Implications of the microbiome in the development and treatment of pancreatic cancer: Thinking outside of the box by looking inside the gut

Neoplasia. 2021 Feb;23(2):246-256. doi: 10.1016/j.neo.2020.12.008. Epub 2021 Jan 6.

Abstract

Pancreatic ductal adenocarcinoma is the third leading cause of cancer-related death in the United States. As one of the most lethal cancer types, the prognosis for patients diagnosed with pancreatic cancer remains dismal and novel investigations are urgently needed. Evidence for an association of microbes with pancreatic cancer risk, development, treatment response, and post-treatment survivorship is rapidly developing. Herein, we provide an overview on the role of the microbiome as it relates to the natural history of pancreatic cancer, including host immune interactions, alterations in metabolism, direct carcinogenic effect, and its role in treatment response.

Keywords: Carcinogenesis; Microbiome; Microbiota; Oncobiome; Pancreatic ductal adenocarcinoma.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Bacterial Translocation
  • Biomarkers
  • Carcinoma, Pancreatic Ductal / etiology
  • Carcinoma, Pancreatic Ductal / therapy
  • Cell Transformation, Neoplastic*
  • Combined Modality Therapy
  • Disease Management
  • Disease Susceptibility*
  • Gastrointestinal Microbiome*
  • Humans
  • Microbiota
  • Pancreas / microbiology
  • Pancreas / pathology
  • Pancreatic Neoplasms / etiology*
  • Pancreatic Neoplasms / metabolism
  • Pancreatic Neoplasms / pathology
  • Pancreatic Neoplasms / therapy*
  • Prognosis
  • Treatment Outcome

Substances

  • Biomarkers