肺癌和肠-微生物群-肺轴:新出现的证据和潜在的临床影响
Li Liu1, Li Yang2, Hongdu Zhang1
1Department of thoracic surgery, The Third Affiliated Hospital of Gansu University of Chinese Medicine, Baiyin, China.
Frontiers in medicine
|December 10, 2025
概括
肠道细菌失衡 (失生症) 与更高的肺癌风险和不良结果有关. 恢复有益的肠道微生物可能会提高肺癌患者的治疗效率.
科学领域:
- 在瘤学瘤学.
- 微生物组研究 微生物组研究
- 免疫治疗是一种免疫疗法.
背景情况:
- 肺癌是全球主要的死亡原因之一,存活率很低.
- 肠道失生症越来越多地与非小细胞肺癌的风险和预后有关.
- 特定的肠道细菌变化与肺癌治疗反应和存活率相关.
研究的目的:
- 审查目前关于肺癌肠肺轴的证据.
- 确定研究缺口和治疗翻译的未来方向.
- 探索肠道微生物群在肺癌发展和治疗中的作用.
主要方法:
- 综合流行病学数据.
- 机械学研究的分析.
- 对临床试验结果的审查.
- 对临床前模型的检查.
主要成果:
- 肠道功能失调与肺癌风险升高和预后更差有关.
- 减少酸盐生产者的丰富性和增加的 Enterobacteriaceae 与糟糕的结果相关.
- 在免疫疗法之前使用抗生素会降低治疗效率,而微生物恢复则显示出有前途.
结论:
- 肠肺轴在肺癌中起着重要作用.
- 需要进一步的研究来将肠道微生物群的发现转化为临床实践.
- 准肠道微生物组可能为肺癌提供新的辅助疗法.
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