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[肠道微生物群的力量:探索结直肠癌治疗的新视角]

[The Power of the Gut Microbiome: Exploring New Perspectives in Colorectal Cancer Therapy].

作者信息

Takeda Mitsunobu, Doki Yuichiro

机构信息

Dept. of Gastroenterological Surgery, Graduate School of Medicine, Osaka University.

出版信息

Gan To Kagaku Ryoho. 2024 Jun;51(6):608-612.

Abstract

The gut microbiome is involved in host physiology, including nutrition, metabolism, and immunity. It was recently known that dysbiosis of the gut microbiome has been implicated in several human diseases such as inflammatory bowel disease. It is altered by environmental factors such as diet, habit and lifestyle and has been directly and indirectly linked to the development and progression of colorectal cancer(CRC). Fusobacterium(F.)nucleatum, which causes periodontal disease, has been shown to play an important role in the initiation and development of CRC, although not as clearly as Helicobacter(H.) pylori in gastric cancer. Therefore, gut bacteria hold promise as a potential therapeutic approach to prevent or treat CRC. Although its clinical usefulness has not yet been demonstrated, future research such as metagenomics may open new avenues for CRC treatment with gut bacteria. Here, we reviewed the role of the gut microbial community in the development, progression, and prevention of colorectal carcinogenesis.

摘要

肠道微生物群参与宿主生理过程,包括营养、代谢和免疫。最近发现,肠道微生物群失调与多种人类疾病有关,如炎症性肠病。它会受到饮食、习惯和生活方式等环境因素的影响,并与结直肠癌(CRC)的发生和发展直接或间接相关。虽然具核梭杆菌(F. nucleatum)不像幽门螺杆菌(H. pylori)在胃癌中那样明确,但它可引发牙周病,且已被证明在CRC的发生和发展中起重要作用。因此,肠道细菌有望成为预防或治疗CRC的潜在治疗方法。尽管其临床实用性尚未得到证实,但诸如宏基因组学等未来研究可能会为利用肠道细菌治疗CRC开辟新途径。在此,我们综述了肠道微生物群落在结直肠癌发生发展及预防中的作用。

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