实用肿瘤学杂志 ›› 2023, Vol. 37 ›› Issue (3): 281-286.doi: 10.11904/j.issn.1002-3070.2023.03.015

• 综述 • 上一篇    下一篇

肠道菌群在肝细胞癌中的作用及治疗应用的研究进展

殷鼎威1 综述, 井杰2 审校   

  1. 1.中国人民解放军联勤保障部队第九〇三医院血液肿瘤科(杭州 310013);
    2.海军军医大学第一附属医院实验诊断科
  • 收稿日期:2022-08-12 修回日期:2023-04-23 出版日期:2023-06-28 发布日期:2023-08-07
  • 通讯作者: 井杰,E-mail:jj19802102865@163.com
  • 作者简介:殷鼎威,男,(1993-),本科,住院医师,从事肿瘤治疗方面的研究。

Research progress on the role of Gut microbiota in hepatocellular carcinoma and its therapeutic application

YIN Dingwei1, JING Jie2   

  1. 1. Department of Oncology,No. 903 Hospital of PLA Joint Logistic Support Force,Hangzhou 310013,China;
    2. Department of Laboratory Medicine,The First Affiliated Hospital of Naval Medical University
  • Received:2022-08-12 Revised:2023-04-23 Online:2023-06-28 Published:2023-08-07

摘要: 肝细胞癌(HCC)是全世界发病率和死亡率较高的肿瘤之一。由于肠道与肝脏有着密切而特殊的关系,肠道菌群可通过肠道与肝脏间的相互作用来影响慢性肝病,促进HCC的发生发展。本文着重介绍肠道菌群通过肠渗漏及MAMPs-Toll样受体、菌群失衡及其代谢产物、调节肿瘤微环境等方式促进HCC的发生发展。通过靶向肠道菌群,如抗生素杀灭有害菌群、拮抗剂抑制TLR、益生菌平衡失调菌群及FMT改善肠道菌群等为HCC的治疗提供新的策略。

关键词: 肝细胞癌, 肠道菌群, 慢性肝病, 肿瘤治疗

Abstract: Hepatocellular carcinoma(HCC)is one of the tumors with high morbidity and mortality in the world.Due to the close and special relationship between intestine and liver,gut microbiota can affect chronic liver disease and promote the occurrence and development of HCC through the interaction between intestine and liver.This article mainly introduces that gut microbiota promotes the occurrence and development of HCC through intestinal leakage and MAMPs Toll like receptors,imbalance of flora and its metabolites,and regulation of tumor microenvironment.Targeting gut microbiota,such as antibiotics to kill harmful flora,antagonists inhibiting TLR,probiotic imbalance of flora and FMT to improve gut microbiota,provides a new strategy for the treatment of HCC.

Key words: Hepatocellular carcinoma, Gut microbiota, Chronic liver disease, Tumor therapy