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Erschienen in: Current Colorectal Cancer Reports 6/2018

22.10.2018 | Nutrition and Nutritional Interventions in Colorectal Cancer (K Wu, Section Editor)

Insights Into the Relationship Between Gut Microbiota and Colorectal Cancer

verfasst von: João Felipe Mota, Jens Walter, Carla M. Prado

Erschienen in: Current Colorectal Cancer Reports | Ausgabe 6/2018

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Abstract

Purpose of review

There is growing evidence to suggest that gut microbiota plays an important role in colorectal carcinogenesis. Western diet is associated with gut microbial dysbiosis, which leads to inflammation, oxidative stress, and genotoxic effects, all common risk factors for colorectal cancer.

Recent findings

Fusobacterium nucleatum, Helicobacter pylori, Bacteroides fragilis, Escherichia coli, and Streptococcus bovis are the main bacterial species associated with colorectal carcinogenesis. Gut microbiota transforms both diet- (meat, processed meat products, fat) and host (bile acids)-derived precursors into carcinogens and further interferes with anti-cancer drug metabolism, chemotherapy efficacy, and drug-induced toxicity. Nutritional interventions, as well as the administration of beneficial bacteria (probiotics), dietary fiber (including prebiotics) supplements, and synbiotics (probiotic + prebiotic), may reduce the risk of colorectal cancer and side effects of anti-cancer therapy.

