肠道菌群代谢产物与结肠癌关系研究进展OA
Research progress in relationships between gut microbial metabolites and colon cancer
短链脂肪酸、胆汁酸代谢物、含氮化合物及基因毒性物质等肠道菌群(GM)代谢产物在结肠癌的发生发展过程中起着关键调控作用,可通过调节肠道屏障功能、DNA损伤与修复、炎症反应及免疫调控等多种机制影响结肠癌的进程.饮食模式可调节菌群结构和代谢活性,进一步参与结肠癌风险的调控.近年来,靶向代谢物干预、个性化营养干预及微生态调控手段等基于GM代谢产物的诊断和治疗策略,显示出良好的临床应用前景.该文综述了GM代谢产物的分类与来源,分析了其对结肠癌的作用机制,重点解析"饮食-菌群-代谢产物"调控轴在结肠癌发生过程中的作用,进一步探讨了GM代谢产物的临床转化潜力与面临的挑战,供参考借鉴.
Gut microbiota(GM)-derived metabolites play a crucial regulatory role in the occurrence and development of colon cancer.These metabolites,including short-chain fatty acids,bile acid metabolites,nitrogen-containing compounds,and genotoxic substances,can influence colon cancer progression through multiple mechanisms,such as modulation of intestinal barrier function,DNA damage and repair,inflammatory responses,and immune regulation.Dietary patterns can make a difference in colon cancer risk by altering gut microbiota composition and metabolic activity.In recent years,diagnostic and therapeutic strategies based on GM-derived metabolites,including targeted metabolite interventions,personalized nutritional interventions,and microecological regulation,have promised broad clinical applications.This review summarizes the classification and sources of GM-derived metabolites,explores their mechanisms of action in colon cancer,and focuses on the role of the"diet-gut microbiota-metabolite"axis in colon cancer development.In addition,it highlights the clinical translational potential of GM-derived metabolites and current challenges.
张高洁;田春艳;吴瑾
上海交通大学医学院附属新华医院,上海 200092||上海市儿科医学研究所,上海 200092||上海市小儿消化与营养重点实验室,上海 200092军事科学院军事医学研究院,北京 102206上海交通大学医学院附属新华医院,上海 200092||上海市儿科医学研究所,上海 200092||上海市小儿消化与营养重点实验室,上海 200092
医药卫生
结肠癌肠道菌群代谢产物炎症反应免疫调控
colon cancergut microbiotametabolitesinflammatory responseimmune regulation
《军事医学》 2026 (4)
305-309,5
上海市自然科学基金(24ZR1459600)
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