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伴生细菌通过雄激素生物合成促进前列腺癌的内分泌抵抗
Nicolò Pernigoni1,2, Elena Zagato1,2, Arianna Calcinotto1,2
1Institute of Oncology Research, Oncology Institute of Southern Switzerland, CH-6500 Bellinzona, Switzerland.
肠道微生物群可以通过产生雄激素驱动抵抗割的前列腺癌 (CRPC). 抗生素治疗和特殊便移植显示出延迟或控制CRPC进展的潜力.
科学领域:
- 微生物学
- 癌症学
- 泌尿外科
背景情况:
- 肠道微生物群在抵抗割的前列腺癌 (CRPC) 中的作用在很大程度上仍未被探索.
- 缺少雄激素治疗是晚期前列腺癌的基石治疗,
研究的目的:
- 研究肠道微生物群对前列腺癌中割抗性的贡献.
- 确定促进CRPC的特定微生物机制.
主要方法:
- 对小鼠和患有CRPC的人类肠道微生物组成的分析.
- 用抗生素治疗小鼠的肠道微生物群.
- 使用CRPC模型和患者的微生物体进行便微生物体移植 (FMT) 实验.
主要成果:
- 缺少雄激素导致了能够合成雄激素的特定肠道微生物的扩张.
- 在小鼠中,肠道微生物群的切除延迟了CRPC的发生.
- 来自CRPC来源的FMT诱导了割抵抗,而来自激素敏感前列腺癌或Prevotella stercorea的FMT控制了瘤的生长.
结论:
- 肠道微生物群通过提供另一种原体来源,促进了CRPC的内分泌耐药性.
- 针对肠道微生物群是克服前列腺癌中割抗性的潜在治疗策略.
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