Summary

Current evidence suggests gut microbiota may predispose or protect against colorectal cancer. Restoring gut microbial dysbiosis is an emerging nutritional and clinical target in oncology.
Literatur
1.
Zurück zum Zitat Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136(5):E359–86. https://doi.org/10.1002/ijc.29210. Ferlay J, Soerjomataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality worldwide: sources, methods and major patterns in GLOBOCAN 2012. Int J Cancer. 2015;136(5):E359–86. https://​doi.​org/​10.​1002/​ijc.​29210.
2.
Zurück zum Zitat R John HR. The global economic cost of cancer: a report summary. Atlanta American Cancer Society 2014. R John HR. The global economic cost of cancer: a report summary. Atlanta American Cancer Society 2014.
10.
Zurück zum Zitat Sato J, Kanazawa A, Ikeda F, Yoshihara T, Goto H, Abe H, et al. Gut dysbiosis and detection of “live gut bacteria” in blood of Japanese patients with type 2 diabetes. Diabetes Care. 2014;37(8):2343–50. https://doi.org/10.2337/dc13-2817. Sato J, Kanazawa A, Ikeda F, Yoshihara T, Goto H, Abe H, et al. Gut dysbiosis and detection of “live gut bacteria” in blood of Japanese patients with type 2 diabetes. Diabetes Care. 2014;37(8):2343–50. https://​doi.​org/​10.​2337/​dc13-2817.
12.
Zurück zum Zitat Hawrelak JA, Myers SP. The causes of intestinal dysbiosis: a review. Alternat Med Rev. 2004;9(2):180–97. Hawrelak JA, Myers SP. The causes of intestinal dysbiosis: a review. Alternat Med Rev. 2004;9(2):180–97.
15.
Zurück zum Zitat Mc CW, Mason JM 3rd. Enterococcal endocarditis associated with carcinoma of the sigmoid: report of a case. J Med Assoc State Ala. 1951;21(6):162–6. Mc CW, Mason JM 3rd. Enterococcal endocarditis associated with carcinoma of the sigmoid: report of a case. J Med Assoc State Ala. 1951;21(6):162–6.
16.
Zurück zum Zitat Moore WE, Moore LH. Intestinal floras of populations that have a high risk of colon cancer. Appl Environ Microbiol. 1995;61(9):3202–7.PubMedPubMedCentral Moore WE, Moore LH. Intestinal floras of populations that have a high risk of colon cancer. Appl Environ Microbiol. 1995;61(9):3202–7.PubMedPubMedCentral
21.
Zurück zum Zitat • Wong SH, Zhao L, Zhang X, Nakatsu G, Han J, Xu W, et al. Gavage of fecal samples from patients with colorectal cancer promotes intestinal carcinogenesis in germ-free and conventional mice. Gastroenterology. 2017;153(6):1621–33.e6. https://doi.org/10.1053/j.gastro.2017.08.022 First study providing evidence for the direct pro-tumorigenic effect of the CRC microbiota in mouse models. CrossRefPubMed • Wong SH, Zhao L, Zhang X, Nakatsu G, Han J, Xu W, et al. Gavage of fecal samples from patients with colorectal cancer promotes intestinal carcinogenesis in germ-free and conventional mice. Gastroenterology. 2017;153(6):1621–33.e6. https://​doi.​org/​10.​1053/​j.​gastro.​2017.​08.​022 First study providing evidence for the direct pro-tumorigenic effect of the CRC microbiota in mouse models. CrossRefPubMed
25.
Zurück zum Zitat Park SR, Kim DJ, Han SH, Kang MJ, Lee JY, Jeong YJ, et al. Diverse toll-like receptors mediate cytokine production by fusobacterium nucleatum and Aggregatibacter actinomycetemcomitans in macrophages. Infect Immun. 2014;82(5):1914–20. https://doi.org/10.1128/iai.01226-13. Park SR, Kim DJ, Han SH, Kang MJ, Lee JY, Jeong YJ, et al. Diverse toll-like receptors mediate cytokine production by fusobacterium nucleatum and Aggregatibacter actinomycetemcomitans in macrophages. Infect Immun. 2014;82(5):1914–20. https://​doi.​org/​10.​1128/​iai.​01226-13.
27.
Zurück zum Zitat Ito M, Kanno S, Nosho K, Sukawa Y, Mitsuhashi K, Kurihara H, et al. Association of Fusobacterium nucleatum with clinical and molecular features in colorectal serrated pathway. Int J Cancer. 2015;137(6):1258–68. https://doi.org/10.1002/ijc.29488. Ito M, Kanno S, Nosho K, Sukawa Y, Mitsuhashi K, Kurihara H, et al. Association of Fusobacterium nucleatum with clinical and molecular features in colorectal serrated pathway. Int J Cancer. 2015;137(6):1258–68. https://​doi.​org/​10.​1002/​ijc.​29488.
31.
Zurück zum Zitat Personal habits and indoor combustions. Volume 100 E. A review of human carcinogens. IARC monographs on the evaluation of carcinogenic risks to humans. 2012;100(Pt E):1–538. Personal habits and indoor combustions. Volume 100 E. A review of human carcinogens. IARC monographs on the evaluation of carcinogenic risks to humans. 2012;100(Pt E):1–538.
33.
