Gut microbiota-immune-brain interactions in chemotherapy-associated behavioral comorbidities.

Gut microbiota-immune-brain interactions in chemotherapy-associated behavioral comorbidities.
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DOI:
10.1002/cncr.31584
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发表时间:
2018-10-15
期刊:
影响因子:
6.2
通讯作者:
Pyter LM
Pyter LM
中科院分区:
医学1区
文献类型:
--
作者:
Jordan KR;Loman BR;Bailey MT;Pyter LM

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Increasing scientific attention is focused on the gut-brain axis, including the ability of the gastrointestinal (GI) tract to modulate central nervous system function. Changes in the intestinal microbiome can influence affective-like behavior, cognitive performance, fatigue, and sleep in rodents and humans. Cancer patients receiving chemotherapy experience similar negative behavioral changes and concurrent GI symptoms. These chemotherapy comorbidities can be long-lasting and reduce patients' quality of life and motivation to comply with treatment. This review summarizes the clinical and preclinical evidence supporting a role for the intestinal microbiome in mediating behavioral comorbidities through peripheral immune activation in cancer patients undergoing chemotherapy. In addition, evidence suggesting that targeted modification of the intestinal microbiome during cancer treatment could ameliorate associated behavioral comorbidities is reviewed.
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