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Updated: Jul 16, 2025

Microbiota Analysis Using Two-step PCR and Next-generation 16S rRNA Gene Sequencing
Published on: October 15, 2019
The Association between the Gut Microbiome and Development and Progression of Cancer Treatment Adverse Effects
Amanda S Maddern1, Janet K Coller2, Joanne M Bowen2
1School of Allied Health Science and Practice, The University of Adelaide, Adelaide, SA 5005, Australia.
Abstract:
Adverse effects are a common consequence of cytotoxic cancer treatments. Over the last two decades there have been significant advances in exploring the relationship between the gut microbiome and these adverse effects. Changes in the gut microbiome were shown in multiple clinical studies to be associated with the development of acute gastrointestinal adverse effects, including diarrhoea and mucositis. However, more recent studies showed that changes in the gut microbiome may also be associated with the long-term development of psychoneurological changes, cancer cachexia, and fatigue. Therefore, the aim of this review was to examine the literature to identify potential contributions and associations of the gut microbiome with the wide range of adverse effects from cytotoxic cancer treatments.
Insights
Cytotoxic cancer treatments can cause adverse effects. This review explores how gut microbiome changes are linked to both acute and long-term side effects, including gastrointestinal issues, fatigue, and neurological changes.
Area of Science:
- Oncology
- Microbiology
- Gastroenterology
Background:
- Adverse effects are common in cytotoxic cancer therapy.
- The gut microbiome's role in treatment side effects is increasingly recognized.
- Existing research links gut microbiome alterations to acute gastrointestinal issues like diarrhea and mucositis.
Purpose of the Study:
- To review and synthesize current literature on the gut microbiome's association with cytotoxic cancer treatment adverse effects.
- To identify the microbiome's potential contributions to both acute and long-term treatment toxicities.
Main Methods:
- Literature review of studies investigating the gut microbiome and cancer treatment side effects.
- Analysis of associations between microbiome alterations and various adverse events.
- Synthesis of findings on acute and long-term consequences.
Main Results:
- Gut microbiome dysbiosis is associated with acute adverse effects such as diarrhea and mucositis.
- Emerging evidence suggests a link between the gut microbiome and long-term effects including psychoneurological changes, cancer cachexia, and fatigue.
- The gut microbiome plays a significant role in the overall toxicity profile of cancer treatments.
Conclusions:
- The gut microbiome is a critical factor influencing the development and severity of adverse effects from cytotoxic cancer treatments.
- Targeting the gut microbiome may offer novel strategies for mitigating treatment-related toxicities.
- Further research is warranted to fully elucidate the complex interactions between the gut microbiome and cancer therapy outcomes.
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