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结直肠癌治疗中新兴的对抗策略:系统综述、进展与未来挑战

Emerging strategies for combating in colorectal cancer treatment: Systematic review, improvements and future challenges.

作者信息

Liu Hongyu, Yu Yunjian, Dong Alideertu, Elsabahy Mahmoud, Yang Ying-Wei, Gao Hui

机构信息

State Key Laboratory of Separation Membranes and Membrane Processes School of Materials Science and Engineering Tiangong University Tianjin P. R. China.

College of Chemistry and Chemical Engineering Inner Mongolia University Hohhot P. R. China.

出版信息

Exploration (Beijing). 2023 Dec 22;4(1):20230092. doi: 10.1002/EXP.20230092. eCollection 2024 Feb.

Abstract

Colorectal cancer (CRC) is generally characterized by a high prevalence of (), a spindle-shaped, Gram-negative anaerobe pathogen derived from the oral cavity. This tumor-resident microorganism has been closely correlated with the occurrence, progression, chemoresistance and immunosuppressive microenvironment of CRC. Furthermore, can specifically colonize CRC tissues through adhesion on its surface, forming biofilms that are highly resistant to commonly used antibiotics. Accordingly, it is crucial to develop efficacious non-antibiotic approaches to eradicate and its biofilms for CRC treatment. In recent years, various antimicrobial strategies, such as natural extracts, inorganic chemicals, organic chemicals, polymers, inorganic-organic hybrid materials, bacteriophages, probiotics, and vaccines, have been proposed to combat and biofilms. This review summarizes the latest advancements in anti- research, elucidates the antimicrobial mechanisms employed by these systems, and discusses the benefits and drawbacks of each antimicrobial technology. Additionally, this review also provides an outlook on the antimicrobial specificity, potential clinical implications, challenges, and future improvements of these antimicrobial strategies in the treatment of CRC.

摘要

结直肠癌(CRC)的一个普遍特征是(某种微生物)的高流行率,该微生物是一种源自口腔的梭形革兰氏阴性厌氧菌病原体。这种肿瘤内的微生物与CRC的发生、发展、化疗耐药性和免疫抑制微环境密切相关。此外,(该微生物)可以通过其表面的黏附作用特异性地定殖于CRC组织,形成对常用抗生素具有高度抗性的生物膜。因此,开发有效的非抗生素方法来根除(该微生物)及其生物膜对于CRC治疗至关重要。近年来,人们提出了各种抗菌策略,如天然提取物、无机化学品、有机化学品、聚合物、无机-有机杂化材料、噬菌体、益生菌和疫苗,以对抗(该微生物)及其生物膜。本综述总结了抗(该微生物)研究的最新进展,阐明了这些系统所采用的抗菌机制,并讨论了每种抗菌技术的优缺点。此外,本综述还对这些抗菌策略在CRC治疗中的抗菌特异性、潜在临床意义、挑战和未来改进进行了展望。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3965/10867388/34d966f9372c/EXP2-4-20230092-g010.jpg

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