Zurück zum Zitat Kapetanakis N, Kountouras J, Zavos C, Anastasiadou K, Tsarouchas G, Michael S, et al. Potential oncogenic properties of mobilized stem cells in a subpopulation of inflammatory bowel disease patients infected with Helicobacter pylori. Inflamm Bowel Dis. 2013;19(2):E27–9. https://doi.org/10.1002/ibd.22911. Kapetanakis N, Kountouras J, Zavos C, Anastasiadou K, Tsarouchas G, Michael S, et al. Potential oncogenic properties of mobilized stem cells in a subpopulation of inflammatory bowel disease patients infected with Helicobacter pylori. Inflamm Bowel Dis. 2013;19(2):E27–9. https://​doi.​org/​10.​1002/​ibd.​22911.
37.
Zurück zum Zitat Boleij A, Hechenbleikner EM, Goodwin AC, Badani R, Stein EM, Lazarev MG, et al. The Bacteroides fragilis toxin gene is prevalent in the colon mucosa of colorectal cancer patients. Clin Infect Dis. 2015;60(2):208–15. https://doi.org/10.1093/cid/ciu787. Boleij A, Hechenbleikner EM, Goodwin AC, Badani R, Stein EM, Lazarev MG, et al. The Bacteroides fragilis toxin gene is prevalent in the colon mucosa of colorectal cancer patients. Clin Infect Dis. 2015;60(2):208–15. https://​doi.​org/​10.​1093/​cid/​ciu787.
45.
Zurück zum Zitat Schlegel L, Grimont F, Ageron E, Grimont PA, Bouvet A. Reappraisal of the taxonomy of the Streptococcus bovis/Streptococcus equinus complex and related species: description of Streptococcus gallolyticus subsp. gallolyticus subsp. nov., S. gallolyticus subsp. macedonicus subsp. nov. and S. gallolyticus subsp. pasteurianus subsp. nov. Int J Syst Evol Microbiol. 2003;53(Pt 3):631–45. https://doi.org/10.1099/ijs.0.02361-0.CrossRefPubMed Schlegel L, Grimont F, Ageron E, Grimont PA, Bouvet A. Reappraisal of the taxonomy of the Streptococcus bovis/Streptococcus equinus complex and related species: description of Streptococcus gallolyticus subsp. gallolyticus subsp. nov., S. gallolyticus subsp. macedonicus subsp. nov. and S. gallolyticus subsp. pasteurianus subsp. nov. Int J Syst Evol Microbiol. 2003;53(Pt 3):631–45. https://​doi.​org/​10.​1099/​ijs.​0.​02361-0.CrossRefPubMed
66.
Zurück zum Zitat Red meat and processed meat Lyon FR: International Agency for Research on Cancer 2018. For more information contact publications@iarc.fr.; 2018. Red meat and processed meat Lyon FR: International Agency for Research on Cancer 2018. For more information contact publications@iarc.fr.; 2018.
69.
Zurück zum Zitat • Jobin C. Precision medicine using microbiota. Science. 2018;359(6371):32 New considerations about microbiota and immunotherapy. CrossRefPubMed • Jobin C. Precision medicine using microbiota. Science. 2018;359(6371):32 New considerations about microbiota and immunotherapy. CrossRefPubMed
71.
Zurück zum Zitat Okuda H, Ogura K, Kato A, Takubo H, Watabe T. A possible mechanism of eighteen patient deaths caused by interactions of sorivudine, a new antiviral drug, with oral 5-fluorouracil prodrugs. J Pharmacol Exp Ther. 1998;287(2):791–9.PubMed Okuda H, Ogura K, Kato A, Takubo H, Watabe T. A possible mechanism of eighteen patient deaths caused by interactions of sorivudine, a new antiviral drug, with oral 5-fluorouracil prodrugs. J Pharmacol Exp Ther. 1998;287(2):791–9.PubMed
72.
Zurück zum Zitat Kim DH, Jin YH. Intestinal bacterial beta-glucuronidase activity of patients with colon cancer. Arch Pharm Res. 2001;24(6):564–7.CrossRefPubMed Kim DH, Jin YH. Intestinal bacterial beta-glucuronidase activity of patients with colon cancer. Arch Pharm Res. 2001;24(6):564–7.CrossRefPubMed
73.
Zurück zum Zitat Stringer AM, Gibson RJ, Logan RM, Bowen JM, Yeoh AS, Keefe DM. Faecal microflora and beta-glucuronidase expression are altered in an irinotecan-induced diarrhea model in rats. Cancer Biol Ther. 2008;7(12):1919–25.CrossRefPubMed Stringer AM, Gibson RJ, Logan RM, Bowen JM, Yeoh AS, Keefe DM. Faecal microflora and beta-glucuronidase expression are altered in an irinotecan-induced diarrhea model in rats. Cancer Biol Ther. 2008;7(12):1919–25.CrossRefPubMed
82.
Zurück zum Zitat Forsgård RA, Korpela R, Holma R, Lindén J, Frias R, Spillmann T, et al. Intestinal permeability to iohexol as an in vivo marker of chemotherapy-induced gastrointestinal toxicity in Sprague-Dawley rats. Cancer Chemother Pharmacol. 2016;78(4):863–74. https://doi.org/10.1007/s00280-016-3150-3. Forsgård RA, Korpela R, Holma R, Lindén J, Frias R, Spillmann T, et al. Intestinal permeability to iohexol as an in vivo marker of chemotherapy-induced gastrointestinal toxicity in Sprague-Dawley rats. Cancer Chemother Pharmacol. 2016;78(4):863–74. https://​doi.​org/​10.​1007/​s00280-016-3150-3.
83.
