4.7 Review

Gut Microbiota Manipulation as a Tool for Colorectal Cancer Management: Recent Advances in Its Use for Therapeutic Purposes

Journal

Publisher

MDPI
DOI: 10.3390/ijms21155389

Keywords

colorectal cancer; gut microbiome; live biotherapeutic products

Funding

  1. AIRC, Associazione Italiana per la Ricerca sul Cancro [IG-2019 22923]

Ask authors/readers for more resources

Colorectal cancer (CRC) is a multifaceted disease influenced by both environmental and genetic factors. A large body of literature has demonstrated the role of gut microbes in promoting inflammatory responses, creating a suitable microenvironment for the development of skewed interactions between the host and the gut microbiota and cancer initiation. Even if surgery is the primary therapeutic strategy, patients with advanced disease or cancer recurrence after surgery remain difficult to cure. Therefore, the gut microbiota has been proposed as a novel therapeutic target in light of recent promising data in which it seems to modulate the response to cancer immunotherapy. The use of microbe-targeted therapies, including antibiotics, prebiotics, live biotherapeutics, and fecal microbiota transplantation, is therefore considered to support current therapies in CRC management. In this review, we will discuss the importance of host-microbe interactions in CRC and how promoting homeostatic immune responses through microbe-targeted therapies may be useful in preventing/treating CRC development.

Authors

I am an author on this paper
Click your name to claim this paper and add it to your profile.

Reviews

Primary Rating

4.7
Not enough ratings

Secondary Ratings

Novelty
-
Significance
-
Scientific rigor
-
Rate this paper

Recommended

Article Cell Biology

Intratumor Microbiome in Neuroendocrine Neoplasms: A New Partner of Tumor Microenvironment? A Pilot Study

Sara Massironi, Federica Facciotti, Federica Cavalcoli, Chiara Amoroso, Emanuele Rausa, Giovanni Centonze, Fulvia Milena Cribiu, Pietro Invernizzi, Massimo Milione

Summary: This preliminary study demonstrates the presence of a significant microbiota in the NEN microenvironment. Further research is needed to investigate the potential etiological or clinical role of microbiota in NEN.

CELLS (2022)

Article Gastroenterology & Hepatology

IL10 Secretion Endows Intestinal Human iNKT Cells with Regulatory Functions Towards Pathogenic T Lymphocytes

Claudia Burrello, Francesco Strati, Georgia Lattanzi, Angelica Diaz-Basabe, Erika Mileti, Maria Rita Giuffre, Gianluca Lopez, Fulvia Milena Cribiu, Elena Trombetta, Marinos Kallikourdis, Marco Cremonesi, Francesco Conforti, Fiorenzo Botti, Laura Porretti, Maria Rescigno, Maurizio Vecchi, Massimo C. Fantini, Flavio Caprioli, Federica Facciotti

Summary: This study identified IL-10-producing iNKT cells in the intestine, which demonstrate suppressive capabilities towards pathogenic CD4+ T cells and are associated with better clinical outcomes in Crohn's disease patients. The presence of SCFA-producing bacteria in the gut microbiota sustained the production of IL-10 by iNKT cells, highlighting the important immunoregulatory role of intestinal iNKT cells in maintaining immune homeostasis.

JOURNAL OF CROHNS & COLITIS (2022)

Review Immunology

Microbiota-targeted therapies in inflammation resolution

Francesco Strati, Georgia Lattanzi, Chiara Amoroso, Federica Facciotti

Summary: The gut microbiota plays a significant role in immune regulation, health, and disease. An imbalance in the gut microbiota can lead to inflammation and the development of various diseases. Current research focuses on understanding the interaction between the host and microbes, and exploring new methods to manipulate the microbiota to restore health and prevent inflammatory conditions.

SEMINARS IN IMMUNOLOGY (2022)

Article Cell Biology

Apyrase-mediated amplification of secretory IgA promotes intestinal homeostasis

Lisa Perruzza, Francesco Strati, Matteo Raneri, Hai Li, Giorgio Gargari, Tanja Rezzonico-Jost, Martina Palatella, Ivo Kwee, Diego Morone, Frauke Seehusen, Paolo Sonego, Claudio Donati, Pietro Franceschi, Andrew J. Macpherson, Simone Guglielmetti, Victor Greiff, Fabio Grassi

Summary: This study demonstrates that hydrolysis of extracellular ATP by apyrase results in amplification of the SIgA repertoire, influencing the distribution of bacteria and gene expression in the intestinal epithelium in mice. Apyrase-induced SIgA improves intestinal homeostasis, attenuating barrier impairment and susceptibility to infection.

