基线肠道微生物组和代谢物概况与接受新辅助化疗的乳腺癌患者的治疗反应有关
Elza Elizabete Liepina1, Elina Sivina1,2, Lelde Jurkane1,3
1Institute of Oncology and Molecular Genetics, Riga Stradins University, Pilsonu Street 13, Block 13, LV-1002 Riga, Latvia.
Diagnostics (Basel, Switzerland)
|February 13, 2026
概括
乳腺癌患者 乳腺癌患者
科学领域:
- 在瘤学瘤学.
- 微生物组研究 微生物组研究
- 代谢学 代谢学 代谢学
背景情况:
- 乳腺癌中新辅助化疗 (NAC) 反应是可变的,并不能完全由瘤因素解释.
- 肠道微生物群对化疗疗效的作用越来越被认可,但在乳腺癌中未被充分研究.
- 了解肠道微生物的影响可以改善治疗策略.
研究的目的:
- 在接受NAC的乳腺癌患者中描述肠道微生物的组成和功能.
- 为了确定与NAC反应相关的微生物代谢物.
- 探索三阴性乳腺癌 (TNBC) 中的这些关联.
主要方法:
- 从39名乳腺癌患者的初始便样本上进行了枪式元基因组测序和向代谢.
- 基于病理完整反应 (pCR) 的患者分层.
- 微生物多样性,分类学和功能特征,短链脂肪酸 (SCFA) 和胆汁酸的分析.
主要成果:
- 在获得pCR的患者中观察到更高的基线微生物丰富度.
- 在响应者与非响应者之间,不同的微生物种群被丰富了.
- 特定的SCFA和胆汁酸 (例如,脱氧醇酸) 显示出与反应的差异关联,尽管在校正后并非所有都达到统计学意义.
结论:
- 基线肠道微生物组特征 (多样性,组成,功能) 与乳腺癌中NAC反应相关.
- 肠道微生物及其代谢物可以作为NAC疗效的预测生物标志物.
- 对微生物向干预措施的进一步研究可以提高治疗结果.
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