Gut Microbiota: A Potential Target for Cancer Interventions

Cancer Manag Res. 2021 Nov 3:13:8281-8296. doi: 10.2147/CMAR.S328249. eCollection 2021.

Abstract

The gut microbiota plays a crucial role in many physiological processes in the human body. Dysbiosis can disrupt the intestinal barrier and alter metabolism and immune responses, leading to the development of diseases. Over the past few decades, evidence has accumulated linking changes in the composition of the gut microbiota to dozens of seemingly unrelated conditions, including cancer. Overall, the gut microbiota mainly affects the occurrence and development of cancer by damaging host DNA, forming and maintaining a pro-inflammatory environment, and affecting host immune responses. In addition, the gut microbiota can also affect the efficacy and toxicity of chemotherapy, radiotherapy, and immunotherapy. Scientists attempt to improve the efficacy and decrease the toxicity of these treatment modalities by fine-tuning the gut microbiota. The aim of this review is to assist researchers and clinicians in developing new strategies for the detection and treatment of tumors by providing the latest information on the intestinal microbiome and cancer, as well as exploring potential application prospects and mechanisms of action.

Keywords: carcinogenesis; fecal bacteria transplantation; intestinal flora; mechanism; therapy.

Publication types

  • Review

Grants and funding

This research was supported by the National Natural Science Foundation of China (Grant No. 00022986) and the Natural Science Foundation of Southwest Medical University (Grant No. 2016XNYD217 and No. 2018-ZRQN-032); the Science and Technology Projects of Sichuan Province (Grant No. 2018JY0403); the Sichuan Province Returnees’Science and Technology Activities Project (2019(76)‐72); and the Scientific Research Program of Southwest Medical University (JG201977).