Microbiome: A Supportive or a Leading Actor in Lung Cancer?

Pathobiology - Tập 88 Số 2 - Trang 198-207 - 2021
Diana Martins1,2,3,4,5,6, Fernando Mendes1,4,5,6, Fernando Schmitt7,2,3
1Clinical Academic Center of Coimbra (CACC), Coimbra, Portugal
2I3S–Instituto de Investigação e Inovação em Saúde, University of Porto, Porto, Portugal
3IPATIMUP – Institute of Molecular Pathology and Immunology of University of Porto, Porto, Portugal
4Polytechnic Institute of Coimbra, ESTESC-Coimbra Health School, Department of Biomedical Laboratory Sciences, Coimbra, Portugal
5University of Coimbra, Center for Innovative Biomedicine and Biotechnology (CIBB), Coimbra, Portugal
6University of Coimbra, Coimbra Institute for Clinical and Biomedical Research (iCBR) area of Environment Genetics and Oncobiology (CIMAGO), Biophysics Institute of Faculty of Medicine, Coimbra, Portugal
7FMUP, Faculty of Medicine, University of Porto, Porto, Portugal

Tóm tắt

Lung cancer is still the leading cause of cancer death worldwide. Despite the major diagnostic and therapeutic innovations, the effect on mortality has been modest and the overall survival is still poor. Better understanding of the pathology of these tumors is necessary in order to develop personalized therapeutic strategies in lung cancer patients. Human microbiome has been associated with normal physiology and function, and increasing evidence points towards a key role of the microbiome in promoting the progression of lung disease. Studies have shown that although poorly understood, lung has a distinctive microbiome that may an important role in lung cancer development and progression, and interactions between microbial populations have the potential to influence disease, suggesting that microbiome can be an emerging target in cancer therapeutics. We will review mechanisms how the lung microbiota influences carcinogenesis, focusing on the bacterial dysbiosis and inflammation. Moreover, we will discuss the link between the microbiome and cancer and the consequences induced by the immune system, as the host microbiota plays an essential role in activating and modulating the immune response. We summarize current research advances in the lung microbiome and demonstrate the potential to exploit microbiome as a mechanism to prevent carcinogenesis and modulate therapeutic strategy, suggesting microbiome as a valuable approach in lung cancer patients.

Từ khóa


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