CELL REPORTS (2022)

Article Medicine, Research & Experimental

Microbiota dysbiosis influences immune system and muscle pathophysiology of dystrophin-deficient mice

Andrea Farini, Luana Tripodi, Chiara Villa, Francesco Strati, Amanda Facoetti, Guido Baselli, Jacopo Troisi, Annamaria Landolfi, Caterina Lonati, Davide Molinaro, Michelle Wintzinger, Stefano Gatti, Barbara Cassani, Flavio Caprioli, Federica Facciotti, Mattia Quattrocelli, Yvan Torrente

Summary: Duchenne muscular dystrophy (DMD) is a progressive muscle wasting disease caused by mutations in the DMD gene. In this study, researchers investigated the role of intestinal bacteria in supporting the muscle immune response in a dystrophic mouse model. They found a correlation between DMD disease features and the abundance of Prevotella bacteria. Manipulating the gut microbial community through germ-free animal models and antibiotic treatment influenced muscle immunity and fibrosis. Intestinal colonization with beneficial bacteria improved inflammation, muscle pathology, and function. This study highlights a potential role for the gut microbiota in DMD pathogenesis.

EMBO MOLECULAR MEDICINE (2023)

Article Cell Biology

Inhibition of the immunoproteasome modulates innate immunity to ameliorate muscle pathology of dysferlin-deficient BlAJ mice

A. Farini, L. Tripodi, C. Villa, F. Napolitano, F. Strati, D. Molinaro, F. Facciotti, B. Cassani, Y. Torrente

Summary: Muscle repair in dysferlinopathies is defective. The contribution of the immune system to the disease pathology remains to be fully explored. Inhibition of immunoproteasome may produce therapeutic benefit in dysferlinopathy.

CELL DEATH & DISEASE (2022)

Article Immunology

iNKT cell-neutrophil crosstalk promotes colorectal cancer pathogenesis

Georgia Lattanzi, Francesco Strati, Angelica Diaz-Basabe, Federica Perillo, Chiara Amoroso, Giulia Protti, Maria Rita Giuffre, Luca Iachini, Alberto Baeri, Ludovica Baldari, Elisa Cassinotti, Michele Ghidini, Barbara Galassi, Gianluca Lopez, Daniele Noviello, Laura Porretti, Elena Trombetta, Eleonora Messuti, Luca Mazzarella, Giandomenica Iezzi, Francesco Nicassio, Francesca Granucci, Maurizio Vecchi, Flavio Caprioli, Federica Facciotti

Summary: iNKT cells are a significant portion of effector T-cells in the intestine and have potential for cancer immunotherapy. However, their role in colorectal cancer (CRC) is controversial, limiting their therapeutic use. This study found that iNKT cells are enriched in tumor lesions and are induced by the pathobiont Fusobacterium nucleatum to express IL-17 and GM-CSF. This induces the recruitment of neutrophils with suppressive functions, which can be overcome by activating iNKT cells with α-galactosylceramide. The co-infiltration of iNKT cells and neutrophils correlates with negative clinical outcomes, highlighting the importance of iNKT cells in CRC.

MUCOSAL IMMUNOLOGY (2023)

Review Health Care Sciences & Services

High-Salt Diet Exacerbates H. pylori Infection and Increases Gastric Cancer Risks

Vyshnavy Balendra, Chiara Amoroso, Barbara Galassi, Josephine Esposto, Claudia Bareggi, Jennie Luu, Lucia Scaramella, Michele Ghidini

Summary: High-salt diet and H. pylori infection are important factors contributing to gastric cancer development, with their combined impact increasing the risk of gastric adenocarcinoma. Mechanisms such as disruption of mucosal barriers and induction of inflammatory responses play a role in the development of gastric cancer. Therefore, reducing salt intake and using antibacterial therapy may potentially lower the susceptibility to gastric cancer.

JOURNAL OF PERSONALIZED MEDICINE (2023)

Meeting Abstract Gastroenterology & Hepatology

IL10 secretion endows intestinal human iNKT cells with regulatory functions towards pathogenic T lymphocytes in Crohn's disease patients

C. Burrello, F. Strati, A. Diaz-Basabe, G. Lattanzi, G. Lopez, E. Trombetta, F. S. Conforti, F. Botti, M. Vecchi, M. C. Fantini, F. Caprioli, F. Facciotti

JOURNAL OF CROHNS & COLITIS (2022)

No Data Available