Niu Yanan, Feng Junya, Ma Jie, Xiao Tixian, Yuan Wei
State Key Laboratory of Molecular Oncology, National Cancer Center/Cancer Hospital, Chinese Academy of Medical Sciences Peking Union Medical College Beijing P. R. China.
Department of Biotherapy, Beijing Hospital, National Center of Gerontology, Institute of Geriatric Medicine, Chinese Academy of Medical Sciences Graduate School of Peking Union Medical College Beijing P. R. China.
Exploration (Beijing). 2025 Mar 24;5(4):e20210185. doi: 10.1002/EXP.20210185. eCollection 2025 Aug.
Intra-tumoral microbiota, which is a potential component of the tumor microenvironment (TME), has been emerging as a key participant and driving factor in cancer. Previously, due to technical issues and low biological content, little was known about the microbial community within tumors. With the development of high-throughput sequencing technology and molecular biology techniques, it has been demonstrated that tumors harbor highly heterogeneous symbiotic microbial communities, which affect tumor progression mechanisms through various pathways, such as inducing DNA damage, activating carcinogenic pathways, and inducing an immunesuppressive environment. Faced with the harmful microbial communities in the TME, efforts have been made to develop new technologies specifically targeting the microbiome and tumor microecology. Given the success of nanotechnology in cancer diagnosis and treatment, the development of nanotechnology to regulate microscale and molecular-scale interactions occurring in the microbiome and tumor microecology holds promise for providing new approaches for cancer therapy. This article reviews the latest progress in this field, including the microbial community within tumors and its pro-cancer mechanisms, as well as the anti-tumor strategies targeting intra-tumoral microorganisms using nanotechnology. Additionally, this article delivers prospects for the potential clinical significance and challenges of anti-tumor strategies against intra-tumoral microorganisms.
肿瘤内微生物群是肿瘤微环境(TME)的一个潜在组成部分,已逐渐成为癌症的关键参与者和驱动因素。以前,由于技术问题和生物含量低,人们对肿瘤内的微生物群落了解甚少。随着高通量测序技术和分子生物学技术的发展,已证明肿瘤中存在高度异质的共生微生物群落,它们通过各种途径影响肿瘤进展机制,如诱导DNA损伤、激活致癌途径和诱导免疫抑制环境。面对TME中有害的微生物群落,人们已努力开发专门针对微生物组和肿瘤微生态的新技术。鉴于纳米技术在癌症诊断和治疗方面的成功,开发纳米技术以调节微生物组和肿瘤微生态中发生的微观和分子尺度的相互作用有望为癌症治疗提供新方法。本文综述了该领域的最新进展,包括肿瘤内的微生物群落及其促癌机制,以及使用纳米技术靶向肿瘤内微生物的抗肿瘤策略。此外,本文还展望了针对肿瘤内微生物的抗肿瘤策略的潜在临床意义和挑战。