2019
DOI: 10.1186/s12943-019-1103-2
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Role of the microbiome in occurrence, development and treatment of pancreatic cancer

Abstract: Pancreatic cancer is one of the most lethal malignancies. Recent studies indicated that development of pancreatic cancer may be intimately connected with the microbiome. In this review, we discuss the mechanisms through which microbiomes affect the development of pancreatic cancer, including inflammation and immunomodulation. Potential therapeutic and diagnostic applications of microbiomes are also discussed. For example, microbiomes may serve as diagnostic markers for pancreatic cancer, and may also play an i… Show more

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Cited by 78 publications
(86 citation statements)
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“…The oncogenic role of microbial dysbiosis has been acknowledged in pancreatic cancer, especially influential to immune status and contracture. Microbiomes affect the development of pancreatic cancer, including inflammation and immunomodulation via innate and adaptive immunity ( Wang et al, 2019 ; Wei et al, 2019 ). Depletion of the gut microbiome led to a series of alterations in the tumor immune microenvironment, incorporating the diminution of MDSC infiltration and the reorientation toward the M1-like phenotype and promoting the tumoricidal effects of T cells.…”
Section: Tlrs-related Inflammation On Tam Polarizationmentioning
confidence: 99%
“…The oncogenic role of microbial dysbiosis has been acknowledged in pancreatic cancer, especially influential to immune status and contracture. Microbiomes affect the development of pancreatic cancer, including inflammation and immunomodulation via innate and adaptive immunity ( Wang et al, 2019 ; Wei et al, 2019 ). Depletion of the gut microbiome led to a series of alterations in the tumor immune microenvironment, incorporating the diminution of MDSC infiltration and the reorientation toward the M1-like phenotype and promoting the tumoricidal effects of T cells.…”
Section: Tlrs-related Inflammation On Tam Polarizationmentioning
confidence: 99%
“…Several risk factors have been associated with PDAC, including tobacco smoking, diabetes mellitus, obesity, dietary factors, alcohol abuse, age, ethnicity, family history and genetic factors, Helicobacter pylori infection, belonging to non-0 blood group, and chronic pancreatitis [6,[10][11][12]. The inflammation and immunosuppression caused by microbiome changes are other factors involved in the development of PDAC, and they are able to affect the metabolism of chemotherapy [13].…”
Section: Introductionmentioning
confidence: 99%
“…To date, numerous case-control studies, prospective cohort studies, and meta-analyses have suggested that H. pylori infection is associated with an increased risk of PDAC ( 27 – 29 ). However, some studies have found that there is no correlation between the two ( 30 32 ). A Swedish study detected H. pylori DNA in pancreatic tumor tissues and/or surrounding tissues in 60% of patients with pancreatic cancer, proposing that H. pylori may play a role in the occurrence of pancreatic cancer ( 33 ).…”
Section: Composition Of Microorganisms Colonized In Pancreatic Cancermentioning
confidence: 99%
“…palmitoleic acid, short-chain fatty acids) reduce inflammation by regulating the production of Foxp3 + T cells or reducing IFN-γ produced by T cells ( 112 ). The microbiome causes changes in human metabolism, leading to metabolic diseases such as obesity and diabetes, which are important factors in the development of PDAC ( 30 ). Geller et al have experimentally demonstrated that pancreatic colonized bacteria are part of the PDAC tumor microenvironment and may play a key role in mediating chemotherapy resistance.…”
Section: Pancreas-related Microbial Metabolism and Pancreatic Cancermentioning
confidence: 99%