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The Role of the Gut Microbiome in Colorectal Cancer Development and Therapy Response

1
Unidad de Gestión Clínica Intercentros de Oncología Médica, Hospitales Universitarios Regional y Virgen de la Victoria. Instituto de Investigación Biomédica de Málaga (IBIMA)-CIMES-UMA, 29010 Málaga, Spain
2
Departamento de Cirugía Digestiva, Endocrina y Transplante de Órganos Abdominales, Instituto Murciano de Investigación Biosanitária (IMIB-Arrixaca), 30120 Murcia, Spain
3
Unidad de Gestión Clínica de Oncología Radioterápica, Hospital Universitario Virgen de la Victoria. Instituto de Investigación Biomédica de Málaga (IBIMA), 29010 Málaga, Spain
*
Author to whom correspondence should be addressed.
These authors contributed equally.
Cancers 2020, 12(6), 1406; https://doi.org/10.3390/cancers12061406
Received: 22 April 2020 / Revised: 24 May 2020 / Accepted: 28 May 2020 / Published: 29 May 2020
(This article belongs to the Section Systematic Review or Meta-Analysis in Cancer Research)
Colorectal cancer (CRC) is the third most common cancer worldwide and the leading cause of cancer-related deaths. Recently, several studies have demonstrated that gut microbiota can alter CRC susceptibility and progression by modulating mechanisms such as inflammation and DNA damage, and by producing metabolites involved in tumor progression or suppression. Dysbiosis of gut microbiota has been observed in patients with CRC, with a decrease in commensal bacterial species (butyrate-producing bacteria) and an enrichment of detrimental bacterial populations (pro-inflammatory opportunistic pathogens). CRC is characterized by altered production of bacterial metabolites directly involved in cancer metabolism including short-chain fatty acids and polyamines. Emerging evidence suggests that diet has an important impact on the risk of CRC development. The intake of high-fiber diets and the supplementation of diet with polyunsaturated fatty acids, polyphenols and probiotics, which are known to regulate gut microbiota, could be not only a potential mechanism for the reduction of CRC risk in a primary prevention setting, but may also be important to enhance the response to cancer therapy when used as adjuvant to conventional treatment for CRC. Therefore, a personalized modulation of the pattern of gut microbiome by diet may be a promising approach to prevent the development and progression of CRC and to improve the efficacy of antitumoral therapy. View Full-Text
Keywords: colorectal cancer; gut microbiota; dysbiosis; inflammation; short-chain fatty acids; polyamines; dietary fiber; polyunsaturated fatty acids; polyphenols; probiotics colorectal cancer; gut microbiota; dysbiosis; inflammation; short-chain fatty acids; polyamines; dietary fiber; polyunsaturated fatty acids; polyphenols; probiotics
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MDPI and ACS Style

Sánchez-Alcoholado, L.; Ramos-Molina, B.; Otero, A.; Laborda-Illanes, A.; Ordóñez, R.; Medina, J.A.; Gómez-Millán, J.; Queipo-Ortuño, M.I. The Role of the Gut Microbiome in Colorectal Cancer Development and Therapy Response. Cancers 2020, 12, 1406. https://doi.org/10.3390/cancers12061406

AMA Style

Sánchez-Alcoholado L, Ramos-Molina B, Otero A, Laborda-Illanes A, Ordóñez R, Medina JA, Gómez-Millán J, Queipo-Ortuño MI. The Role of the Gut Microbiome in Colorectal Cancer Development and Therapy Response. Cancers. 2020; 12(6):1406. https://doi.org/10.3390/cancers12061406

Chicago/Turabian Style

Sánchez-Alcoholado, Lidia, Bruno Ramos-Molina, Ana Otero, Aurora Laborda-Illanes, Rafael Ordóñez, José A. Medina, Jaime Gómez-Millán, and María I. Queipo-Ortuño. 2020. "The Role of the Gut Microbiome in Colorectal Cancer Development and Therapy Response" Cancers 12, no. 6: 1406. https://doi.org/10.3390/cancers12061406

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