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长期每日食用菊粉的个体发生转移性结肠癌。

Metastatic Colon Cancer in an Individual Following Prolonged Daily Inulin Consumption.

作者信息

Yeoh Beng San, Gewirtz Andrew T, Vijay-Kumar Matam

机构信息

Department of Physiology and Pharmacology, The University of Toledo College of Medicine & Life Sciences, Toledo, Ohio.

Center for Inflammation, Immunity & Infection, Institute for Biomedical Sciences, Georgia State University, Atlanta, Georgia.

出版信息

Gastro Hep Adv. 2023 Dec 9;3(3):333-335. doi: 10.1016/j.gastha.2023.12.003. eCollection 2024.

DOI:10.1016/j.gastha.2023.12.003
PMID:39131148
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11308003/
Abstract

Studies in rodents suggest that inulin supplements may be carcinogenic. We present a case implicating that this risk extends to humans. A healthy male from a family lacking history of cancer had his first cancer-screening colonoscopy at age 56. No intestinal polyps/abnormalities were detected. A second colonoscopy, performed 7 years later, revealed a tumor in the cecum, with evidence of metastasis to lymph nodes. The only known change in patient's lifestyle during that seven-year period was the addition of 4g of inulin powder as a daily supplement during the last 2 years. Such inulin consumption is a plausible contributor to his disease.

摘要

对啮齿动物的研究表明,补充菊粉可能具有致癌性。我们报告了一个病例,提示这种风险也适用于人类。一名来自无癌症家族史家庭的健康男性,56岁时首次进行癌症筛查结肠镜检查,未发现肠道息肉/异常。7年后进行的第二次结肠镜检查显示盲肠有肿瘤,并伴有淋巴结转移迹象。在这7年期间,患者生活方式唯一已知的变化是在过去2年中每天添加4克菊粉粉末作为补充剂。这种菊粉的摄入很可能是导致他患病的原因。

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本文引用的文献

1
Inulin impacts tumorigenesis promotion by colibactin-producing in mice.菊粉影响产大肠杆菌素的小鼠的肿瘤发生促进作用。
Front Microbiol. 2023 Feb 2;14:1067505. doi: 10.3389/fmicb.2023.1067505. eCollection 2023.
2
Inulin fibre promotes microbiota-derived bile acids and type 2 inflammation.菊粉纤维促进肠道微生物衍生胆汁酸和 2 型炎症。
Nature. 2022 Nov;611(7936):578-584. doi: 10.1038/s41586-022-05380-y. Epub 2022 Nov 2.
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Unfermented β-fructan Fibers Fuel Inflammation in Select Inflammatory Bowel Disease Patients.未发酵的β-果聚糖纤维会加剧部分炎症性肠病患者的炎症反应。
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Global, distinctive, and personal changes in molecular and microbial profiles by specific fibers in humans.人类特定纤维引起的分子和微生物特征的全球、独特和个体变化。
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Nature. 2020 May;581(7809):475-479. doi: 10.1038/s41586-020-2193-0. Epub 2020 Apr 15.
8
Mutational signature in colorectal cancer caused by genotoxic pks E. coli.由基因毒性 pks E. coli 引起的结直肠癌中的突变特征。
Nature. 2020 Apr;580(7802):269-273. doi: 10.1038/s41586-020-2080-8. Epub 2020 Feb 27.
9
Microbiota fermentation-NLRP3 axis shapes the impact of dietary fibres on intestinal inflammation.微生物发酵-NLRP3 轴影响膳食纤维对肠道炎症的作用。
Gut. 2019 Oct;68(10):1801-1812. doi: 10.1136/gutjnl-2018-316250. Epub 2019 Jan 22.
10
Dysregulated Microbial Fermentation of Soluble Fiber Induces Cholestatic Liver Cancer.可溶性膳食纤维失调的微生物发酵可诱发胆汁淤积性肝癌。
Cell. 2018 Oct 18;175(3):679-694.e22. doi: 10.1016/j.cell.2018.09.004.