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Published on: July 31, 2019
Gut Microbiota-Derived Short-Chain Fatty Acids: Impact on Cancer Treatment Response and Toxicities
Ghanyah H Al-Qadami1, Kate R Secombe1,2, Courtney B Subramaniam1,3
1School of Biomedicine, University of Adelaide, Adelaide, SA 5005, Australia.
Abstract:
The gut microbiota has emerged as a key modulator of cancer treatment responses in terms of both efficacy and toxicity. This effect is clearly mediated by processes impacting the activation and modulation of immune responses. More recently, the ability to regulate chemotherapeutic drug metabolism has also emerged as a key driver of response, although the direct mechanisms have yet to be fully elucidated. Through fermentation, the gut microbiota can produce several types of metabolites, including short-chain fatty acids (SCFAs). SCFAs play an important role in maintaining epithelial barrier functions and intestinal homeostasis, with recent work suggesting that SCFAs can modulate response to cancer treatments and influence both anti-tumor immune response and inflammatory-related side effects. In this review, we will discuss the importance of SCFAs and their implications for cancer treatment response and toxicities.
Insights
Short-chain fatty acids (SCFAs), produced by gut bacteria, significantly influence cancer treatment efficacy and toxicity by modulating immune responses and drug metabolism. Understanding SCFAs is crucial for optimizing cancer therapies.
Area of Science:
- Microbiology
- Immunology
- Oncology
Background:
- The gut microbiota profoundly impacts cancer treatment outcomes, affecting both efficacy and toxicity.
- Mechanisms involve immune response modulation and, increasingly recognized, chemotherapeutic drug metabolism.
- Short-chain fatty acids (SCFAs) are key microbial metabolites with roles in gut homeostasis and immune function.
Purpose of the Study:
- To review the critical role of SCFAs in cancer treatment response.
- To discuss the implications of SCFAs for managing treatment toxicities.
- To highlight the influence of SCFAs on anti-tumor immunity and inflammation.
Main Methods:
- Literature review of studies investigating gut microbiota and cancer treatment.
- Analysis of research on SCFA production and function.
- Synthesis of findings on SCFA-mediated effects on immune responses and drug metabolism.
Main Results:
- SCFAs modulate immune cell activity, influencing anti-tumor responses.
- SCFA production by gut bacteria can alter chemotherapeutic drug metabolism.
- SCFAs impact inflammatory pathways, contributing to treatment-related side effects.
Conclusions:
- SCFAs are significant mediators of cancer treatment response and toxicity.
- Targeting SCFA production or signaling may offer novel therapeutic strategies.
- Further research is needed to fully elucidate SCFA mechanisms in cancer therapy.
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