Evidence map›Paper›PMID 40618373›Full record

ReviewGut microbes2025

Gut microbiota and radiation-induced injury: mechanistic insights and microbial therapies.

Lili Li, Zian Yang, Yuetao Yi, Yipeng Song, Wei Zhang

Registry-linked trialAbstract readReview
In one paragraph

Review in Gut microbes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07259681 (Intestinal Microbiome Profiles in Women With Gynecological Tumors and Pelvic Toxicity Secondary to Radiotherapy and Chemotherapy), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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.

NCT07259681 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Intestinal Microbiome Profiles in Women With Gynecological Tumors and Pelvic Toxicity Secondary to Radiotherapy and Chemotherapy: Comparison With Controls and Effect of Rectal Ozone Treatment.

Typeobservational_patient_registrySponsorBernardino Clavo, MD, PhDRan2026 to 2028Enrolled38ConditionsPelvic Toxicity, Radiation Toxicity, Chemotherapy Toxicity, Gynecological Tumors
3 · Its place in the literature

Who cites it

21 citing papers in PubMed.

  1. Gut microbes · 2026
    Article
  2. Review
  3. Article
  4. Review
  5. Metabolomic and Microbiome Profiling Reveals the Protective Mechanism ofInternational journal of molecular sciences · 2026
    Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Microbiome-Driven Risk Stratification and Biotherapeutics in Radiation Enteritis.Computational and structural biotechnology journal · 2026
    Review
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Review
  20. Article
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

5 authors.

Lili LiYantai Institute of Coastal Zone Research, Chinese Academy of Sciences, Yantai, China.ORCID 0000-0003-0060-195X
Zian YangYantai Institute of Coastal Zone Research, Chinese Academy of Sciences, Yantai, China.ORCID 0009-0006-8238-4117
Yuetao YiYantai Institute of Coastal Zone Research, Chinese Academy of Sciences, Yantai, China.ORCID 0000-0001-7618-5062
Yipeng SongDepartment of Radiotherapy, Yantai Yuhuangding Hospital, Yantai, China.ORCID 0000-0002-5030-9159
Wei ZhangYantai Institute of Coastal Zone Research, Chinese Academy of Sciences, Yantai, China.ORCID 0000-0002-5111-4097

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Radiotherapy represents a crucial therapeutic modality in cancer treatment, yet its efficacy is frequently limited by radiation-induced toxicity. Growing evidence indicates that gut microbiota and their metabolites serve as key regulators of both radioprotective and radiosensitizing effects. This review systematically examines three fundamental regulatory mechanisms through which gut microbiota and its metabolites mitigate radiation-induced injury: (1) modulation of intestinal epithelial cell regeneration and tumor cell apoptosis via Wnt/β-catenin and PI3K/AKT/mTOR pathways; (2) immunomodulation via Toll-like receptor activation and NF-κB signaling; (3) oxidative stress management via Nrf2 signaling. We also evaluate various microbiota-targeted interventions, ranging from probiotics and prebiotics to fecal microbiota transplantation and emerging engineered microbial therapies, highlighting their potential in clinical radiotherapy. Finally, we emphasize current limitations and future research directions, underscoring the need to overcome existing challenges in microbiome analysis and therapeutic durability to fully realize the potential of precision radio-microbiome medicine, which may provide valuable references for developing personalized radiotherapy strategies based on gut microbiota and their metabolites.

Indexed as

Gastrointestinal MicrobiomeRadiation InjuriesAnimalsFecal Microbiota TransplantationHumansNeoplasmsOxidative StressPrebioticsProbioticsRadiotherapySignal TransductionPrebioticsGut microbiotamicrobial metabolitesnovel strategiesradiotherapy

Identifiers

PMID40618373
PMCPMC12233896

What OpenQuestion holds

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Registered trials

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.