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晚期黑色素瘤中的微生物组:我们现在在哪里?
Dylan D Fortman1, Drew Hurd2, Diwakar Davar3
1Division of General Internal Medicine, Department of Medicine, University of Pittsburgh Medical Center (UPMC) and University of Pittsburgh, Pittsburgh, PA, 15213, USA.
Current oncology reports
|June 3, 2023
概括
肠道微生物群对免疫检查点抑制剂 (ICI) 的黑色素瘤治疗结果产生影响. 通过饮食或益生菌调节肠道微生物群可以改善ICI反应并管理副作用.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 微生物学 微生物学
背景情况:
- 免疫检查点抑制剂 (ICI) 已经彻底改变了黑色素瘤治疗.
- 肠道微生物组显著影响癌症治疗的疗效和毒性.
- 对肠道微生物组的调节是增强ICI治疗的有希望的策略.
研究的目的:
- 审查目前关于肠道微生物群在黑色素瘤患者对ICI反应中的作用的数据.
- 总结研究肠道微生物群干预黑色素瘤的临床试验的发现.
主要方法:
- 临床前和临床研究的文献综述.
- 分析数据,将肠道微生物群组成与ICI结果联系起来.
- 检查肠道微生物群特定的干预试验.
主要成果:
- 肠道微生物群的组成与黑色素瘤中的ICI反应和免疫相关不良事件 (irAEs) 有关.
- 诸如食纤维,益生菌和便微生物群移植 (FMT) 等干预措施显示出恢复或改善ICI疗效的潜力.
- 肠道微生物群是影响黑色素瘤ICI治疗的关键外部因素.
结论:
- 肠道微生物群调节是一种可行的策略,可以优化黑色素瘤的ICI治疗.
- 对微生物向干预措施的进一步研究可以改善患者的治疗结果并减少毒性.
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