Gut microbiome and colorectal cancer: From pathogenesis to treatment

Pathol Res Pract. 2025 Jul:271:156034. doi: 10.1016/j.prp.2025.156034. Epub 2025 May 21.

Abstract

Colorectal cancer (CRC) continues to rank among the most prevalent cancers worldwide. A growing body of research indicates that the microbiome significantly influences the onset, development, and progression of CRC, in addition to affecting the efficacy of various systemic therapies. The composition of the microbiome, shaped by factors such as bacterial strains, geography, ethnicity, gender, and dietary habits, provides essential information for CRC screening, early diagnosis, and the prediction of treatment responses. Modulating the microbiome presents a highly promising medical strategy for improving individual health. This review aims to present a thorough overview of recent research concerning the interplay between host microbiota and CRC, along with its implications for screening and the immune response against tumors in the context of cancer treatment.

Keywords: Cancer invasion; Colorectal cancer; Intestinal bacteria; Prebiotics; Probiotics.

Publication types

  • Review

MeSH terms

  • Animals
  • Colorectal Neoplasms* / microbiology
  • Colorectal Neoplasms* / pathology
  • Colorectal Neoplasms* / therapy
  • Gastrointestinal Microbiome* / physiology
  • Humans