4.6 Review

Exploring the Modulatory Effects of Gut Microbiota in Anti-Cancer Therapy

Journal

FRONTIERS IN ONCOLOGY
Volume 11, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fonc.2021.644454

Keywords

gut microbiota; neoplasms; cancer therapy; probiotics; fecal microbiota transplantation; diet therapy

Categories

Funding

  1. National Natural Science Foundation of China [82060638, 81960103]
  2. Academic and technical leaders of major disciplines in Jiangxi Province [20194BCJ22032]
  3. Double thousand plan of Jiangxi Province (high end Talents Project of scientific and technological innovation)

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In recent years, the gut microbiota has gained attention for its role in human health and disease. It plays a crucial role in maintaining homeostasis in the human body and an altered composition can lead to pathogenic conditions and potentially cancer development. Recent research has focused on the interplay between gut microbiota and anticancer therapies, highlighting the potential for manipulating microbiota to improve therapeutic outcomes.
In the recent decade, gut microbiota has received growing interest due to its role in human health and disease. On the one hand, by utilizing the signaling pathways of the host and interacting with the immune system, the gut microbiota is able to maintain the homeostasis in human body. This important role is mainly modulated by the composition of microbiota, as a normal microbiota composition is responsible for maintaining the homeostasis of human body, while an altered microbiota profile could contribute to several pathogenic conditions and may further lead to oncogenesis and tumor progression. Moreover, recent insights have especially focused on the important role of gut microbiota in current anticancer therapies, including chemotherapy, radiotherapy, immunotherapy and surgery. Research findings have indicated a bidirectional interplay between gut microbiota and these therapeutic methods, in which the implementation of different therapeutic methods could lead to different alterations in gut microbiota, and the presence of gut microbiota could in turn contribute to different therapeutic responses. As a result, manipulating the gut microbiota to reduce the therapy-induced toxicity may provide an adjuvant therapy to achieve a better therapeutic outcome. Given the complex role of gut microbiota in cancer treatment, this review summarizes the interactions between gut microbiota and anticancer therapies, and demonstrates the current strategies for reshaping gut microbiota community, aiming to provide possibilities for finding an alternative approach to lower the damage and improve the efficacy of cancer therapy.

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