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探讨饮食、生活方式与结直肠癌发病中肠道微生物组的关系:最新进展。

Exploring the Relationship Between Diet, Lifestyle and Gut Microbiome in Colorectal Cancer Development: A Recent Update.

机构信息

Medical Biotechnology, Faculty of Allied Health Sciences, Chettinad Academy of Research and Education (CARE), Chettinad Hospital and Research Institute (CHRI), Chennai, India.

Department of Pharmacology, Chettinad Hospital and Research Institute (CHRI), Chettinad Academy of Research and Education (CARE), Chennai, India.

出版信息

Nutr Cancer. 2024;76(9):789-814. doi: 10.1080/01635581.2024.2367266. Epub 2024 Jun 18.

Abstract

Colorectal cancer (CRC) is one of the major causes of cancer-related mortality worldwide. Despite advances in treatment modalities, its prevalence continues to rise, notably among younger populations. Unhealthy dietary habits, sedentary routines, and obesity have been identified as one of the key contributors to the development of colorectal cancer, apart from genetic and epigenetic modifications. Recognizing the profound impact of diet and lifestyle on the intricate gut microbiota ecosystem offers a promising avenue for understanding CRC development and its treatment. Gut dysbiosis, characterized by imbalances favoring harmful microbes over beneficial ones, has emerged as a defining feature of CRC. Changes in diet and lifestyle can profoundly alter the composition of gut microbes and the metabolites they produce, potentially contributing to CRC onset. Focusing on recent evidence, this review discussed various dietary factors, such as high consumption of red and processed meats and low fiber intake, and lifestyle factors, including obesity, lack of physical activity, smoking, and excessive alcohol consumption, that influence the gut microbiome composition and elevate CRC risk.

摘要

结直肠癌(CRC)是全球癌症相关死亡的主要原因之一。尽管治疗方式有所进步,但它的发病率仍在上升,尤其是在年轻人群中。除了遗传和表观遗传改变外,不健康的饮食习惯、久坐的生活方式和肥胖被认为是结直肠癌发展的关键因素之一。认识到饮食和生活方式对复杂的肠道微生物生态系统的深远影响,为了解结直肠癌的发展及其治疗提供了一个有前途的途径。肠道菌群失调,表现为有害微生物相对于有益微生物的失衡,已成为 CRC 的一个特征。饮食和生活方式的改变可以深刻地改变肠道微生物的组成及其产生的代谢物,可能导致 CRC 的发生。本文主要关注近期的证据,讨论了各种饮食因素,如大量食用红色和加工肉类以及低纤维摄入,以及生活方式因素,如肥胖、缺乏身体活动、吸烟和过量饮酒,这些因素影响肠道微生物组的组成并增加 CRC 的风险。

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