Molecular symphonies and signalling pathways orchestrated by the gut microbiome in metastatic colorectal cancer (mCRC); a state-of-the-art review

N. Fatemi,Mahtab Jahdkaran,S. N. Mirbahari,H. Houri

Published 2024 in Expert Reviews in Molecular Medicine

ABSTRACT

The microbiome's interactions with immune cells, modulation of gene expression, and involvement in DNA damage response highlight its critical role in cancer progression and metastasis, offering potential therapeutic targets for intervention. Abstract The role of oncobiosis, characterized by dysregulated microbial ecosystems associated with cancer, has been increasingly acknowledged in promoting the metastasis and dissemination of tumour cells. A comprehensive understanding of the complex interactions between the gut microbiome and metastatic colorectal cancer (mCRC) presents promising avenues for the development of innovative therapeutic approaches centred around modulating the gut microbiome to prevent or hinder metastatic spread. In this comprehensive review, we aim to provide a molecularly focused summary of the implications of the human gut microbiome and microbial metabolites in the initiation and advancement of mCRC. By elucidating these intricate mechanisms, we strive to establish a foundation for future research and the design of novel interventions targeting the gut microbiome to combat this devastating disease.

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