Rumyantsev Konstantin A, Polyakova Vera V, Sorokina Irina V, Feoktistova Polina S, Khatkov Igor E, Bodunova Natalia A, Zhukova Lyudmila G
Loginov Moscow Clinical Scientific Center, 111123 Moscow, Russia.
Life (Basel). 2024 Sep 24;14(10):1219. doi: 10.3390/life14101219.
The gut microbiota's pivotal role in human health is increasingly evident, particularly in chronic conditions like obesity, diabetes, and inflammatory diseases. This intricate symbiotic relationship influences metabolic balance and immune responses. Notably, gut microbial dysbiosis is linked to obesity's metabolic disruption and chronic low-grade inflammation. Similarly, in diabetes, the microbiota's impact on insulin resistance and glucose metabolism is becoming evident. Chronic inflammation, a common denominator in these conditions, is also a recognized precursor to carcinogenesis. This intersection prompts a compelling question: does the gut microbiota's influence extend to gastrointestinal cancers like colorectal and pancreatic cancer? These malignancies are closely intertwined with inflammation and metabolic dysregulation. Exploring whether the microbial signatures associated with chronic conditions overlap with precancerous or cancerous states offers new perspectives. This article reviews emerging evidence on the interplay between the gut microbiota, chronic conditions, and gastrointestinal cancers. By elucidating these connections, we aim to uncover potential avenues for innovative diagnostic, preventative, and therapeutic strategies in colorectal and pancreatic cancer management.
肠道微生物群在人类健康中的关键作用日益明显,尤其是在肥胖、糖尿病和炎症性疾病等慢性疾病中。这种复杂的共生关系影响着代谢平衡和免疫反应。值得注意的是,肠道微生物群失调与肥胖的代谢紊乱和慢性低度炎症有关。同样,在糖尿病中,微生物群对胰岛素抵抗和葡萄糖代谢的影响也日益明显。慢性炎症是这些疾病的一个共同特征,也是公认的致癌前体。这种交叉引发了一个引人注目的问题:肠道微生物群的影响是否会延伸到结直肠癌和胰腺癌等胃肠道癌症?这些恶性肿瘤与炎症和代谢失调密切相关。探索与慢性疾病相关的微生物特征是否与癌前或癌变状态重叠,提供了新的视角。本文综述了关于肠道微生物群、慢性疾病和胃肠道癌症之间相互作用的新证据。通过阐明这些联系,我们旨在揭示在结直肠癌和胰腺癌管理中创新诊断、预防和治疗策略的潜在途径。