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肿瘤代谢与营养电子杂志
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益生菌在肿瘤免疫治疗中的研究进展
肿瘤免疫治疗是利用免疫系统、恢复机体正常的抗肿瘤免疫反应,从而控制与清除肿瘤的一种治疗方法。肠道菌 群能够与宿主相互作用,共同维持机体的稳态与宿主健康,在人体生理活动过程中发挥着重要作用。肠道菌群影响肿瘤的发 生、发展,各类肿瘤患者肠道菌群的紊乱情况及潜在机制也逐渐被解析。同时在肿瘤免疫治疗过程中,患者肠道菌群也发挥了 重要作用,对免疫反应的调控也会直接影响肿瘤治疗效果。人为干预改变肠道菌群可作为提高肿瘤免疫治疗效果,实现肿瘤 精确和个性化治疗的新策略,单独或与常规免疫治疗联用,干预手段有抗生素、益生菌等。其中益生菌作为一类安全有效的微 生态制剂,在干预肠道菌群进行肿瘤免疫治疗方面具有较大的发展潜力,但仍需要更多临床数据支持及机制探讨。本文介绍 了肠道微生物组与肿瘤发生、发展的关系及其相关机制,并对益生菌在肿瘤免疫治疗中的研究进展进行探讨,为益生菌的应用 及益生菌干预肠道菌群影响宿主健康的机制研究提供理论支持。
海南大学食品科学与工程学院,海口 570228
Research progress of probiotics in tumor immunotherapy
Tumor immunotherapy is a therapeutic method that uses the immune system to restore the body′s normal anti?tumor immune response, to control and remove the tumor. Intestinal microbiota can maintain the homeostasis and the health of the body by interacting with the host and play a crucial role in the process of human physiological activities. More and more studies have found that intestinal microbiota affects the occurrence and development of tumors. And the disorders of intestinal microbiota and potential mechanisms in patients with tumors have also been gradually analyzed. At the same time, the intestinal flora of patients also plays a decisive role, it has been found that the regulation of immune response by intestinal microbiota may directly affect the therapeutic effect of cancer in the process of tumor immunotherapy. Artificial intervention to change intestinal microbiota can be used as a new strategy to improve the effect of tumor immunotherapy and achieve accurate and personalized treatment of cancer in combination with conventional immunotherapy. The intervention measures include antibiotics, probiotics, and so on. Among them, probiotics, a kind of safe and effective microecological agents, have great potential in tumor immunotherapy used to interfere with intestinal microbiota, but more clinical data and mechanisms are still needed. This paper introduces the relationship between intestinal microbiota with tumor and the research progress of probiotics in tumor immunotherapy, which provides theoretical support for the application of probiotics and the mechanism of probiotics affecting host health.
College of Food Science and Engineering, Hainan University, Haikou 570228, Hainan, China