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肠道微生物群和饮食代谢产物在肾细胞癌治疗中的作用

The gut microbiome and dietary metabolites in the treatment of renal cell carcinoma.

作者信息

Zugman Miguel, Wong Megan, Jaime-Casas Salvador, Pal Sumanta K

机构信息

Department of Medical Oncology and Therapeutics, City of Hope Comprehensive Cancer Center, Duarte, CA; Centro de Oncologia e Hematologia Família Dayan-Daycoval Einstein, Hospital Israelita Albert, São Paulo, São Paulo, Brazil.

Department of Medical Oncology and Therapeutics, City of Hope Comprehensive Cancer Center, Duarte, CA.

出版信息

Urol Oncol. 2025 Apr;43(4):244-253. doi: 10.1016/j.urolonc.2024.07.003. Epub 2024 Aug 1.

Abstract

The gut microbiome is interlinked with renal cell carcinoma (RCC) and its response to systemic treatment. Mounting data suggests that certain elements of the gut microbiome may correlate with improved outcomes. New generation sequencing techniques and advanced bioinformatic data curation are accelerating the investigation of specific markers and metabolites that could predict treatment response. A variety of new therapeutic strategies, such as fecal microbiota transplantation, probiotic supplements, and dietary interventions, are currently being developed to modify the gut microbiome and improve anticancer therapies in patients with RCC. This review discusses the preliminary evidence indicating the role of the microbiome in cancer treatment, the techniques and tools necessary for its proper study and some of the current forms with which the microbiome can be modulated to improve patient outcomes.

摘要

肠道微生物群与肾细胞癌(RCC)及其对全身治疗的反应相互关联。越来越多的数据表明,肠道微生物群的某些成分可能与更好的治疗结果相关。新一代测序技术和先进的生物信息数据管理正在加速对能够预测治疗反应的特定标志物和代谢物的研究。目前正在开发各种新的治疗策略,如粪便微生物群移植、益生菌补充剂和饮食干预,以改变肠道微生物群并改善RCC患者的抗癌治疗。本综述讨论了表明微生物群在癌症治疗中作用的初步证据、对其进行适当研究所需的技术和工具,以及目前可调节微生物群以改善患者治疗结果的一些方式。

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