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肠道微生物群在结直肠癌诊治中的潜在应用:最新进 展和前景
结直肠癌是发病率最高的消化系统恶性肿瘤之一,且随着生活节奏的增快、饮食结构的改变,结直肠癌的发病率 与死亡率也逐年增加,严重威胁着人类的健康。人类肠道内存在大量肠道微生物,这些微生物与宿主细胞相互作用以调节许 多生理过程,例如能量获取、代谢和免疫反应等。机体内、外环境的异常变化,如不洁饮食、不良生活方式或抗生素的滥用,会 破坏肠道微生物群的稳态,引发肠道菌群失调,继而导致包括结直肠癌等多种疾病的发生。近年来,肠道微生物群在结直肠癌 发生、发展中的作用备受关注,随着新一代基因测序等基因组学技术的发展,有关结直肠癌肠道微生物群的研究取得了飞速的 发展。结直肠癌患者中会出现某些特定的肠道微生物群数量异常增多;通过改善肠道菌群失调可以降低结直肠癌发病率、减 缓肿瘤进展。因此,肠道微生物有望成为结直肠癌筛查、预后预测的生物标志物和治疗靶点。本文将对近5年来肠道微生物 群在结直肠癌诊治中应用的最新进展展开综述。
Potential applications of the gut microbiota in the diagnosis and treatment of colorectal cancer: recent advances and prospects
Colorectal cancer is the malignant tumor of the digestive system with the highest incidence. With the faster pace of life and changes in diet, the incidence and mortality of colorectal cancer are also increasing year by year, seriously threatening human health. There are a large number of intestinal microbes in the human intestine. These microbes interact with host cells to regulate many physiological processes, such as energy harvest, metabolism and immune response. Abnormal changes in the internal or external environment of the host, such as unclean diet, unhealthy lifestyle, or the abuse of antibiotics, will destroy the homeostasis of the intestinal microbiota, trigger the imbalance of the intestinal flora, and then lead to the occurrence of many diseases including colorectal cancer. In recent years, the role of intestinal microbiota in the occurrence and development of colorectal cancer has attracted much attention. With the development of genomics technologies, research on the intestinal microbiota of colorectal cancer has achieved rapid development. More and more studies have shown that there will be an abnormal increase in the number of certain intestinal microbiota in patients with colorectal cancer; and improving the imbalance of intestinal flora can reduce the incidence of colorectal cancer and inhibit the progression of tumors. Therefore, intestinal microbes are expected to become biomarkers for colorectal cancer screening and prognosis prediction, and therapeutic targets. This article summarizes the latest progress in the application of gut microbiota in colorectal cancer in the past five years. This article provides an overview of recent research focusing on the application of gut microbiota in the diagnosis and treatment of colorectal cancer in the past five years and highlights the advances achieved.