
Research Square (Research Square), Год журнала: 2023, Номер unknown
Опубликована: Окт. 23, 2023
Язык: Английский
Research Square (Research Square), Год журнала: 2023, Номер unknown
Опубликована: Окт. 23, 2023
Язык: Английский
Signal Transduction and Targeted Therapy, Год журнала: 2023, Номер 8(1)
Опубликована: Окт. 9, 2023
Abstract Individual variability in drug response (IVDR) can be a major cause of adverse reactions (ADRs) and prolonged therapy, resulting substantial health economic burden. Despite extensive research pharmacogenomics regarding the impact individual genetic background on pharmacokinetics (PK) pharmacodynamics (PD), diversity explains only limited proportion IVDR. The role gut microbiota, also known as second genome, its metabolites modulating therapeutic outcomes human diseases have been highlighted by recent studies. Consequently, burgeoning field pharmacomicrobiomics aims to explore correlation between microbiota variation IVDR or ADRs. This review presents an up-to-date overview intricate interactions classical agents for systemic diseases, including cancer, cardiovascular (CVDs), endocrine others. We summarise how directly indirectly, modify absorption, distribution, metabolism, excretion (ADME) drugs. Conversely, drugs modulate composition function leading changes microbial metabolism immune response. discuss practical challenges, strategies, opportunities this field, emphasizing critical need develop innovative approach multi-omics, integrate various data types, genomic data, well translate lab into clinical practice. To sum up, represents promising avenue address improve patient outcomes, further is imperative unlock full potential precision medicine.
Язык: Английский
Процитировано
79Frontiers in Oncology, Год журнала: 2025, Номер 14
Опубликована: Янв. 6, 2025
The current understanding of colorectal carcinogenesis is based on the adenoma-carcinoma sequence, where genetics, intestinal microbiota changes and local immunity shifts seem to play key roles. Despite emerging evidence dysbiotic state immune-cell infiltration in patients with adenocarcinoma, early advanced adenoma as precursors cancer, carcinoma situ following progression, are rather less studied. newly colon-site adapted AI-based analysis immune infiltrates able predict long-term outcomes colon carcinoma. Though it could also facilitate pathologic evaluation precancerous lesion's potential progress. Therefore, purpose this prospective cohort study (MIMICA-1) is, firstly, identify patterns around normal bowel tissue, adenoma, situ, secondly, analyze - microbiome interplay along steps conventional tumorigenesis. This aims prospectively recruit 40 (10 per group) confirmed dysplasia undergoing endoscopic polypectomy, mucosal resection for small (≤1cm), large (>1cm) or biopsy subsequent invasive 10 healthy screening colonoscopy. Stool samples will be collected prior preparation fecal (luminal) composition. Biopsy specimens taken from terminal ileum, right colon, left a pathological lesion (if present) assess mucosa-associated composition response. DNA extracted all sequenced using Illumina MiSeq platform. Unifrac Bray-Curtis methods used microbial diversity. system response examined digital image primarily immunohistochemistry procedures CD3, CD8, CD20 CD68 cell markers performed. Thereafter, count, density distribution immunocompetent cells epithelial stromal tissue compartments evaluated interaction between sequence examined. In addition, explored gut microbiota's composition, comparing fecal- tissue-derived bacterial sequence. We hypothesize that within human led detectable alterations correlate progression mucosa It expectable find more severe at site, though analyzing cancer we expect detect broader luminal near-lesion site possibly throughout entire colon. believe specific compositional differences detected premalignant lesions critically important its primary role initiation acceleration carcinogenesis. Thus, these potentially supplement immunohistochemical tests non-invasive detection adenoma. Moreover, become additional diagnostic prognostic tool development cancer. registered Australian New Zealand Clinical Trials Registry (ACTRN12624000976583) https://www.anzctr.org.au/.