Zurück zum Zitat Forsgård RA, Marrachelli VG, Korpela K, Frias R, Collado MC, Korpela R, et al. Chemotherapy-induced gastrointestinal toxicity is associated with changes in serum and urine metabolome and fecal microbiota in male Sprague-Dawley rats. Cancer Chemother Pharmacol. 2017;80(2):317–32. https://doi.org/10.1007/s00280-017-3364-z. Forsgård RA, Marrachelli VG, Korpela K, Frias R, Collado MC, Korpela R, et al. Chemotherapy-induced gastrointestinal toxicity is associated with changes in serum and urine metabolome and fecal microbiota in male Sprague-Dawley rats. Cancer Chemother Pharmacol. 2017;80(2):317–32. https://​doi.​org/​10.​1007/​s00280-017-3364-z.
84.
Zurück zum Zitat Touchefeu Y, Montassier E, Nieman K, Gastinne T, Potel G, Bruley des Varannes S et al. Systematic review: the role of the gut microbiota in chemotherapy- or radiation-induced gastrointestinal mucositis - current evidence and potential clinical applications. Aliment Pharmacol Ther 2014;40(5):409–421. doi:https://doi.org/10.1111/apt.12878. Touchefeu Y, Montassier E, Nieman K, Gastinne T, Potel G, Bruley des Varannes S et al. Systematic review: the role of the gut microbiota in chemotherapy- or radiation-induced gastrointestinal mucositis - current evidence and potential clinical applications. Aliment Pharmacol Ther 2014;40(5):409–421. doi:https://​doi.​org/​10.​1111/​apt.​12878.
91.
Zurück zum Zitat • Garrett WS. Cancer and the microbiota. Science. 2015;348(6230):80 An important review of the relationship between microbiota and carcinogenesis. CrossRefPubMedPubMedCentral • Garrett WS. Cancer and the microbiota. Science. 2015;348(6230):80 An important review of the relationship between microbiota and carcinogenesis. CrossRefPubMedPubMedCentral
94.
Zurück zum Zitat Golkhalkhali B, Rajandram R, Paliany AS, Ho GF, Wan Ishak WZ, Johari CS, et al. Strain-specific probiotic (microbial cell preparation) and omega-3 fatty acid in modulating quality of life and inflammatory markers in colorectal cancer patients: a randomized controlled trial. Asia-Pacific J Clin Oncol. 2018;14(3):179–91. https://doi.org/10.1111/ajco.12758. Golkhalkhali B, Rajandram R, Paliany AS, Ho GF, Wan Ishak WZ, Johari CS, et al. Strain-specific probiotic (microbial cell preparation) and omega-3 fatty acid in modulating quality of life and inflammatory markers in colorectal cancer patients: a randomized controlled trial. Asia-Pacific J Clin Oncol. 2018;14(3):179–91. https://​doi.​org/​10.​1111/​ajco.​12758.
95.
97.
Zurück zum Zitat Kotzampassi K, Stavrou G, Damoraki G, Georgitsi M, Basdanis G, Tsaousi G, et al. A four-probiotics regimen reduces postoperative complications after colorectal surgery: a randomized, double-blind, placebo-controlled study. World J Surg. 2015;39(11):2776–83. https://doi.org/10.1007/s00268-015-3071-z. Kotzampassi K, Stavrou G, Damoraki G, Georgitsi M, Basdanis G, Tsaousi G, et al. A four-probiotics regimen reduces postoperative complications after colorectal surgery: a randomized, double-blind, placebo-controlled study. World J Surg. 2015;39(11):2776–83. https://​doi.​org/​10.​1007/​s00268-015-3071-z.
98.
Zurück zum Zitat Liu Z, Li C, Huang M, Tong C, Zhang X, Wang L, et al. Positive regulatory effects of perioperative probiotic treatment on postoperative liver complications after colorectal liver metastases surgery: a double-center and double-blind randomized clinical trial. BMC Gastroenterol. 2015;15:34. https://doi.org/10.1186/s12876-015-0260-z. Liu Z, Li C, Huang M, Tong C, Zhang X, Wang L, et al. Positive regulatory effects of perioperative probiotic treatment on postoperative liver complications after colorectal liver metastases surgery: a double-center and double-blind randomized clinical trial. BMC Gastroenterol. 2015;15:34. https://​doi.​org/​10.​1186/​s12876-015-0260-z.
99.
Zurück zum Zitat Liu ZH, Huang MJ, Zhang XW, Wang L, Huang NQ, Peng H, et al. The effects of perioperative probiotic treatment on serum zonulin concentration and subsequent postoperative infectious complications after colorectal cancer surgery: a double-center and double-blind randomized clinical trial. Am J Clin Nutr. 2013;97(1):117–26. https://doi.org/10.3945/ajcn.112.040949. Liu ZH, Huang MJ, Zhang XW, Wang L, Huang NQ, Peng H, et al. The effects of perioperative probiotic treatment on serum zonulin concentration and subsequent postoperative infectious complications after colorectal cancer surgery: a double-center and double-blind randomized clinical trial. Am J Clin Nutr. 2013;97(1):117–26. https://​doi.​org/​10.​3945/​ajcn.​112.​040949.
