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利用功能性食品中的后生元管理结直肠癌:作用机制、来源、治疗潜力及临床前景

Using Postbiotics from Functional Foods for Managing Colorectal Cancer: Mechanisms, Sources, Therapeutic Potential, and Clinical Perspectives.

作者信息

D'Amore Teresa, Zolfanelli Cinzia, Lauciello Vincenzo, Di Ciancia Alessio, Vagliasindi Alessio, Smaoui Slim, Varzakas Theodoros

机构信息

Laboratory of Preclinical and Translational Research, IRCCS CROB, Centro di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, Italy.

Unit of Abdominal Oncological Surgery, IRCCS CROB, Centro di Riferimento Oncologico della Basilicata, 85028 Rionero in Vulture, Italy.

出版信息

Microorganisms. 2025 Jun 9;13(6):1335. doi: 10.3390/microorganisms13061335.


DOI:10.3390/microorganisms13061335
PMID:40572223
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12195411/
Abstract

Postbiotics, defined as a preparation of inanimate microorganisms and/or their components, including metabolic byproducts, have gained recognition as promising modulators of gut health and disease, offering advantages over probiotics in terms of safety, stability, and formulation. This systematic review investigates the therapeutic potential of postbiotics derived from functional foods in the context of colorectal cancer (CRC), a leading cause of cancer-related mortality worldwide. Despite encouraging preclinical findings, translation into clinical practice remains limited due to a paucity of robust human trials, revealing a significant gap and the need for further translational research. Key bioactive categories of postbiotics are described, alongside their anti-inflammatory, immunomodulatory, and chemopreventive mechanisms. Through comprehensive literature mapping, this review uniquely categorizes research according to the experimental models employed, i.e., in vitro, in silico, in vivo, and ex vivo, and advanced models such as organoids and organ-on-chip platforms. The latter offers greater physiological relevance by closely mimicking human tissue architecture and microenvironment. These models help demonstrate how postbiotics may influence tumorigenesis through mechanisms involving inflammation, apoptosis, epigenetic regulation, and the maintenance of gut barrier integrity. Finally, the review summarizes recent innovations in their delivery strategies and calls for comprehensive mechanistic studies and high-quality clinical trials to validate postbiotics as safe and effective adjuncts in CRC prevention, therapy, and management.

摘要

后生元被定义为无生命微生物和/或其成分(包括代谢副产物)的制剂,已被公认为是肠道健康和疾病的有前景的调节剂,在安全性、稳定性和制剂方面比益生菌具有优势。本系统综述研究了源自功能性食品的后生元在结直肠癌(CRC)背景下的治疗潜力,结直肠癌是全球癌症相关死亡的主要原因。尽管临床前研究结果令人鼓舞,但由于缺乏有力的人体试验,转化为临床实践仍然有限,这揭示了一个重大差距以及进一步转化研究的必要性。文中描述了后生元的关键生物活性类别及其抗炎、免疫调节和化学预防机制。通过全面的文献梳理,本综述根据所采用的实验模型,即体外、计算机模拟、体内和离体模型,以及类器官和芯片器官平台等先进模型,对研究进行了独特的分类。后者通过紧密模拟人体组织结构和微环境,提供了更高的生理相关性。这些模型有助于证明后生元如何通过涉及炎症、细胞凋亡、表观遗传调控和维持肠道屏障完整性的机制影响肿瘤发生。最后,综述总结了后生元递送策略的最新创新,并呼吁进行全面的机制研究和高质量的临床试验,以验证后生元作为结直肠癌预防、治疗和管理中安全有效的辅助手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/12195411/1c90655b6e58/microorganisms-13-01335-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/12195411/65b5cb91dd63/microorganisms-13-01335-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/12195411/70fa4e6ecc15/microorganisms-13-01335-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/12195411/0619fff65f41/microorganisms-13-01335-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/12195411/1c90655b6e58/microorganisms-13-01335-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/12195411/65b5cb91dd63/microorganisms-13-01335-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/12195411/70fa4e6ecc15/microorganisms-13-01335-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/12195411/0619fff65f41/microorganisms-13-01335-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79e3/12195411/1c90655b6e58/microorganisms-13-01335-g004.jpg

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[1]
Molecular Mechanisms of Probiotic Action Against Gastrointestinal Cancers.

Int J Mol Sci. 2025-8-14

本文引用的文献

[1]
Gut Microbiota Modulation in IBD: From the Old Paradigm to Revolutionary Tools.

Int J Mol Sci. 2025-3-27

[2]
Gut microbiota: a hidden player in polycystic ovary syndrome.

J Transl Med. 2025-4-15

[3]
Unlocking the power of probiotics, postbiotics: targeting apoptosis for the treatment and prevention of digestive diseases.

Front Nutr. 2025-3-31

[4]
A Cascade of Microbiota-Leaky Gut-Inflammation- Is it a Key Player in Metabolic Disorders?

Curr Obes Rep. 2025-4-10

[5]
The fermented cabbage metabolome and its protection against cytokine-induced intestinal barrier disruption of Caco-2 monolayers.

Appl Environ Microbiol. 2025-5-21

[6]
The selection of participants for interventional microbiota trials involving cognitively impaired older adults.

Geroscience. 2025-4-5

[7]
Microfluidic-derived montmorillonite composite microparticles for oral codelivery of probiotic biofilm and postbiotics.

Sci Adv. 2025-3-21

[8]
Comparative analysis of organoid, air-liquid interface, and direct infection models for studying pathogen-host interactions in endometrial tissue.

Sci Rep. 2025-3-12

[9]
Characterization of a postbiotic exopolysaccharide produced by Lacticaseibacillus paracasei ET-22 with antioxidant and anti-inflammatory efficacy.

Int J Biol Macromol. 2025-5

[10]
Recent updates of probiotic dairy-based beverages.

Food Funct. 2025-3-3

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