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高盐饮食对健康和疾病的影响及其通过调节肠道微生物群在癌症免疫治疗中的作用。

Impact of high-salt diet in health and diseases and its role in pursuit of cancer immunotherapy by modulating gut microbiome.

作者信息

Balan Yuvaraj, Sundaramurthy Raja, Gaur Archana, Varatharajan Sakthivadivel, Raj Gerard Marshall

机构信息

Department of Biochemistry, All India Institute of Medical Sciences, Madurai, Tamil Nadu, India.

Department of Microbiology, All India Institute of Medical Sciences, Hyderabad, Telangana, India.

出版信息

J Family Med Prim Care. 2024 May;13(5):1628-1635. doi: 10.4103/jfmpc.jfmpc_1574_23. Epub 2024 May 24.


DOI:10.4103/jfmpc.jfmpc_1574_23
PMID:38948582
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11213449/
Abstract

Cancer chemotherapy remains an area of concern, as many of the therapies are uncomfortable involving side effects and unpleasant experiences. These factors could further reduce patient's quality of life, and even endanger their life. Many therapeutic strategies have been tried to reduce the unpleasant side effects and increase the treatment effectiveness; however, none have shown to have promising effects. One of the main hindrances to cancer therapy is the escape strategies by tumor cells to the immune attack. Promoting inflammation in the tumor microenvironment is the cornerstone and key therapeutic target in cancer chemotherapy. High-salt diet (HSD) intake, though it has deleterious effects on human health by promoting chronic inflammation, is found to be advantageous in the tumor microenvironment. Studies identified HSD favors an increased abundance of species in the tumor environment due to gut barrier alteration, which, in turn, promotes inflammation and favors improved response to cancer chemotherapy. A review of the literature was carried out to find out the effects of an HSD on health and diseases, with special mention of its effect on cancer chemotherapy. Studies emphasized HSD would block the myeloid-derived suppressor cells which will enhance the tumor immunity. Exploration of the precise mechanism of simple HSD regime/ingestion of specific bacterial species as probiotics will be effective and essential to formulate the game-changing cancer chemotherapy. With the modern era of healthcare moving toward precision medicine where the physician can choose the treatment option suitable for the individual, HSD regime/ingestion of specific bacterial species can be considered.

摘要

癌症化疗仍然是一个令人担忧的领域,因为许多疗法会带来不适,伴有副作用和不愉快的经历。这些因素可能会进一步降低患者的生活质量,甚至危及他们的生命。人们已经尝试了许多治疗策略来减少不愉快的副作用并提高治疗效果;然而,没有一种策略显示出有前景的效果。癌症治疗的主要障碍之一是肿瘤细胞逃避免疫攻击的策略。促进肿瘤微环境中的炎症是癌症化疗的基石和关键治疗靶点。高盐饮食(HSD)的摄入,虽然通过促进慢性炎症对人类健康有有害影响,但发现在肿瘤微环境中是有利的。研究表明,由于肠道屏障改变,高盐饮食有利于肿瘤环境中物种丰度的增加,这反过来又促进炎症并有利于改善对癌症化疗的反应。进行了一项文献综述,以了解高盐饮食对健康和疾病的影响,特别提到了其对癌症化疗的影响。研究强调高盐饮食会阻断髓源性抑制细胞,从而增强肿瘤免疫力。探索简单的高盐饮食方案/摄入特定细菌物种作为益生菌的确切机制将对制定改变游戏规则的癌症化疗有效且至关重要。随着现代医疗保健时代朝着精准医学发展,医生可以选择适合个体的治疗方案,高盐饮食方案/摄入特定细菌物种可以被考虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9d5/11213449/3f7f3878cc3f/JFMPC-13-1628-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9d5/11213449/10c071964f89/JFMPC-13-1628-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9d5/11213449/3f7f3878cc3f/JFMPC-13-1628-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9d5/11213449/10c071964f89/JFMPC-13-1628-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9d5/11213449/3f7f3878cc3f/JFMPC-13-1628-g002.jpg

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[3]
The Influence of Dietary Factors on the Gut Microbiota.

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[4]
High salt diet does not impact the development of acute myeloid leukemia in mice.

Cancer Immunol Immunother. 2023-1

[5]
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Nutrients. 2022-3-10

[6]
High dietary salt intake activates inflammatory cascades via Th17 immune cells: impact on health and diseases.

Arch Med Sci. 2020-6-15

[7]
The impact of excessive salt intake on human health.

Nat Rev Nephrol. 2022-5

[8]
Association of rheumatoid arthritis and high sodium intake with major adverse cardiovascular events: a cross-sectional study from the seventh Korean National Health and Nutrition Examination Survey.

BMJ Open. 2021-12-20

[9]
The Gut-Brain Axis in Multiple Sclerosis. Is Its Dysfunction a Pathological Trigger or a Consequence of the Disease?

Front Immunol. 2021

[10]
PD-1/PD-L1 Checkpoint Inhibitors in Tumor Immunotherapy.

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