了解乳腺癌,免疫检查点抑制剂和肠道微生物群之间的关系:叙述性综述
Gabriella Hrubesz1, Jennifer Leigh1, Terry L Ng1
1Division of Medical Oncology, The Ottawa Hospital Cancer Center, Ottawa, Ontario, Canada.
概括
肠道微生物群的组成会影响乳腺癌的免疫治疗结果. 调节肠道微生物组可能会提高治疗效率,但需要更多的研究.
科学领域:
- 在瘤学瘤学.
- 微生物学 微生物学
- 免疫学 免疫学 免疫学
背景情况:
- 肠道微生物群的组成会影响癌症免疫治疗的结果.
- 了解肠道微生物组在乳腺癌治疗中的作用至关重要.
研究的目的:
- 总结肠道微生物群和免疫治疗在乳腺癌中的作用.
- 审查目前关于微生物群调节以增强乳腺癌免疫治疗的证据.
主要方法:
- 系统的文献搜索 (EMBASE,MEDLINE,CENTRAL) 在2024年7月之前.
- 包括关于肠道微生物群,免疫疗法和乳腺癌的临床和临床前研究.
- 来自13项符合条件的研究 (5项临床,8项临床前研究) 发现的描述性综合.
主要成果:
- 肠道微生物群的组成和多样性与患者对免疫治疗的反应相关.
- 临床前研究将失生症 (肥胖,抗生素,饮食) 与免疫抑制和减少对PD-L1抑制剂的反应联系起来.
- 益生菌显示出增强免疫疗法反应的潜力,建议使用作为辅助疗法.
结论:
- 肠道微生物群可以预测乳腺癌的免疫治疗反应.
- 微生物群调节有可能提高化疗免疫疗法的疗效.
- 由于乳腺癌数据有限,因此需要进行更大规模的前性研究,以验证生物标志物和治疗作用.
相关概念视频
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