Novel applications of manipulating gut microbiota for alleviating hematological disorders

Sibusiso Luthuli, Lulama Luthuli
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Abstract

Investigations toward malignancies involving gut microbiota are still in their infancy, especially in hematology and oncology. There are approximately 1.2 million new hematological malignancy cases, resulting in more than 500,000 cases/year in mortality worldwide. It is through commendable advancements directed toward anticancer therapy in recent times that have significantly improved the survival rate among individuals; however, their cytotoxicity or side effects tend to be challenging for patients to tolerate, attributed to anticancer therapies such as chemotherapy and/or radiation therapy due to the aggressive nature in terms of their mechanism of action. Therefore, novel means, or treatments that could present less or non-toxic modalities are warranted, especially those that decrease unpleasant side effects. Studies indicate that the human body accommodates roughly 40 trillion microorganisms, also referred to as the human microbiota, and the abundance of this microbiota is predominantly found in the gastrointestinal tract. The microbiota is associated with various physiological roles, like immunology, digestive functions, and neural development. Therefore, the aim of this literature is to summarize current innovations (and achievements) in using gut microbiota to alleviate diseases and possible directions to explore toward curing malignancies or associated ailments. In addition, this type of publication seeks to encourage possible directions to be employed in establishing “possible biomarkers” which could be used in both the laboratory and clinical settings; this includes methodologies involving translational medicine through undertakings of improving cancer therapy.
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控制肠道微生物群减轻血液系统疾病的新应用
对涉及肠道微生物群的恶性肿瘤的研究仍处于起步阶段,特别是在血液学和肿瘤学领域。大约有120万新的血液恶性肿瘤病例,导致全世界每年超过50万例死亡。近年来,抗癌治疗取得了令人称赞的进展,显著提高了个体的存活率;然而,它们的细胞毒性或副作用往往是患者难以忍受的,这归因于抗癌疗法,如化疗和/或放射治疗,因为它们的作用机制具有侵袭性。因此,有必要采用新的方法或治疗方法,以减少或无毒的方式,特别是那些减少令人不快的副作用。研究表明,人体容纳了大约40万亿个微生物,也被称为人体微生物群,这些微生物群的丰度主要存在于胃肠道中。微生物群与各种生理作用有关,如免疫、消化功能和神经发育。因此,本文献的目的是总结当前利用肠道微生物群缓解疾病的创新(和成就),并探索治疗恶性肿瘤或相关疾病的可能方向。此外,这种类型的出版物旨在鼓励在建立可在实验室和临床环境中使用的“可能的生物标志物”方面采用可能的方向;这包括通过改进癌症治疗的事业涉及转化医学的方法。
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