Shoji Fumihiro
Dept. of Thoracic Oncology, NHO Kyushu Cancer Center.
Gan To Kagaku Ryoho. 2024 Jun;51(6):597-602.
In recent years, the human microbiota, especially the gut microbiota, has been attracting attention in various fields, and it is one of the topics in the field of oncology. The human microbiota is known to act directly or indirectly on host immunity, and the gut and lung microbiota influence each other through the"gut-lung axis". It has been suggested that dysbiosis, a condition in which the symbiosis of the human microbiota is disrupted, induces lung inflammation and various respiratory diseases, and is also implicated in the immune microenvironment of lung cancer. It is also widely known that the gut microbiota modulates the efficacy of cancer immunotherapy, a major pillar of lung cancer treatment, and many clinical trials targeting the gut microbiota, such as fecal microbiome transplantation and biotics intervention, are currently being conducted. In the future, research on lung carcinogenesis mechanisms and lung cancer treatment focusing on the human microbiota will become increasingly active.
近年来,人类微生物群,尤其是肠道微生物群,在各个领域都备受关注,它是肿瘤学领域的热门话题之一。已知人类微生物群直接或间接作用于宿主免疫,肠道和肺部微生物群通过“肠-肺轴”相互影响。有人提出,生态失调(即人类微生物群共生关系被破坏的一种状态)会引发肺部炎症和各种呼吸道疾病,还与肺癌的免疫微环境有关。众所周知,肠道微生物群还能调节癌症免疫疗法(肺癌治疗的主要支柱)的疗效,目前正在进行许多针对肠道微生物群的临床试验,如粪便微生物群移植和生物制剂干预。未来,围绕人类微生物群的肺癌发生机制和肺癌治疗研究将变得越来越活跃。