微生物组在结肠癌的病因发病机制中的作用。

The Role of the Microbiome in the Etiopathogenesis of Colon Cancer.

机构信息

Department of Immunology and Infectious Diseases and Department of Molecular Metabolism, Harvard T.H. Chan School of Public Health, Boston, Massachusetts, USA; email:

The Harvard Chan Microbiome in Public Health Center, Boston, Massachusetts, USA.

出版信息

Annu Rev Physiol. 2024 Feb 12;86:453-478. doi: 10.1146/annurev-physiol-042022-025619.

Abstract

Studies in preclinical models support that the gut microbiota play a critical role in the development and progression of colorectal cancer (CRC). Specific microbial species and their corresponding virulence factors or associated small molecules can contribute to CRC development and progression either via direct effects on the neoplastic transformation of epithelial cells or through interactions with the host immune system. Induction of DNA damage, activation of Wnt/β-catenin and NF-κB proinflammatory pathways, and alteration of the nutrient's availability and the metabolic activity of cancer cells are the main mechanisms by which the microbiota contribute to CRC. Within the tumor microenvironment, the gut microbiota alter the recruitment, activation, and function of various immune cells, such as T cells, macrophages, and dendritic cells. Additionally, the microbiota shape the function and composition of cancer-associated fibroblasts and extracellular matrix components, fashioning an immunosuppressive and pro-tumorigenic niche for CRC. Understanding the complex interplay between gut microbiota and tumorigenesis can provide therapeutic opportunities for the prevention and treatment of CRC.

摘要

研究表明,肠道微生物群在结直肠癌(CRC)的发生和发展中起着关键作用。特定的微生物种类及其相应的毒力因子或相关的小分子可以通过直接影响上皮细胞的肿瘤转化或通过与宿主免疫系统相互作用来促进 CRC 的发展和进展。诱导 DNA 损伤、激活 Wnt/β-catenin 和 NF-κB 促炎途径,以及改变癌细胞的营养物质可用性和代谢活性是微生物群促进 CRC 的主要机制。在肿瘤微环境中,肠道微生物群改变各种免疫细胞(如 T 细胞、巨噬细胞和树突状细胞)的募集、激活和功能。此外,微生物群塑造了癌症相关成纤维细胞和细胞外基质成分的功能和组成,为 CRC 形成一个免疫抑制和促肿瘤的生态位。了解肠道微生物群与肿瘤发生之间的复杂相互作用,可以为 CRC 的预防和治疗提供治疗机会。

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