Evidence map›Paper›PMID 39537966›Full record

ArticleJournal of cancer research and clinical oncology2024

The role of gut microbial β-glucuronidases in carcinogenesis and cancer treatment: a scoping review.

Lars E Hillege, Milou A M Stevens, Paulien A J Kristen, Judith de Vos-Geelen, John Penders, Matthew R Redinbo, Marjolein L Smidt

Abstract readScoping Review
In one paragraph

Article in Journal of cancer research and clinical oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lars E Hillege *GROW - School for Oncology and Reproduction, Maastricht University, Maastricht, the Netherlands. l.hillege@maastrichtuniversity.nl.ORCID http://orcid.org/0000-0001-7010-7610
Milou A M Stevens *GROW - School for Oncology and Reproduction, Maastricht University, Maastricht, the Netherlands.ORCID http://orcid.org/0009-0009-2152-6734
Paulien A J KristenGROW - School for Oncology and Reproduction, Maastricht University, Maastricht, the Netherlands.ORCID http://orcid.org/0000-0002-2778-3039
Judith de Vos-GeelenGROW - School for Oncology and Reproduction, Maastricht University, Maastricht, the Netherlands.ORCID http://orcid.org/0000-0003-2578-1766
John PendersNUTRIM - School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, the Netherlands.ORCID http://orcid.org/0000-0001-9146-5919
Matthew R RedinboDepartments of Chemistry, Biochemistry & Biophysics, and Microbiology & Immunology, University of North Carolina, Chapel Hill, NC, USA.ORCID http://orcid.org/0000-0003-0814-5346
Marjolein L SmidtGROW - School for Oncology and Reproduction, Maastricht University, Maastricht, the Netherlands.ORCID http://orcid.org/0000-0002-8328-1869

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe human gut microbiota influence critical functions including the metabolism of nutrients, xenobiotics, and drugs. Gut microbial β-glucuronidases (GUS) enzymes facilitate the removal of glucuronic acid from various compounds, potentially affecting anti-cancer drug efficacy and reactivating carcinogens. This review aims to comprehensively analyze and summarize studies on the role of gut microbial GUS in cancer and its interaction with anti-cancer treatments. Its goal is to collate and present insights that are directly relevant to patient care and treatment strategies in oncology.

methodsThis scoping review followed PRISMA-ScR guidelines and focused on primary research exploring the role of GUS within the gut microbiota related to cancer etiology and anti-cancer treatment. Comprehensive literature searches were conducted in PubMed, Embase, and Web of Science.

resultsGUS activity was only investigated in colorectal cancer (CRC), revealing increased fecal GUS activity, variations in the gut microbial composition, and GUS-contributing bacterial taxa in CRC patients versus controls. Irinotecan affects gastrointestinal (GI) health by increasing GUS expression and shifting gut microbial composition, particularly by enhancing the presence of GUS-producing bacteria, correlating with irinotecan-induced GI toxicities. GUS inhibitors (GUSi) can mitigate irinotecan's adverse effects, protecting the intestinal barrier and reducing diarrhea.

conclusionTo our knowledge, this is the first review to comprehensively analyze and summarize studies on the critical role of gut microbial GUS in cancer and anti-cancer treatment, particularly irinotecan. It underscores the potential of GUSi to reduce side effects and enhance treatment efficacy, highlighting the urgent need for further research to integrate GUS targeting into future anti-cancer treatment strategies.

Indexed as

CarcinogenesisGastrointestinal MicrobiomeGlucuronidaseNeoplasmsAntineoplastic AgentsHumansAntineoplastic AgentsGlucuronidaseCarcinomaDrug therapyGlucuronidaseMicrobiomeNeoplasm

Identifiers

PMID39537966
PMCPMC11561038

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.