肝细胞癌中肠道微生物群介导的瘤发生:治疗干预的新途径
Aswathi Ramesh1, Rajasekaran Subbarayan1,2, Dhasarathdev Srinivasan1
1Centre for Advanced Biotherapeutics and Regenerative Medicine, Faculty of Research, Chettinad Hospital and Research Institute, Chettinad Academy of Research and Education, Kelambakkam, India.
International journal of surgery (London, England)
|October 27, 2025
概括
肠道细菌失生症通过引起炎症和代谢问题来促进肝癌 (肝细胞癌). 准肠肝轴为这种致命疾病提供了新的治疗策略.
科学领域:
- 胃肠道学和肝病学
- 在瘤学瘤学.
- 微生物组研究 微生物组研究
背景情况:
- 肝细胞癌 (HCC) 是全球癌症死亡的主要原因.
- 肠道微生物群失生症越来越被认为是HCC发展的重要因素.
- 了解肠肝轴对于新的治疗干预措施至关重要.
研究的目的:
- 审查肠道微生物群失生症如何促进肝癌发生.
- 探索将微生物失衡与肝癌联系在一起的机制.
- 突出针对肠肝轴在HCC预防和治疗中的潜力.
主要方法:
- 关于肠道微生物群,炎症和HCC的研究的文献综述.
- 分析病原体与宿主细胞和途径的相互作用.
- 对遗传易感性和风险因素的检查.
- 对微生物向治疗的临床试验的审查.
主要成果:
- 肠道功能失调通过炎症,代谢失调和免疫调节促进HCC.
- 特定的病原体 (例如,Fusobacterium nucleatum,Helicobacter pylori) 破坏肠道屏障并激活致癌途径.
- 宿主遗传因素 (例如TLR4,ATM,PNPLA3多态) 会加剧HCC的风险.
- 分子对接揭示了驱动免疫逃避的病原体与宿主相互作用.
结论:
- 肠肝轴是肝细胞癌的关键治疗点.
- 结合基因查,微生物组分析和精确治疗的综合方法显示出有前途.
- 调节肠道微生物群为改善HCC结果提供了一个潜在的策略.
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