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Published on: June 9, 2023
Anticancer Potential of Prebiotics: Targeting Estrogen Receptors and PI3K/AKT/mTOR in Breast Cancer
Hussein Sabit1, Sama Abouelnour1, Bassel M Hassen2
1Department of Medical Biotechnology, College of Biotechnology, Misr University for Science and Technology, Giza P.O. Box 77, Egypt.
Abstract:
Estrogen receptors (ERs) play a critical role in breast cancer (BC) development and progression, with ERα being oncogenic and ERβ exhibiting tumor-suppressive properties. The interaction between ER signaling and other molecular pathways, such as PI3K/AKT/mTOR, influences tumor growth and endocrine resistance. Emerging research highlights the role of prebiotics in modulating gut microbiota, which may influence estrogen metabolism, immune function, and therapeutic responses in BC. This review explores the impact of prebiotics on estrogen receptor modulation, gut microbiota composition, immune regulation, and metabolic pathways in breast cancer. The potential of prebiotics as adjunctive therapies to enhance treatment efficacy and mitigate chemotherapy-related side effects is discussed. A comprehensive analysis of recent preclinical and clinical studies was conducted, examining the role of prebiotics in gut microbiota modulation, immune regulation, and metabolic reprogramming in breast cancer. The impact of short-chain fatty acids (SCFAs) derived from prebiotic fermentation on epigenetic regulation and endocrine resistance was also evaluated. Prebiotics were found to modulate the gut microbiota-estrogen axis, reduce inflammation, and influence immune responses. SCFAs demonstrated selective estrogen receptor downregulation and metabolic reprogramming, suppressing tumor growth. Synbiotic interventions mitigate chemotherapy-related side effects, improving the quality of life in breast cancer patients. Prebiotics offer a promising avenue for breast cancer prevention and therapy by modulating estrogen metabolism, immune function, and metabolic pathways. Future clinical trials are needed to validate their efficacy as adjunctive treatments in breast cancer management.
Insights
Prebiotics modulate the gut microbiota-estrogen axis, influencing breast cancer progression and treatment. These dietary fibers show potential in enhancing cancer therapy and reducing side effects by impacting immune and metabolic pathways.
Area of Science:
- Oncology
- Microbiology
- Endocrinology
Background:
- Estrogen receptors (ERs) are crucial in breast cancer (BC), with ERα promoting and ERβ suppressing tumors.
- ER signaling interacts with pathways like PI3K/AKT/mTOR, affecting tumor growth and endocrine resistance.
- Gut microbiota modulation by prebiotics may influence estrogen metabolism, immunity, and therapeutic outcomes in BC.
Purpose of the Study:
- To review the impact of prebiotics on ER modulation, gut microbiota, immune function, and metabolism in breast cancer.
- To explore prebiotics as adjunctive therapies for enhancing BC treatment efficacy and reducing side effects.
- To analyze preclinical and clinical studies on prebiotics in BC, focusing on gut microbiota, immune regulation, and metabolic reprogramming.
Main Methods:
- Comprehensive analysis of recent preclinical and clinical studies.
- Evaluation of prebiotic effects on gut microbiota composition and function.
- Assessment of short-chain fatty acids (SCFAs) impact on epigenetic regulation and endocrine resistance.
Main Results:
- Prebiotics modulate the gut microbiota-estrogen axis, reduce inflammation, and influence immune responses.
- SCFAs from prebiotic fermentation selectively downregulate ER, reprogram metabolism, and suppress tumor growth.
- Synbiotic interventions alleviate chemotherapy side effects, improving patient quality of life.
Conclusions:
- Prebiotics offer a promising strategy for breast cancer prevention and therapy by modulating estrogen metabolism, immunity, and metabolic pathways.
- Further clinical trials are necessary to confirm the efficacy of prebiotics as adjunctive treatments in breast cancer management.
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