2016
DOI: 10.1038/nrgastro.2016.165
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Diet, microorganisms and their metabolites, and colon cancer

Abstract: Colorectal cancer is one of the so-called westernized diseases and the second leading cause of cancer death worldwide. On the basis of global epidemiological and scientific studies, evidence suggests that the risk of colorectal cancer is increased by processed and unprocessed meat consumption but suppressed by fibre, and that food composition affects colonic health and cancer risk via its effects on colonic microbial metabolism. The gut microbiota can ferment complex dietary residues that are resistant to dige… Show more

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Cited by 822 publications
(680 citation statements)
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“…These SCFAs are crucial for intestinal health and their activity can subsequently influence sites distant to the gut, with different SCFAs having varying functions. SCFAs can modulate certain aspects of meta bolic activity including colonocyte function, gut homeo stasis, energy gain, the immune system, blood lipids, appetite and renal physiology, as reviewed elsewhere 16,51,52 .…”
Section: Prebiotic Utilization and Host Healthmentioning
confidence: 99%
“…These SCFAs are crucial for intestinal health and their activity can subsequently influence sites distant to the gut, with different SCFAs having varying functions. SCFAs can modulate certain aspects of meta bolic activity including colonocyte function, gut homeo stasis, energy gain, the immune system, blood lipids, appetite and renal physiology, as reviewed elsewhere 16,51,52 .…”
Section: Prebiotic Utilization and Host Healthmentioning
confidence: 99%
“…Methylation changes are particularly prevalent in colorectal cancer and may also be detected in pre-malignant hyperplastic polyps that have yet to acquire characteristic genetic mutations (91). Indeed, the epigenome of gastrointestinal cells appears particularly sensitive to environmental stimuli, such as inflammation or butyrate levels associated with diet and microbiome (92). Cancer-specific rewiring of glucose metabolism (“Warburg effect”) can further butyrate accumulation, resulting in histone deacetylase inhibition and increased cancer cell proliferation (93).…”
Section: Non-genetic Stimuli Of Plasticity or Restrictionmentioning
confidence: 99%
“…Protein residues and fat-stimulated bile acids are also metabolized by the microbiota to inflammatory and/or carcinogenic metabolites, which increase the risk of neoplastic progression. These microbial metabolite effects can be modified by diet to achieve the objective of preventing colorectal cancer in Western societies [110].…”
Section: Microbiota As Target For Functional Modulation Functional Numentioning
confidence: 99%