Evidence map›Paper›PMID 40699664›Full record

ReviewCurrent issues in molecular biology2025

Microbiota Modulation of Radiosensitiveness and Toxicity in Gastrointestinal Cancers: What Radiation Oncologists Need to Know-A Review on Behalf of the Italian Association of Radiobiology (AIRB).

Marco Lorenzo Bonù, Andrea Georgopulos, Marco Ramera, Jacopo Andreuccetti, Andrea Emanuele Guerini, Anna Maria Bozzola, Vittorio Morelli, Jacopo Balduzzi, Mirsada Katica, Mariateresa Cefaratti and 12 more

Abstract readReview
In one paragraph

Review in Current issues in molecular biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

22 authors.

Marco Lorenzo BonùDepartment of Radiation Oncology, Istituto del Radio O. Alberti, Spedali Civili Hospital, 25123 Brescia, Italy.ORCID 0000-0002-5455-3335
Andrea GeorgopulosDepartment of Radiation Oncology, Spedali Civili Hospital and Brescia University, 25123 Brescia, Italy.ORCID 0009-0009-2208-400X
Marco RameraDepartment of Surgery, Spedali Civili Hospital and Brescia University, 25123 Brescia, Italy.
Jacopo AndreuccettiDepartment of Surgery, Spedali Civili Hospital, 25123 Brescia, Italy.ORCID 0000-0003-0474-9775
Andrea Emanuele GueriniDepartment of Radiation Oncology, Spedali Civili Hospital and Brescia University, 25123 Brescia, Italy.
Anna Maria BozzolaDepartment of Pathology, Spedali Civili Hospital, 25123 Brescia, Italy.
Vittorio MorelliDepartment of Radiation Oncology, Spedali Civili Hospital and Brescia University, 25123 Brescia, Italy.
Jacopo BalduzziDepartment of Radiation Oncology, Spedali Civili Hospital and Brescia University, 25123 Brescia, Italy.
Mirsada KaticaDepartment of Radiation Oncology, Spedali Civili Hospital and Brescia University, 25123 Brescia, Italy.
Mariateresa CefarattiDepartment of Radiation Oncology, Spedali Civili Hospital and Brescia University, 25123 Brescia, Italy.
Lorenzo GranelloDepartment of Radiation Oncology, Spedali Civili Hospital and Brescia University, 25123 Brescia, Italy.
Luca TriggianiDepartment of Radiation Oncology, Spedali Civili Hospital and Brescia University, 25123 Brescia, Italy.ORCID 0000-0003-0168-3432
Michela BuglioneDepartment of Radiation Oncology, Spedali Civili Hospital and Brescia University, 25123 Brescia, Italy.ORCID 0000-0002-5485-1260
Stefano Maria MagriniDepartment of Radiation Oncology, Spedali Civili Hospital and Brescia University, 25123 Brescia, Italy.ORCID 0000-0002-4126-733X
Francesco MaramponDepartment of Radiological Oncological and Pathological Sciences, Sapienza University of Rome, 00185 Rome, Italy.
Michele MondiniDepartment of Radiation Oncology, Gustave Roussy Cancer Campus, 94800 Villejuif, France.ORCID 0000-0001-5803-0083
Silvana ParisiRadiation Oncology Unit, Department of Biomedical, Dental Science and Morpological and Functional Images, University of Messina, 98122 Messina, Italy.
Giorgia TimonIRCCS Ospedale Policlinico San Martino, 16132 Genoa, Italy.ORCID 0000-0002-1555-0940
Luisa BelluDepartment of Radiotherapy and Radiosurgery, IRCCS Humanitas Research Hospital, 20089 Rozzano, Italy.
Maria RescignoIRCCS Humanitas Research Hospital, 20089 Rozzano, Italy.
Stefano ArcangeliRadiation Oncology Unit, Fondazione IRCCS San Gerardo Dei Tintori, 20900 Monza, Italy.ORCID 0000-0003-3880-8876
Marta ScorsettiDepartment of Radiotherapy and Radiosurgery, IRCCS Humanitas Research Hospital, 20089 Rozzano, Italy.ORCID 0000-0003-0320-559X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The impact of the microbiota on radiation (RT)-induced toxicity and cancer response to radiotherapy is an emerging area of interest. In this review, we summarize the available preclinical and clinical evidence concerning microbiota modulation of RT toxicity and efficacy in the main gastrointestinal (GI) districts. A huge amount of data supports the clinical application of microbiota modulation, particularly through prebiotics and probiotics, to prevent or mitigate radiotherapy-induced toxicity in rectal cancer. Preclinical and clinical studies also support the observation of microbiota modulation to impact the toxicity and efficacy of treatment in esophageal cancer, hepatocellular carcinoma (HCC), and anal squamous cell carcinoma (ASCC). However, insufficient evidence remains to endorse microbiota modulation as a strategy to enhance tumor radiosensitivity in clinical practice. Well-designed studies focusing on prebiotics, probiotics, and fecal microbiota transplantation are needed across all GI sites to evaluate their potential to improve treatment efficacy, as suggested by promising preclinical findings. The impact of pre-treatment microbiota analyses should be addressed in prospective studies to verify the efficacy of patient-level tailored strategies. Additionally, the repurposing of radioprotective agents with innovative delivery systems, such as encapsulated amifostine, holds significant promise for mitigating small bowel toxicity, thereby enabling more effective RT treatment.

Indexed as

gut microbiotamicrobiotamodulation of efficacymodulation of toxicityradiotherapy

Identifiers

PMID40699664
PMCPMC12025633

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.