Exploring the microbiota to better understand gastrointestinal cancers physiology

Clin Chem Lab Med. 2018 Aug 28;56(9):1400-1412. doi: 10.1515/cclm-2017-1163.

Abstract

Gastrointestinal cancers account for around 40% of cancer-related deaths worldwide, representing a global health burden. There is a growing body of evidence highlighting the link between microbiota and gastrointestinal tumorigenesis and/or resistance to therapy. In the present manuscript, we reviewed the published studies on the relationship between the microbiota and the different gastrointestinal tumors, namely, gastric, colorectal and esophageal, including also the cancer of accessory organs such as liver and pancreas. There is an emergent interest in the manipulation of gastrointestinal microflora in order to understand the gastrointestinal tumorigenesis' processes and the establishment of chemoresistance mechanisms.

Keywords: accessory organs; chemoresistance; gastrointestinal cancers; metagenomics; microbiota.

Publication types

  • Review

MeSH terms

  • Antineoplastic Agents / therapeutic use
  • Colorectal Neoplasms / microbiology
  • Colorectal Neoplasms / pathology
  • Drug Resistance, Neoplasm
  • Esophageal Neoplasms / microbiology
  • Esophageal Neoplasms / pathology
  • Gastrointestinal Neoplasms / drug therapy
  • Gastrointestinal Neoplasms / microbiology
  • Gastrointestinal Neoplasms / pathology*
  • Humans
  • Liver Neoplasms / metabolism
  • Liver Neoplasms / pathology
  • Microbiota*
  • Pancreatic Neoplasms / microbiology
  • Pancreatic Neoplasms / pathology
  • Stomach Neoplasms / microbiology
  • Stomach Neoplasms / pathology

Substances

  • Antineoplastic Agents