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体内的隐藏大军:利用微生物群改善癌症治疗效果。

Hidden army within: Harnessing the microbiome to improve cancer treatment outcomes.

作者信息

Messaritakis Ippokratis, Vougiouklakis Georgios, Koulouridi Asimina, Agouridis Aris P, Spernovasilis Nikolaos

机构信息

Department of Microbiology, German Oncology Center & Yiannoukas Labs LTD, Bioiatriki Group, Limassol 4108, Cyprus.

Department of Internal Medicine, German Oncology Center, Limassol 4108, Cyprus.

出版信息

World J Clin Cases. 2024 Oct 6;12(28):6159-6164. doi: 10.12998/wjcc.v12.i28.6159.

Abstract

The gut microbiome has emerged as a critical player in cancer pathogenesis and treatment response. Dysbiosis, an imbalance in the gut microbial community, impacts tumor initiation, progression, and therapy outcomes. Specific bacterial species have been associated with either promoting or inhibiting tumor growth, offering potential targets for therapeutic intervention. The gut microbiome influences the efficacy and toxicity of conventional treatments and cutting-edge immunotherapies, highlighting its potential as a therapeutic target in cancer care. However, translating microbiome research into clinical practice requires addressing challenges such as standardizing methodologies, validating microbial biomarkers, and ensuring ethical considerations. Here, we provide a comprehensive overview of the gut microbiome's role in cancer highlighting the need for ongoing research, collaboration, and innovation to harness its full potential for improving patient outcomes in oncology. The current editorial aims to explore these insights and emphasizes the need for standardized methodologies, validation of microbial biomarkers, and interdisciplinary collaboration to translate microbiome research into clinical applications. Furthermore, it underscores ethical considerations and regulatory challenges surrounding the use of microbiome-based therapies. Together, this article advocates for ongoing research, collaboration, and innovation to realize the full potential of microbiome-guided oncology in improving patient care and outcomes.

摘要

肠道微生物群已成为癌症发病机制和治疗反应中的关键因素。生态失调,即肠道微生物群落的失衡,会影响肿瘤的发生、发展及治疗效果。特定的细菌种类与促进或抑制肿瘤生长有关,为治疗干预提供了潜在靶点。肠道微生物群会影响传统治疗和前沿免疫疗法的疗效及毒性,凸显了其作为癌症治疗靶点的潜力。然而,将微生物群研究转化为临床实践需要应对诸多挑战,如方法标准化、验证微生物生物标志物以及确保符合伦理考量等。在此,我们全面概述了肠道微生物群在癌症中的作用,强调持续开展研究、合作与创新的必要性,以充分发挥其潜力,改善肿瘤学患者的治疗效果。当前这篇社论旨在探讨这些见解,并强调需要标准化方法、验证微生物生物标志物以及进行跨学科合作,以便将微生物群研究转化为临床应用。此外,它还强调了围绕基于微生物群的疗法的伦理考量和监管挑战。总之,本文倡导持续开展研究、合作与创新,以充分发挥微生物群导向肿瘤学在改善患者护理和治疗效果方面的全部潜力。

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