Targeting gut microbiota and metabolites in cancer radiotherapy.

Journal: Clinical and translational medicine

This review highlights the critical role of gut microbiota in:

  • Modulating immune function
  • Maintaining intestinal integrity
  • Influencing the efficacy and toxicity of radiotherapy (RT) in cancer treatment

RT disrupts gut microbiota composition, which contributes to intestinal injury and systemic toxicity.

Microbial metabolites such as short-chain fatty acids, bile acids, and tryptophan derivatives offer protective effects against radiation damage by supporting immune modulation and enhancing tumor radiosensitivity.

The article discusses microbiota-targeted approaches as promising strategies to restore microbial balance, reduce RT-associated toxicity, and improve patient outcomes. These include:

  • Probiotics
  • Prebiotics
  • Dietary interventions
  • Fecal microbiota transplantation

These insights emphasize the potential for microbiota-based adjunctive therapies to personalize and optimize RT in cancer care.

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