Jiang Wanrou, Wu Yongjun, He Xiuyun, Jiang Ling, Zhang Wanyi, Zheng Wenjuan, Hu Min, Zhu Chaofu
Oncology Department I, Hospital of Chengdu University of Traditional Chinese Medicine.
J Cancer. 2025 Jan 1;16(2):648-659. doi: 10.7150/jca.99421. eCollection 2025.
Chemotherapy-induced diarrhea (CID) is a common and harmful side effect of chemotherapy, greatly impacting patients' quality of life and potentially compromising their chances of survival. Disruption of the balance in intestinal microbiota and compromised integrity of the intestinal barrier are key factors contributing to CID caused by mucositis. This paper investigated the mechanism through which intestinal microbiota activate Toll-like receptors and STING pathways to mediate intestinal mucosal inflammation resulting from immune responses in the gut, uncovering a novel mechanism of intestinal microbiota in chemotherapy-induced diarrhea, and suggesting innovative approaches for the prevention and management of CID.
化疗引起的腹泻(CID)是化疗常见且有害的副作用,极大地影响患者的生活质量,并可能危及他们的生存机会。肠道微生物群平衡的破坏和肠道屏障完整性的受损是导致黏膜炎引起CID的关键因素。本文研究了肠道微生物群激活Toll样受体和STING通路以介导肠道免疫反应引起的肠道黏膜炎症的机制,揭示了肠道微生物群在化疗引起的腹泻中的新机制,并提出了预防和治疗CID的创新方法。