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炎症与结直肠癌中的肠道微生物群:临床医生的潜在工具箱

Gut microbiota in inflammation and colorectal cancer: A potential Toolbox for Clinicians.

作者信息

Grellier Nathan, Severino Andrea, Archilei Sebastiano, Kim Jumin, Gasbarrini Antonio, Cammarota Giovanni, Porcari Serena, Benech Nicolas

机构信息

Department of Hepato-Gastroenterology, Poitiers University Hospital, Poitiers, France.

Department of Translational Medicine and Surgery, Università Cattolica Del Sacro Cuore, Rome, Italy; Department of Medical and Surgical Sciences, UOC Gastroenterologia, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Rome, Italy; Department of Medical and Surgical Sciences, UOC CEMAD Centro Malattie Dell'Apparato Digerente, Medicina Interna e Gastroenterologia, Fondazione Policlinico Universitario Gemelli IRCCS, Rome, Italy.

出版信息

Best Pract Res Clin Gastroenterol. 2024 Sep;72:101942. doi: 10.1016/j.bpg.2024.101942. Epub 2024 Jul 31.

Abstract

Colorectal cancer (CRC) is a worldwide public health issue specifically in patients with chronic diseases associated with a western lifestyle, such as metabolic diseases and inflammatory bowel diseases (IBD). Interestingly, both metabolic disorders and IBD are characterized by a chronic state of inflammation that contributes to the carcinogenesis with specific alteration of the gut microbiota composition and function. Evidence now shows that this altered gut microbiota contributes fueling a chronic pro-inflammatory state in a vicious circle that can favor CRC development. In this review article, we present the current knowledge concerning the involvement of the gut microbiota as a procarcinogenic factor shared by IBD and cardiometabolic diseases, and provide clues as to how it may be used to prevent or diagnose CRC.

摘要

结直肠癌(CRC)是一个全球性的公共卫生问题,尤其在患有与西方生活方式相关的慢性疾病的患者中,如代谢性疾病和炎症性肠病(IBD)。有趣的是,代谢紊乱和IBD都以慢性炎症状态为特征,这种炎症状态通过肠道微生物群组成和功能的特定改变促进致癌作用。现在有证据表明,这种改变的肠道微生物群在恶性循环中助长慢性促炎状态,从而有利于CRC的发展。在这篇综述文章中,我们介绍了关于肠道微生物群作为IBD和心脏代谢疾病共有的促癌因素所涉及的当前知识,并提供了关于如何利用它来预防或诊断CRC的线索。

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