101.
102.
104.
105.
Zurück zum Zitat Mathers JC, Movahedi M, Macrae F, Mecklin J-P, Moeslein G, Olschwang S, et al. Long-term effect of resistant starch on cancer risk in carriers of hereditary colorectal cancer: an analysis from the CAPP2 randomised controlled trial. The Lancet Oncology. 2012;13(12):1242–9. https://doi.org/10.1016/S1470-2045(12)70475-8. Mathers JC, Movahedi M, Macrae F, Mecklin J-P, Moeslein G, Olschwang S, et al. Long-term effect of resistant starch on cancer risk in carriers of hereditary colorectal cancer: an analysis from the CAPP2 randomised controlled trial. The Lancet Oncology. 2012;13(12):1242–9. https://​doi.​org/​10.​1016/​S1470-2045(12)70475-8.
106.
Zurück zum Zitat Malcomson FC, Willis ND, McCallum I, Xie L, Lagerwaard B, Kelly S, et al. Non-digestible carbohydrates supplementation increases miR-32 expression in the healthy human colorectal epithelium: a randomized controlled trial. Mol Carcinog. 2017;56(9):2104–11. https://doi.org/10.1002/mc.22666. Malcomson FC, Willis ND, McCallum I, Xie L, Lagerwaard B, Kelly S, et al. Non-digestible carbohydrates supplementation increases miR-32 expression in the healthy human colorectal epithelium: a randomized controlled trial. Mol Carcinog. 2017;56(9):2104–11. https://​doi.​org/​10.​1002/​mc.​22666.
107.
Zurück zum Zitat Malcomson FC, Willis ND, McCallum I, Xie L, Ibero-Baraibar I, Leung WC, et al. Effects of supplementation with nondigestible carbohydrates on fecal calprotectin and on epigenetic regulation of SFRP1 expression in the large-bowel mucosa of healthy individuals. Am J Clin Nutr. 2017;105(2):400–10. https://doi.org/10.3945/ajcn.116.135657. Malcomson FC, Willis ND, McCallum I, Xie L, Ibero-Baraibar I, Leung WC, et al. Effects of supplementation with nondigestible carbohydrates on fecal calprotectin and on epigenetic regulation of SFRP1 expression in the large-bowel mucosa of healthy individuals. Am J Clin Nutr. 2017;105(2):400–10. https://​doi.​org/​10.​3945/​ajcn.​116.​135657.
108.
Zurück zum Zitat Eid N, Osmanova H, Natchez C, Walton G, Costabile A, Gibson G, et al. Impact of palm date consumption on microbiota growth and large intestinal health: a randomised, controlled, cross-over, human intervention study. Br J Nutr. 2015;114(8):1226–36. https://doi.org/10.1017/s0007114515002780. Eid N, Osmanova H, Natchez C, Walton G, Costabile A, Gibson G, et al. Impact of palm date consumption on microbiota growth and large intestinal health: a randomised, controlled, cross-over, human intervention study. Br J Nutr. 2015;114(8):1226–36. https://​doi.​org/​10.​1017/​s000711451500278​0.
114.
Zurück zum Zitat Theodoropoulos GE, Memos NA, Peitsidou K, Karantanos T, Spyropoulos BG, Zografos G. Synbiotics and gastrointestinal function-related quality of life after elective colorectal cancer resection. Ann Gastroenterol. 2016;29(1):56–62.PubMedPubMedCentral Theodoropoulos GE, Memos NA, Peitsidou K, Karantanos T, Spyropoulos BG, Zografos G. Synbiotics and gastrointestinal function-related quality of life after elective colorectal cancer resection. Ann Gastroenterol. 2016;29(1):56–62.PubMedPubMedCentral
115.
Zurück zum Zitat Krebs B. Prebiotic and Synbiotic treatment before colorectal surgery--randomised double blind trial. Collegium antropologicum. 2016;40(1):35–40.PubMed Krebs B. Prebiotic and Synbiotic treatment before colorectal surgery--randomised double blind trial. Collegium antropologicum. 2016;40(1):35–40.PubMed
116.
Zurück zum Zitat Wu XD, Xu W, Liu MM, Hu KJ, Sun YY, Yang XF, et al. Efficacy of prophylactic probiotics in combination with antibiotics versus antibiotics alone for colorectal surgery: a meta-analysis of randomized controlled trials. J Surg Oncol. 2018;117(7):1394–404. https://doi.org/10.1002/jso.25038. Wu XD, Xu W, Liu MM, Hu KJ, Sun YY, Yang XF, et al. Efficacy of prophylactic probiotics in combination with antibiotics versus antibiotics alone for colorectal surgery: a meta-analysis of randomized controlled trials. J Surg Oncol. 2018;117(7):1394–404. https://​doi.​org/​10.​1002/​jso.​25038.
Metadaten
Titel
Insights Into the Relationship Between Gut Microbiota and Colorectal Cancer
verfasst von
João Felipe Mota
Jens Walter
Carla M. Prado
Publikationsdatum
22.10.2018
Verlag
Springer US
Erschienen in
Current Colorectal Cancer Reports / Ausgabe 6/2018
Print ISSN: 1556-3790
Elektronische ISSN: 1556-3804
DOI
https://doi.org/10.1007/s11888-018-0419-4

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