Язык: Английский
Процитировано
1International Journal of Molecular Sciences, Год журнала: 2024, Номер 25(17), С. 9463 - 9463
Опубликована: Авг. 30, 2024
Colorectal cancer (CRC) represents a significant global health burden, with high incidence and mortality rates worldwide. Recent progress in research highlights the distinct clinical molecular characteristics of colon versus rectal cancers, underscoring tumor location's importance treatment approaches. This article provides comprehensive review our current understanding CRC epidemiology, risk factors, pathogenesis, management strategies. We also present intricate cellular architecture colonic crypts their roles intestinal homeostasis. carcinogenesis multistep processes are described, covering conventional adenoma-carcinoma sequence, alternative serrated pathways, influential Vogelstein model, which proposes sequential
Язык: Английский
Процитировано
7Cancers, Год журнала: 2024, Номер 16(10), С. 1923 - 1923
Опубликована: Май 18, 2024
Background: Colorectal cancer (CRC) significantly contributes to cancer-related mortality, necessitating the exploration of prognostic factors beyond TNM staging. This study investigates composition gut microbiome and microbial DNA fragments in stage II/III CRC. Methods: A cohort 142 patients with CRC 91 healthy controls underwent comprehensive analysis. Fecal samples were collected for 16S rRNA sequencing, blood tested presence fragments. De novo clustering analysis categorized individuals based on their profiles. Alpha beta diversity metrics calculated, taxonomic profiling was conducted. Results: Patients exhibited distinct compared controls. Beta confirmed CRC-specific Taxonomic revealed unique taxonomies patient cohort. separated into groups, specific fragment detection associated certain clusters. Conclusions: The microbiota can differentiate from individuals. Detecting bloodstream may be linked prognosis. These findings suggest that could serve as a factor Identifying markers prognosis has potential clinical implications, including personalized treatment strategies reduced healthcare costs. Further research is needed validate these uncover underlying mechanisms.
Язык: Английский
Процитировано
4International Journal of Biological Macromolecules, Год журнала: 2024, Номер 280, С. 136137 - 136137
Опубликована: Сен. 28, 2024
Язык: Английский
Процитировано
4Critical Reviews in Oncology/Hematology, Год журнала: 2025, Номер 208, С. 104629 - 104629
Опубликована: Янв. 27, 2025
Язык: Английский
Процитировано
0Cell Biochemistry and Biophysics, Год журнала: 2025, Номер unknown
Опубликована: Фев. 13, 2025
Язык: Английский
Процитировано
0Frontiers in Oncology, Год журнала: 2025, Номер 15
Опубликована: Март 5, 2025
Colorectal cancer (CRC) poses a significant global health burden, with gut microbiota emerging as crucial modulator of CRC pathogenesis and therapeutic outcomes. This review synthesizes current evidence on the influence tumor immune surveillance responses to immunotherapies chemotherapy in CRC. We highlight role specific microbial taxa promoting or inhibiting growth potential microbiota-based biomarkers for predicting treatment efficacy. The also discusses implications modulation strategies, including diet, probiotics, fecal transplantation, personalized management. By critically evaluating literature, we aim provide comprehensive understanding microbiota’s dual inform future research directions this field.
Язык: Английский
Процитировано
0International Journal of Molecular Sciences, Год журнала: 2025, Номер 26(8), С. 3733 - 3733
Опубликована: Апрель 15, 2025
The gut microbiome, a complex community of microorganisms residing in the intestinal tract, plays dual role colorectal cancer (CRC) development, acting both as contributing risk factor and protective element. This review explores mechanisms by which microbiota contribute to CRC, emphasizing inflammation, oxidative stress, immune evasion, production genotoxins microbial metabolites. Fusobacterium nucleatum, Escherichia coli (pks+), Bacteroides fragilis promote tumorigenesis inducing chronic generating reactive oxygen species, producing virulence factors that damage host DNA. These can also evade antitumor response suppressing cytotoxic T cell activity increasing regulatory populations. Additionally, microbial-derived metabolites such secondary bile acids trimethylamine-N-oxide (TMAO) have been linked carcinogenic processes. Conversely, microbiota, including Lactobacillus, Bifidobacterium, Faecalibacterium prausnitzii, homeostasis short-chain fatty (SCFAs) like butyrate, exhibit anti-inflammatory anti-carcinogenic properties. beneficial microbes enhance barrier integrity, modulate responses, inhibit tumor proliferation. Understanding dynamic interplay between pathogenic is essential for developing microbiome-based interventions, probiotics, prebiotics, fecal transplantation, prevent or treat CRC. Future research should focus on identifying biomarkers early CRC detection exploring personalized microbiome-targeted therapies. A deeper understanding host–microbiota interactions may lead innovative strategies management improved patient outcomes.
Язык: Английский
Процитировано
0Cellular Signalling, Год журнала: 2024, Номер 116, С. 111053 - 111053
Опубликована: Янв. 16, 2024
Язык: Английский
Процитировано
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