膳食纤维对肠道微生物群影响及其与结肠癌关系的机理综述

Vasudev Biswas, Asma Praveen, Arya Lakshmi Marisetti, Ajay Sharma, Vijender Kumar, S. Sahu, Devesh Tewari
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引用次数: 5

摘要

癌症(CRC)是一种发生在直肠或直肠部分的异常生长。2020年,预计美国将新增104610例结肠疾病病例和43340例直肠异常生长病例。红肉和加工肉、身体腹胀、腹部肥胖和酗酒会增加结直肠疾病的发生。膳食纤维有助于粪便膨胀,但它们会被肠道细菌分解,并产生短链脂肪酸(SCFA)等代谢产物。SCFA是主要由乙酸盐、丙酸盐和丁酸盐组成的化合物。醋酸盐和丁酸盐有助于控制粘液的产生和排出,从而保护肠道黏膜。粘液分泌减少/细菌分解代谢增加,氨基酸发酵导致潜在有害代谢产物增加,如支链脂肪酸、氨、胺和N-亚硝基复合物成分。纤维的重要作用包括减少致癌物质进入肠腔的时间、促进健康的肠道微生物群以及改变宿主代谢。本综述重点简要介绍了可对CRC产生有益影响的各种膳食纤维和特殊代谢产物,并介绍了我们目前对各种膳食纤维及其对肠道微生物群的潜在影响及其与癌症的关系的详细了解。还包括一个全面的讨论,倡导富含膳食纤维的饮食。
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A Mechanistic Overview on Impact of Dietary Fibres on Gut Microbiota and Its Association with Colon Cancer
Colorectal cancer (CRC) is an abnormal growth that occurs in the rectum or rectal portion. In 2020, an anticipated 104,610 new cases of colon illness and 43,340 new cases of rectal abnormal growth were expected in the United States. Red and processed meat, body bloatedness, belly fatness, and binge drinking expands the occurrence of colorectal disease. Dietary fibres contribute to faecal bulking, but they are break down by gut bacteria and produce metabolites such as short-chain fatty acids (SCFAs). SCFAs are chemical compounds that are mostly made up of acetate, propionate, and butyrate. Acetate and butyrate help to control mucus production and discharge, and thus, protect the gut mucosa. Reduced mucus secretion/increased bacterial catabolism, and fermentation of amino acids resulted in an increase of potentially detrimental metabolites such as branched-chain fatty acids, ammonia, amines, and N-nitroso complex components. Vital roles of fibres include reduction in the time that carcinogens encounter the intestinal lumen and promotion of healthy gut microbiota as well as modification of the host metabolism. The present review focuses on a brief introduction to various dietary fibres and specialised metabolites that can possess beneficial effect on CRC, as well as presenting our current, detailed understanding of various dietary fibres along with their potential effects on gut microbiota and its association with the colon cancer. A comprehensive discussion is also included, advocating the dietary fibre-enriched diet.
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