The Potential Gut Microbiota-Mediated Treatment Options for Liver Cancer.

The Potential Gut Microbiota-Mediated Treatment Options for Liver Cancer.
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潜在的肠道菌群介导的肝癌治疗选择。

DOI:
10.3389/fonc.2020.524205
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发表时间:
2020
影响因子:
4.7
通讯作者:
Ericsson AC
Ericsson AC
中科院分区:
医学3区
文献类型:
--
作者:
Zhang C;Yang M;Ericsson AC

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原发性肝癌是全球癌症死亡的主要原因之一。手术和非手术治疗是基于癌症阶段的肝癌治疗的可选方案。越来越多的研究表明,肠-肝轴影响肝脏疾病的进展,包括肝脏炎症、纤维化、肝硬化和癌症。然而,肠道微生物群及其衍生成分和代谢产物在肝癌中的作用仍有待进一步阐明。在这篇综述中,我们讨论了肠道微生物群和特定细菌物种在HCC中的作用,以及调节肠道微生物群以改善抗肿瘤治疗的策略。鉴于目前治疗的局限性,肠道微生物群介导的治疗是HCC治疗的潜在选择,包括纤维饮食和蔬菜饮食,抗菌剂,益生菌和药物抑制剂。此外,肠道微生物群可用作肝癌早期诊断的标志物。HCC的发生取决于各种环境和遗传因素,包括饮食和性别。此外,肠道微生物群影响HCC治疗的免疫疗法。因此,更好地了解肠-肝轴在肝癌中的作用对于提高治疗效果至关重要。
Primary liver cancer is one of the leading causes of cancer death worldwide. Surgical and non-surgical treatments are optional for liver cancer therapy based on the cancer stage. Accumulating studies show that the gut–liver axis influences the progression of liver diseases, including liver inflammation, fibrosis, cirrhosis, and cancer. However, the role of gut microbiota and their derived components and metabolites in liver cancer remains to be further clarified. In this review, we discuss the roles of gut microbiota and specific bacterial species in HCC and the strategies to modulate gut microbiota to improve antitumor therapy. Given the limitation of current treatments, gut microbiota-mediated therapy is a potential option for HCC treatment, including fiber diet and vegetable diet, antimicrobials, probiotics, and pharmaceutical inhibitors. Also, gut microbiota can be used as a marker for early diagnosis of HCC. HCC occurs dependent on various environmental and genetic factors, including diet and sex. Furthermore, gut microbiota impacts the immunotherapy of HCC treatment. Therefore, a better understanding of the role of the gut–liver axis in liver cancer is critically important to improve therapeutic efficacy.
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