Gastrointestinal malignancy and the microbiome

Gastroenterology. 2014 May;146(6):1534-1546.e3. doi: 10.1053/j.gastro.2014.01.001. Epub 2014 Jan 7.

Abstract

Microbial species participate in the genesis of a substantial number of malignancies-in conservative estimates, at least 15% of all cancer cases are attributable to infectious agents. Little is known about the contribution of the gastrointestinal microbiome to the development of malignancies. Resident microbes can promote carcinogenesis by inducing inflammation, increasing cell proliferation, altering stem cell dynamics, and producing metabolites such as butyrate, which affect DNA integrity and immune regulation. Studies in human beings and rodent models of cancer have identified effector species and relationships among members of the microbial community in the stomach and colon that increase the risk for malignancy. Strategies to manipulate the microbiome, or the immune response to such bacteria, could be developed to prevent or treat certain gastrointestinal cancers.

Keywords: Bacteria; Cancer; Inflammation.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Animals
  • Bacteria / classification
  • Bacteria / genetics
  • Bacteria / immunology
  • Bacteria / metabolism*
  • Cell Transformation, Neoplastic / immunology
  • Cell Transformation, Neoplastic / metabolism*
  • Cell Transformation, Neoplastic / pathology
  • Disease Models, Animal
  • Gastrointestinal Neoplasms / immunology
  • Gastrointestinal Neoplasms / metabolism
  • Gastrointestinal Neoplasms / microbiology*
  • Gastrointestinal Neoplasms / pathology
  • Gastrointestinal Neoplasms / prevention & control
  • Gastrointestinal Tract / immunology
  • Gastrointestinal Tract / metabolism
  • Gastrointestinal Tract / microbiology*
  • Gastrointestinal Tract / pathology
  • Humans
  • Microbiota*
  • Probiotics / therapeutic use
  • Risk Factors