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Pragmatic Expectancy on Microbiota and Non-Small Cell Lung Cancer: A Narrative Review
Giulia Maria Stella1,2, Filippo Scialò3,4, Chandra Bortolotto5,6
1Department of Internal Medicine and Medical Therapeutics, University of Pavia Medical School, 27100 Pavia, Italy.
Cancers
|July 9, 2022
Summary
Lung cancer involves gene mutations and environmental factors. The lung microbiome influences cancer risk, progression, and patient outcomes, offering new diagnostic and therapeutic targets.
Area of Science:
- Oncology
- Microbiology
- Environmental Health
Background:
- Lung cancer arises from gene mutations, with lungs being susceptible to heterogeneous tumors due to environmental exposures.
- The lung microbiome, encompassing microorganisms and their metabolites, interacts with both normal and cancerous cells.
- Emerging evidence links the microbiota to cancer predisposition, initiation, progression, and patient prognosis.
Purpose of the Study:
- To explore the mechanistic interplay between lung cancer and the associated microbiota.
- To highlight the microbiome as a critical component of the tumor microenvironment.
- To identify novel diagnostic and therapeutic strategies targeting the lung-microbiota axis.
Main Methods:
- Review of existing literature on lung cancer and microbiome interactions.
- Analysis of mechanistic insights into cellular and metabolic crosstalk.
- Focus on diagnostic and therapeutic implications.
Main Results:
- The lung microbiome significantly impacts cancer development and progression.
- Microbial metabolites and structural components actively modulate the tumor microenvironment.
- The complex lung-cancer-microbiota axis presents opportunities for targeted interventions.
Conclusions:
- The lung microbiome is a key player in lung cancer pathogenesis and progression.
- Understanding these interactions can lead to innovative diagnostic biomarkers.
- Targeting the microbiome offers promising therapeutic avenues for lung cancer treatment.

