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探讨肠道微生物组在结直肠癌中的作用:诊断和预后意义。

Exploring the gut microbiome's role in colorectal cancer: diagnostic and prognostic implications.

机构信息

School of Chinese Medicine, Li Ka Shing Faculty of Medicine, The University of Hong Kong, Hong Kong, Hong Kong SAR, China.

The First Clinical College of Guangzhou University of Chinese Medicine, Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

Front Immunol. 2024 Oct 17;15:1431747. doi: 10.3389/fimmu.2024.1431747. eCollection 2024.

Abstract

The intricate interplay between the gut microbiome and colorectal cancer (CRC) presents novel avenues for early diagnosis and prognosis, crucial for improving patient outcomes. This comprehensive review synthesizes current findings on the gut microbiome's contribution to CRC pathogenesis, highlighting its potential as a biomarker for non-invasive CRC screening strategies. We explore the mechanisms through which the microbiome influences CRC, including its roles in inflammation, metabolism, and immune response modulation. Furthermore, we assess the viability of microbial signatures as predictive tools for CRC prognosis, offering insights into personalized treatment approaches. Our analysis underscores the necessity for advanced metagenomic studies to elucidate the complex microbiome-CRC nexus, aiming to refine diagnostic accuracy and prognostic assessment in clinical settings. This review propels forward the understanding of the microbiome's diagnostic and prognostic capabilities, paving the way for microbiome-based interventions in CRC management.

摘要

肠道微生物组与结直肠癌(CRC)之间错综复杂的相互作用为早期诊断和预后提供了新的途径,这对于改善患者的预后至关重要。这篇综合综述总结了肠道微生物组在 CRC 发病机制中的作用的最新发现,强调了其作为非侵入性 CRC 筛查策略的生物标志物的潜力。我们探讨了微生物组影响 CRC 的机制,包括其在炎症、代谢和免疫反应调节中的作用。此外,我们评估了微生物特征作为 CRC 预后预测工具的可行性,为个性化治疗方法提供了思路。我们的分析强调了进行高级宏基因组研究以阐明复杂的微生物组-CRC 关系的必要性,旨在提高临床环境中的诊断准确性和预后评估。本综述推动了对微生物组诊断和预后能力的理解,为基于微生物组的 CRC 管理干预铺平了道路。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5db7/11524876/fe98d5fbecf7/fimmu-15-1431747-g001.jpg

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