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粪便微生物群移植:对结肠癌发生和免疫调节的见解。

Fecal Microbiota Transplantation: Insights into Colon Carcinogenesis and Immune Regulation.

作者信息

Brusnic Olga, Onisor Danusia, Boicean Adrian, Hasegan Adrian, Ichim Cristian, Guzun Andreea, Chicea Radu, Todor Samuel Bogdan, Vintila Bogdan Ioan, Anderco Paula, Porr Corina, Dura Horatiu, Fleaca Sorin Radu, Cristian Adrian Nicolae

机构信息

Department of Gastroenterology, University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 540142 Târgu Mures, Romania.

Faculty of Medicine, Lucian Blaga University of Sibiu, 550169 Sibiu, Romania.

出版信息

J Clin Med. 2024 Nov 1;13(21):6578. doi: 10.3390/jcm13216578.

Abstract

Colorectal cancer (CRC) constitutes a significant global health challenge, with recent studies underscoring the pivotal role of the gut microbiome in its pathogenesis and progression. Fecal microbiota transplantation (FMT) has emerged as a compelling therapeutic approach, offering the potential to modulate microbial composition and optimize treatment outcomes. Research suggests that specific bacterial strains are closely linked to CRC, influencing both its clinical management and therapeutic interventions. Moreover, the gut microbiome's impact on immunotherapy responsiveness heralds new avenues for personalized medicine. Despite the promise of FMT, safety concerns, particularly in immunocompromised individuals, remain a critical issue. Clinical outcomes vary widely, influenced by genetic predispositions and the specific transplantation methodologies employed. Additionally, rigorous donor selection and screening protocols are paramount to minimize risks and maximize therapeutic efficacy. The current body of literature advocates for the establishment of standardized protocols and further clinical trials to substantiate FMT's role in CRC management. As our understanding of the microbiome deepens, FMT is poised to become a cornerstone in CRC treatment, underscoring the imperative for continued research and clinical validation.

摘要

结直肠癌(CRC)是一项重大的全球健康挑战,最近的研究强调了肠道微生物群在其发病机制和进展中的关键作用。粪便微生物群移植(FMT)已成为一种引人注目的治疗方法,具有调节微生物组成和优化治疗效果的潜力。研究表明,特定的细菌菌株与结直肠癌密切相关,影响其临床管理和治疗干预。此外,肠道微生物群对免疫治疗反应性的影响为个性化医疗开辟了新途径。尽管FMT前景广阔,但安全问题,尤其是在免疫功能低下的个体中,仍然是一个关键问题。临床结果差异很大,受到遗传易感性和所采用的具体移植方法的影响。此外,严格的供体选择和筛查方案对于将风险降至最低并最大限度提高治疗效果至关重要。目前的文献主张建立标准化方案并开展进一步的临床试验,以证实FMT在结直肠癌管理中的作用。随着我们对微生物群的理解不断加深,FMT有望成为结直肠癌治疗的基石,凸显了持续研究和临床验证的紧迫性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9ab0/11547077/dcf884df3a2d/jcm-13-06578-g001.jpg

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