2013
DOI: 10.1007/s13277-013-0684-4
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The role of gut microbiota in the pathogenesis of colorectal cancer

Abstract: The human gastrointestinal tract harbors a complex and abundant microbial community that can reach levels as high as 10(13)-10(14) microorganisms in the colon. These microorganisms are essential to a host's well-being in terms of nutrition and mucosa immunity. However, numerous studies have also implicated members of the colonic microbiota in the development of colorectal cancer (CRC). While CRC involves a genetic component where damaged DNA and genetic instability initiates a malignant transformation, environ… Show more

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Cited by 181 publications
(151 citation statements)
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“…Disruption of the homeostasis (both qualitatively and quantitatively) of the intestinal microflora could promote cancer through different ways, for example by altering the number, diversity, and stability of commensal bacteria or by the action of pathogens (i.e. Bacteroides fragilis) or conditional commensals (Terzic et al, 2010;Zhu et al, 2013). Over the last years, evidence for a role of microbiota and toll-like receptors, a type of pattern recognition receptors, in CRC is emerging and literature on the different potential mechanisms involved has been reviewed recently (Moossavi and Rezaei, 2013).…”
Section: Colorectal Cancermentioning
confidence: 99%
“…Disruption of the homeostasis (both qualitatively and quantitatively) of the intestinal microflora could promote cancer through different ways, for example by altering the number, diversity, and stability of commensal bacteria or by the action of pathogens (i.e. Bacteroides fragilis) or conditional commensals (Terzic et al, 2010;Zhu et al, 2013). Over the last years, evidence for a role of microbiota and toll-like receptors, a type of pattern recognition receptors, in CRC is emerging and literature on the different potential mechanisms involved has been reviewed recently (Moossavi and Rezaei, 2013).…”
Section: Colorectal Cancermentioning
confidence: 99%
“…2,3 In addition to these factors, gut microbiota dysbiosis has been reported in CRC patients. [4][5][6][7][8][9] Recent pyrosequencing analysis of CRC-associated bacterial microbiota has revealed dysbiosis with, in particular, overrepresentation of Fusobacterium and Bacteroides. [10][11][12][13][14] In addition, our group and others have shown that colonic adenomas, carcinomas, and the mucosa of CRC patients are abnormally colonized by Escherichia coli belonging to the B2 phylogroup, with a high prevalence of E. coli producing a genotoxin, termed colibactin, encoded by the pks genomic island.…”
mentioning
confidence: 99%
“…In the colon, these conjugates are activated or decojugated by pathogenic bacterial β-glucuronidase enzyme and regains carcinogenic potential [34]. A high level of fecal β-glucuronidase activity was found in colon cancer patients and also in individuals at higher risk for colon cancer [34] [35]. Lactobacillus bacteria reduced the activity of β-glucuronidase by 76.0% (Lb.…”
Section: Altering Intestinal Environmentmentioning
confidence: 99%