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Published on: March 7, 2025
Gut microbiota regulating programmed cell death: Impacts on cancer immunotherapy, mechanisms, therapeutic responses
1Guizhou Provincial Key Laboratory of Innovation and Manufacturing for Pharmaceuticals and School of Pharmacy, Zunyi, Guizhou, 563000, China.
Abstract:
Cancer is one of the leading causes of death worldwide, with millions of new cases and fatalities annually, imposing a heavy burden on global healthcare systems. Among the factors influencing antitumor efficacy, the host gut microbiota-a dynamic and modifiable ecosystem-has emerged as a research hotspot. Substantial evidence demonstrates that the gut microbiota and its interactions with the host immune system profoundly affect tumor progression and responses to antitumor therapy. This may be attributed to the gut microbiota's ability to influence programmed cell death (PCD) and regulate key immune signaling pathways, making it a critical determinant of cancer treatment outcomes. This review systematically summarizes the core mechanisms by which the gut microbiota regulates PCD to influence cancer, analyzes key molecular pathways, and summarizes novel strategies for enhancing cancer therapy efficacy based on gut microbiota modulation. It aims to provide a theoretical basis and research direction for reducing treatment resistance and optimizing personalized treatment regimens.
Insights
The gut microbiota influences cancer treatment outcomes by regulating programmed cell death (PCD) and immune responses. Modulating the gut microbiome offers novel strategies to improve cancer therapy efficacy and overcome resistance.
Area of Science:
- Oncology
- Microbiology
- Immunology
Background:
- Cancer is a leading global cause of death, presenting a significant healthcare burden.
- The host gut microbiota is a dynamic ecosystem increasingly recognized for its role in cancer progression and treatment response.
- Interactions between the gut microbiota and the host immune system critically impact tumor development and therapeutic outcomes.
Purpose of the Study:
- To systematically review the mechanisms by which gut microbiota regulates programmed cell death (PCD) in cancer.
- To analyze key molecular pathways involved in microbiota-mediated regulation of PCD and cancer.
- To summarize novel strategies for enhancing cancer therapy by modulating the gut microbiota.
Main Methods:
- Systematic review of existing literature on gut microbiota, programmed cell death, and cancer therapy.
- Analysis of molecular pathways linking gut microbiota composition to host immune responses and cancer cell death.
- Synthesis of current research on microbiota-targeted interventions for cancer treatment.
Main Results:
- Gut microbiota influences cancer progression and response to therapy through modulation of PCD.
- Key immune signaling pathways are regulated by the gut microbiota, affecting tumor microenvironment and treatment efficacy.
- Microbiota composition is a critical determinant of programmed cell death induction and evasion in cancer.
Conclusions:
- The gut microbiota plays a pivotal role in cancer pathogenesis and response to antitumor therapies.
- Understanding microbiota-driven PCD regulation is essential for developing effective cancer treatments.
- Targeting the gut microbiota presents a promising avenue for reducing treatment resistance and personalizing cancer care.
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