微生物组与癌症:一个翻译性的科学评论
Estefania Fernandez1, Jennifer A Wargo2,3, Beth A Helmink2
1Department of Gynecologic Oncology & Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston.
JAMA
|May 12, 2025
概括
肠道中的微生物影响癌症的发展和治疗反应. 调节这些微生物的策略,如便微生物移植,可能会改善癌症免疫疗法的结果.
科学领域:
- 微生物组研究
- 癌症生物学
- 免疫疗法
背景情况:
- 越来越多的证据将肠道微生物与癌症的发展和进展联系在一起.
- 包括肠道和呼吸道在内的各种身体部位的微生物会影响致癌和转移.
- 与瘤相关的微生物可以影响癌症治疗的疗效和副作用.
研究的目的:
- 探索微生物在癌症中的作用.
- 评估微生物调制对癌症治疗结果的影响.
- 突出针对微生物组的潜在未来治疗策略.
主要方法:
- 对临床和临床前证据的审查.
- 分析涉及便微生物移植和饮食干预的研究.
- 对癌症免疫治疗期间使用抗生素相关的结果的检查.
主要成果:
- 通过便微生物移植和饮食调节肠道微生物改善了癌症免疫治疗患者的结果.
- 在接受免疫治疗的患者中,抗生素对肠道微生物群的破坏使生存率恶化,并增加了不良反应.
- 在瘤中存在微生物会影响治疗反应.
结论:
- 微生物影响癌症的发展,进展和治疗反应.
- 针对肠道和其他部位的微生物群落有望改善癌症患者的治疗结果.
- 未来的疗法可能会利用微生物组调节来改善癌症治疗.
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