Department of Biotechnology, School of Life Sciences, Pondicherry University, Puducherry 605014, India.
Department of Genomic Science, School of Biological Sciences, Central University of Kerala, Kasaragod 671320, India.
Int J Oncol. 2024 Jan;64(1). doi: 10.3892/ijo.2023.5592. Epub 2023 Nov 24.
Cancer is one of the leading causes of death worldwide and it is estimated that the mortality rate of cancer will increase in the coming years. The etiology of the development and progression of cancer is multifactorial. Insights have been gained on the association between the human microbiome and tumor cell malignancy. A number of commensal microbe species are present in the human gut. They serve pivotal roles in maintaining several health and disease conditions, such as inflammatory bowel disease, irritable bowel syndrome, obesity and diabetes. Known major factors involved in cancer development include age, hormone levels, alcohol consumption, diet, being overweight, obesity, and infections, regardless of the type of cancer. Therefore, the present review aims to discuss the relationship between the gut microbiome and obesity‑associated malignancies, including colorectal, gastric and liver cancer. Obesity has been reported to contribute to the development of numerous types of cancer primarily caused by high fatty food intake. In addition, obesity‑associated microbiome alterations can lead to cancer and its progression. Dysbiosis of the gut microbiota can alter the metabolite profile, whilst increasing the levels of toxins, such as toxin and colibactin and cytolethal distending toxin, which are responsible for oncogenesis. The present review provides insights into the impact of gut microbiome dysbiosis on the progression of different types of cancers associated with obesity. It also discusses possible strategies for preserving a healthy gut microbiome. Different pre‑clinical and clinical models are available for studying cancer development downstream of gut microbiome dysbiosis. Furthermore, the role of metabolites or drugs employed in colorectal, gastric and liver cancer therapy would be discussed.
癌症是全球主要死因之一,预计未来几年癌症死亡率将上升。癌症的发生和发展的病因是多因素的。人们已经深入了解了人类微生物组与肿瘤细胞恶性程度之间的关联。许多共生微生物物种存在于人类肠道中。它们在维持多种健康和疾病状况方面发挥着关键作用,如炎症性肠病、肠易激综合征、肥胖和糖尿病。已知涉及癌症发展的主要因素包括年龄、激素水平、饮酒、饮食、超重、肥胖和感染,无论癌症类型如何。因此,本综述旨在讨论肠道微生物组与肥胖相关恶性肿瘤之间的关系,包括结直肠癌、胃癌和肝癌。肥胖已被报道是导致多种癌症的主要原因,主要是由于高脂肪食物的摄入。此外,肥胖相关的微生物组改变可导致癌症及其进展。肠道微生物群的失调会改变代谢物谱,同时增加毒素水平,如志贺毒素和 colibactin 以及细胞毒性扩张毒素,这些毒素负责致癌。本综述深入探讨了肠道微生物群失调对与肥胖相关的不同类型癌症进展的影响。它还讨论了保持健康肠道微生物群的可能策略。有不同的临床前和临床模型可用于研究肠道微生物群失调下游的癌症发展。此外,还将讨论用于结直肠癌、胃癌和肝癌治疗的代谢物或药物的作用。
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