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肠道微生物群与乳腺癌治疗药物相互作用以调节疗效。

Gut microbiota interact with breast cancer therapeutics to modulate efficacy.

作者信息

Arnone Alana A, Ansley Katherine, Heeke Arielle L, Howard-McNatt Marissa, Cook Katherine L

机构信息

Department of Cancer Biology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

Department of Internal Medicine, Section on Hematology and Oncology, Wake Forest University School of Medicine, Winston-Salem, NC, USA.

出版信息

EMBO Mol Med. 2025 Feb;17(2):219-234. doi: 10.1038/s44321-024-00185-0. Epub 2025 Jan 16.

Abstract

The gut microbiome, or the community of microorganisms residing in the gastrointestinal tract, has emerged as an important factor in breast cancer etiology and treatment. Specifically, the impact of gut bacterial populations on breast cancer therapeutic outcomes is an emerging area of research. The microbiota's role in modifying the pharmacokinetics of chemotherapy and endocrine-targeting therapies can alter drug efficacy and toxicity profiles. In addition, the gut microbiome's capacity to regulate systemic inflammation and immune responses may influence the effectiveness of both conventional and immunotherapeutic strategies for the treatment of breast cancer. Overall, while the bidirectional interactions between the gut microbiome and breast cancer therapies are still being studied, its impact is increasingly recognized. Future research may provide more definitive insights and help develop personalized therapeutic strategies to harness the microbiome to improve breast cancer treatment outcomes.

摘要

肠道微生物群,即存在于胃肠道中的微生物群落,已成为乳腺癌病因和治疗中的一个重要因素。具体而言,肠道细菌群体对乳腺癌治疗结果的影响是一个新兴的研究领域。微生物群在改变化疗和内分泌靶向治疗的药代动力学方面的作用可以改变药物疗效和毒性特征。此外,肠道微生物群调节全身炎症和免疫反应的能力可能会影响传统和免疫治疗策略治疗乳腺癌的有效性。总体而言,虽然肠道微生物群与乳腺癌治疗之间的双向相互作用仍在研究中,但其影响日益得到认可。未来的研究可能会提供更明确的见解,并有助于制定个性化治疗策略,利用微生物群来改善乳腺癌治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b197/11822015/e00ec1052c40/44321_2024_185_Fig1_HTML.jpg

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