实用肿瘤学杂志 ›› 2021, Vol. 35 ›› Issue (5): 476-479.doi: 10.11904/j.issn.1002-3070.2021.05.017

• 综述 • 上一篇    下一篇

肠道微生物影响结直肠癌化疗疗效的研究现状

韩淑玲, 姚洋, 刘超 综述, 张艳桥 审校   

  1. 哈尔滨医科大学附属肿瘤医院消化内科二病房(哈尔滨 150081)
  • 收稿日期:2020-07-21 修回日期:2021-03-05 出版日期:2021-10-28 发布日期:2021-10-25
  • 通讯作者: 张艳桥,E-mail:yanqiaozhang@ems.hrbmu.edu.cn
  • 作者简介:韩淑玲,女,(1994-),硕士研究生,从事消化系统肿瘤的临床研究。

Research status of intestinal microbes affecting the efficacy of chemotherapy for colorectal cancer

HAN Shuling, YAO Yang, LIU Chao, ZHANG Yanqiao   

  1. Department of Gastrointestinal Medical Oncology,Harbin Medical University Cancer Hospital,Harbin 150081,China
  • Received:2020-07-21 Revised:2021-03-05 Online:2021-10-28 Published:2021-10-25

摘要: 肠道微生物是一个与机体健康密切相关的“生态系统”。一方面,肠道微生物可以为机体提供营养物质、参与机体新陈代谢和免疫调节,抵御病原体、发挥生物屏障功能等。另一方面,肠道微生物及其代谢产物可参与结直肠癌的发生,调节化疗药物及免疫检查点抑制剂作用机制,继而影响化疗及免疫治疗疗效、调节相关不良反应。基于既往大量肠道微生物研究及相关文献,本文将综述肠道微生物影响结直肠癌化疗药物作用机制、疗效的现状,其有望成为提高结直肠癌化疗疗效、降低药物毒副反应的新靶点。

关键词: 肠道微生物, 结直肠癌, 药物作用机制, 疗效

Abstract: Gut microbes are an “ecosystem” closely related to body health.On the one hand,intestinal microbes can provide nutrients for the body,participate in the body's metabolism and immune regulation,resist pathogens,and exert biological barrier functions.On the other hand,intestinal microbes and their metabolites can participate in the occurrence of colorectal cancer,regulate the mechanism of chemotherapy drugs and immune checkpoint inhibitors,then affect the efficacy of chemotherapy and immunotherapy,and regulate related adverse reactions.Based on a large number of previous studies on intestinal microbes and related literatures,this article will review the current status of intestinal microbes affecting the mechanism and efficacy of chemotherapy drugs for colorectal cancer,which is expected to be a new target for improving the treatment of colorectal cancer and reducing the side reaction of the drug toxicity.

Key words: Gut microbes, Colorectal cancer, Mechanism of drug action, Efficacy

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