Zang Jing, Yin Fang, Liu Ziyuan, Li Fengqian, Zhang Yang
Department of Pharmacy, Shanghai Eighth People's Hospital, School of Medicine, Tongji University, Shanghai, People's Republic of China.
Nanomedicine and Intestinal Microecology Research Center, Shanghai Tenth People's Hospital, School of Medicine, Tongji University, Shanghai, People's Republic of China.
Nanomedicine (Lond). 2025 Feb;20(3):305-318. doi: 10.1080/17435889.2024.2443388. Epub 2024 Dec 30.
Colorectal cancer (CRC) is a significant threat to human health. The dynamic equilibrium between probiotics and pathogenic bacteria within the gut microbiota is crucial in mitigating the risk of CRC. An overgrowth of harmful microorganisms in the gastrointestinal tract can result in an excessive accumulation of bacterial toxins and carcinogenic metabolites, thereby disrupting the delicate balance of the microbiota. This disruption may lead to alterations in microbial composition, impairment of mucosal barrier function, potential promotion of abnormal cell proliferation, and ultimately contribute to the progression of CRC. Recently, research has indicated that intestinal presence of (Fn) significantly influences the onset, progression, and metastasis of CRC. Consequently, disrupting the interaction between CRC cells and Fn presents a promising strategy against CRC. Nanomaterials have been extensively utilized in cancer therapy and bacterial infection control, demonstrating substantial potential in treating bacteria-associated tumors. This review begins by elucidating the mechanisms of gut microbiota and the occurrence and progression of CRC, with a particular emphasis on clarifying the intricate relationship between Fn and CRC. Subsequently, we highlight strategies that utilize nanomaterials to disrupt the association between Fn and CRC. Overall, this review offers valuable insight and guidance for leveraging nanomaterials in CRC therapy.
结直肠癌(CRC)是对人类健康的重大威胁。肠道微生物群中益生菌与病原菌之间的动态平衡对于降低CRC风险至关重要。胃肠道中有害微生物的过度生长会导致细菌毒素和致癌代谢产物的过度积累,从而破坏微生物群的微妙平衡。这种破坏可能导致微生物组成的改变、黏膜屏障功能的损害、异常细胞增殖的潜在促进,并最终促成CRC的进展。最近,研究表明肠道中(嗜黏蛋白阿克曼菌)Fn的存在会显著影响CRC的发生、进展和转移。因此,破坏CRC细胞与Fn之间的相互作用是一种有前景的抗CRC策略。纳米材料已广泛应用于癌症治疗和细菌感染控制,在治疗与细菌相关的肿瘤方面显示出巨大潜力。本综述首先阐明肠道微生物群的机制以及CRC的发生和进展,特别强调阐明Fn与CRC之间的复杂关系。随后,我们重点介绍利用纳米材料破坏Fn与CRC之间关联的策略。总体而言,本综述为在CRC治疗中利用纳米材料提供了有价值的见解和指导。