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叙述性综述:采用基于微生物群的治疗方法推进肿瘤血液学中的生态失调治疗

Narrative Review: Advancing Dysbiosis Treatment in Onco-Hematology with Microbiome-Based Therapeutic Approach.

作者信息

Biennier Salomé, Fontaine Mathieu, Duquenoy Aurore, Schwintner Carole, Doré Joël, Corvaia Nathalie

机构信息

MaaT Pharma, 69007 Lyon, France.

Université Paris-Saclay, INRAE, MetaGenoPolis, AgroParisTech, MICALIS, 78350 Jouy-en-Josas, France.

出版信息

Microorganisms. 2024 Nov 7;12(11):2256. doi: 10.3390/microorganisms12112256.

DOI:10.3390/microorganisms12112256
PMID:39597645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11596191/
Abstract

This review explores the complex relationship between gut dysbiosis and hematological malignancies, focusing on graft-versus-host disease (GvHD) in allogeneic hematopoietic stem cell transplantation (allo-HSCT) recipients. We discuss how alterations in microbial diversity and composition can influence disease development, progression, and treatment outcomes in blood cancers. The mechanisms by which the gut microbiota impacts these conditions are examined, including modulation of immune responses, production of metabolites, and effects on intestinal barrier function. Recent advances in microbiome-based therapies for treating and preventing GvHD are highlighted, with emphasis on full ecosystem standardized donor-derived products. Overall, this review underscores the growing importance of microbiome research in hematology-oncology and its potential to complement existing treatments and improve outcomes for thousands of patients worldwide.

摘要

本综述探讨了肠道菌群失调与血液系统恶性肿瘤之间的复杂关系,重点关注异基因造血干细胞移植(allo-HSCT)受者的移植物抗宿主病(GvHD)。我们讨论了微生物多样性和组成的改变如何影响血液癌症的疾病发展、进展和治疗结果。研究了肠道微生物群影响这些病症的机制,包括免疫反应的调节、代谢产物的产生以及对肠道屏障功能的影响。强调了基于微生物组的治疗和预防GvHD的最新进展,重点是全生态系统标准化的供体来源产品。总体而言,本综述强调了微生物组研究在血液肿瘤学中日益重要的地位及其补充现有治疗方法并改善全球数千名患者治疗结果的潜力。

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引用本文的文献

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"The microbiome in graft-versus-host disease: a tale of two ecosystems".移植物抗宿主病中的微生物组:两个生态系统的故事
J Transl Med. 2025 Jul 25;23(1):832. doi: 10.1186/s12967-025-06797-5.
2
Microbiome Integrity Enhances the Efficacy and Safety of Anticancer Drug.微生物群完整性增强抗癌药物的疗效和安全性。
Biomedicines. 2025 Feb 10;13(2):422. doi: 10.3390/biomedicines13020422.
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The Impact of Cell-Intrinsic STAT6 Protein on Donor T Cell-Mediated Graft-Versus-Tumor Effect.细胞内源性信号转导子与转录激活子6(STAT6)蛋白对供体T细胞介导的移植物抗瘤效应的影响
Int J Mol Sci. 2024 Dec 31;26(1):280. doi: 10.3390/ijms26010280.