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.

Biomedicines
|April 29, 2025
PubMed

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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