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Updated: Sep 23, 2025

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Published on: February 28, 2018
The Gut Microbiome in Colorectal Cancer
Sorbarikor Piawah1, Evan J Walker2, Erin L Van Blarigan3
1Department of Medicine, Division of Hematology/Oncology, University of California San Francisco, 1825 4th Street, PCMB 4 (L4141), Box 1705, San Francisco, CA 94143, USA; Helen Diller Family Comprehensive Cancer Center, 1450 3rd St, San Francisco, CA 94158, USA.
Abstract:
The gut microbiome is important in human health and disease. Recent studies have begun to elucidate its specific role in colorectal cancer. The gut microbiome seems to play an integral role in colorectal cancer initiation and progression, and oncologic drug metabolism and toxicity. This review examines the associations between the gut microbiome and colorectal cancer initiation, progression, and oncologic drug metabolism, highlighting proposed mechanisms and landmark publications in this field. It also discusses potential methods of modulating the gut microbiome, underscoring the gaps in current understanding, and ends with a clinically relevant overview of microbiome research considerations and study design.
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