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肿瘤学中微生物组的治疗性调控:当前趋势与未来方向

Therapeutic Modulation of the Microbiome in Oncology: Current Trends and Future Directions.

作者信息

Saraswat Istuti, Goel Anjana

机构信息

Department of Biotechnology, GLA University, 17km Stone, NH-2 Mathura-Delhi Road Mathura, Chaumuhan, Mathura, Uttar Pradesh, India.

出版信息

Curr Pharm Biotechnol. 2025;26(5):680-699. doi: 10.2174/0113892010353600241109132441.

DOI:10.2174/0113892010353600241109132441
PMID:39543873
Abstract

Cancer is a predominant cause of mortality worldwide, necessitating the development of innovative therapeutic techniques. The human microbiome, particularly the gut microbiota, has become a significant element in cancer research owing to its essential role in sustaining health and influencing disease progression. This review examines the microbiome's makeup and essential functions, including immunological modulation and metabolic regulation, which may be evaluated using sophisticated methodologies such as metagenomics and 16S rRNA sequencing. The microbiome influences cancer development by promoting inflammation, modulating the immune system, and producing carcinogenic compounds. Dysbiosis, or microbial imbalance, can undermine the epithelial barrier and facilitate cancer. The microbiome influences chemotherapy and radiation results by modifying drug metabolism, either enhancing or reducing therapeutic efficacy and contributing to side effects and toxicity. Comprehending these intricate relationships emphasises the microbiome's significance in oncology and accentuates the possibility for microbiome-targeted therapeutics. Contemporary therapeutic approaches encompass the utilisation of probiotics and dietary components to regulate the microbiome, enhance treatment efficacy, and minimise unwanted effects. Advancements in research indicate that personalised microbiome-based interventions, have the potential to transform cancer therapy, by providing more effective and customised treatment alternatives. This study aims to provide a comprehensive analysis of the microbiome's influence on the onset and treatment of cancer, while emphasising current trends and future possibilities for therapeutic intervention.

摘要

癌症是全球主要的死亡原因,因此需要开发创新的治疗技术。人类微生物群,尤其是肠道微生物群,由于其在维持健康和影响疾病进展方面的重要作用,已成为癌症研究中的一个重要因素。这篇综述探讨了微生物群的组成和基本功能,包括免疫调节和代谢调节,这些可以使用宏基因组学和16S rRNA测序等先进方法进行评估。微生物群通过促进炎症、调节免疫系统和产生致癌化合物来影响癌症的发展。生态失调或微生物失衡会破坏上皮屏障并促进癌症发生。微生物群通过改变药物代谢来影响化疗和放疗效果,既可以提高也可以降低治疗效果,并导致副作用和毒性。理解这些复杂的关系凸显了微生物群在肿瘤学中的重要性,并强调了针对微生物群的治疗方法的可能性。当代治疗方法包括利用益生菌和饮食成分来调节微生物群、提高治疗效果并减少不良影响。研究进展表明,基于个性化微生物群的干预措施有可能通过提供更有效和定制化的治疗选择来改变癌症治疗。本研究旨在全面分析微生物群对癌症发生和治疗的影响,同时强调当前的趋势和治疗干预的未来可能性。

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