复发生存率呈负相关。总之,CRPC 肠道微生物衍生的 SCFAs 通过诱导癌细胞自噬和 M2 巨噬细胞极化促进了 PCa 的进展。CCL20 可能成为预测 PCa 患者预后的生物标志物。干预产生 SCFAs 的微生物群可能是操纵 CRPC 的一种有用策略。
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