脑癌
生物
癌症
肠-脑轴
医学
神经科学
内科学
疾病
作者
Ruty Mehrian‐Shai,Juergen Reichardt,Curtis C. Harris,Amos Toren
标识
DOI:10.1016/j.trecan.2019.02.008
摘要
Brain tumors develop because of genetic and epigenetic factors. Balanced immune function is important in preventing the establishment of brain tumors. A dysregulated inflammation cascade of cytokines may sustain tumorigenicity. The microbiome may exert its effects on tumor development by regulating the immune response, by metabolites, and by affecting response to therapy. The success of brain cancer therapy relies on all of the factors underpinning brain cancer. The gut–brain axis formed by blood and lymphatic vessels paves the way for microbiota to impact the brain. Bacterial populations in the gut are a good candidate for a nongenetic factor contributing substantively to brain tumor development and to the success of therapy. Specifically, suppression of the immune system and induction of inflammation by microbiota sustain proliferative signaling, limit cell death, and induce angiogenesis as well as invasiveness. In addition, altered microbial metabolites and their levels could stimulate cell proliferation. We propose here a novel gear model connecting these complex interdisciplinary fields. Our model may impact mechanistic studies of brain cancer and better treatment outcomes through precision oncology. The gut–brain axis formed by blood and lymphatic vessels paves the way for microbiota to impact the brain. Bacterial populations in the gut are a good candidate for a nongenetic factor contributing substantively to brain tumor development and to the success of therapy. Specifically, suppression of the immune system and induction of inflammation by microbiota sustain proliferative signaling, limit cell death, and induce angiogenesis as well as invasiveness. In addition, altered microbial metabolites and their levels could stimulate cell proliferation. We propose here a novel gear model connecting these complex interdisciplinary fields. Our model may impact mechanistic studies of brain cancer and better treatment outcomes through precision oncology.
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