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.

Cancers
|September 9, 2023
PubMed

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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