肠道微生物群与肝细胞癌:代谢产物和免疫治疗调节

IF 2.9 2区 医学 Q2 ONCOLOGY
Cancer Medicine Pub Date : 2025-05-02 DOI:10.1002/cam4.70914
Kunmin Xiao, Kexin Li, Kunlin Xiao, Jinzu Yang, Lei Zhou
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引用次数: 0

摘要

肝细胞癌(HCC)与肠道微生物群的关系因其对HCC免疫治疗的影响而受到关注。方法胆汁酸、toll样受体4、短链脂肪酸和细菌毒素等关键肠道微生物代谢物参与HCC的进展,并通过肠-肝轴影响免疫反应。随着免疫检查点抑制剂(ICIs)在HCC治疗中变得普遍,调节肠道微生物群提供了增强ICIs疗效的新策略。然而,微生物组成的个体差异带来了挑战,一些HCC患者表现出对ICIs的耐药性。结果本文综述了肠道菌群在HCC中的作用的最新发现,并探讨了新的治疗方法,包括粪便菌群移植、益生菌、抗生素和天然化合物。重点是将这些见解转化为个性化医疗,以优化ICIs反应并改善HCC治疗结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Gut Microbiota and Hepatocellular Carcinoma: Metabolic Products and Immunotherapy Modulation

Gut Microbiota and Hepatocellular Carcinoma: Metabolic Products and Immunotherapy Modulation

Background

The relationship between hepatocellular carcinoma (HCC) and gut microbiota has gained attention for its impact on HCC immunotherapy.

Methods

Key gut microbial metabolites, including bile acids, toll-like receptor 4, short-chain fatty acids, and bacterial toxins, contribute to HCC progression and influence immune responses through the gut-liver axis. As immune checkpoint inhibitors (ICIs) become common in HCC treatment, modulating the gut microbiota offers new strategies to enhance ICIs efficacy. However, individual differences in microbial composition introduce challenges, with some HCC patients showing resistance to ICIs.

Results

This review summarizes the latest findings on the role of gut microbiota in HCC and explores emerging therapeutic approaches, including fecal microbiota transplantation, probiotics, antibiotics, and natural compounds.

Conclusions

The focus is on translating these insights into personalized medicine to optimize ICIs responses and improve HCC treatment outcomes.

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来源期刊
Cancer Medicine
Cancer Medicine ONCOLOGY-
CiteScore
5.50
自引率
2.50%
发文量
907
审稿时长
19 weeks
期刊介绍: Cancer Medicine is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research from global biomedical researchers across the cancer sciences. The journal will consider submissions from all oncologic specialties, including, but not limited to, the following areas: Clinical Cancer Research Translational research ∙ clinical trials ∙ chemotherapy ∙ radiation therapy ∙ surgical therapy ∙ clinical observations ∙ clinical guidelines ∙ genetic consultation ∙ ethical considerations Cancer Biology: Molecular biology ∙ cellular biology ∙ molecular genetics ∙ genomics ∙ immunology ∙ epigenetics ∙ metabolic studies ∙ proteomics ∙ cytopathology ∙ carcinogenesis ∙ drug discovery and delivery. Cancer Prevention: Behavioral science ∙ psychosocial studies ∙ screening ∙ nutrition ∙ epidemiology and prevention ∙ community outreach. Bioinformatics: Gene expressions profiles ∙ gene regulation networks ∙ genome bioinformatics ∙ pathwayanalysis ∙ prognostic biomarkers. Cancer Medicine publishes original research articles, systematic reviews, meta-analyses, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented in the paper.
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