Abstract

Colorectal cancer (CRC) is a leading cause of cancer morbidity and mortality worldwide. The etiology and pathogenesis of CRC remain unclear. A growing body of evidence suggests dysbiosis of gut bacteria can contribute to the occurrence and development of CRC by generating harmful metabolites and changing host physiological processes. Metabolomics, a systems biology method, will systematically study the changes in metabolites in the physiological processes of the body, eventually playing a significant role in the detection of metabolic biomarkers and improving disease diagnosis and treatment. Metabolomics, in particular, has been highly beneficial in tracking microbially derived metabolites, which has substantially advanced our comprehension of host-microbiota metabolic interactions in CRC. This paper has briefly compiled recent research progress of the alterations of intestinal flora and its metabolites associated with CRC and the application of association analysis of metabolomics and gut microbiome in the diagnosis, prevention, and treatment of CRC; furthermore, we discuss the prospects for the problems and development direction of this association analysis in the study of CRC. Gut microbiota and their metabolites influence the progression and causation of CRC, and the association analysis of metabolomics and gut microbiome will provide novel strategies for the prevention, diagnosis, and therapy of CRC.

Highlights

  • Colorectal cancer (CRC) is defined as a malignant tumor derived from intestinal epithelial cells that have characteristics of uncontrolled proliferation of cells, invasive nature, and metastasis

  • This review summarizes recent advancements in research on the alterations of intestinal flora and its metabolites associated with CRC, association analysis of metabolomics and gut microbiome in the diagnosis, prevention, and therapies of CRC, and discuss the current challenges and future research directions on a scientific basis

  • These basic findings highlight the importance of some gut microbiota in inducing colorectal carcinogenesis and encourage further research into other putative gut microbiota that can lead to CRC development

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Summary

Frontiers in Oncology

This paper has briefly compiled recent research progress of the alterations of intestinal flora and its metabolites associated with CRC and the application of association analysis of metabolomics and gut microbiome in the diagnosis, prevention, and treatment of CRC; we discuss the prospects for the problems and development direction of this association analysis in the study of CRC. Gut microbiota and their metabolites influence the progression and causation of CRC, and the association analysis of metabolomics and gut microbiome will provide novel strategies for the prevention, diagnosis, and therapy of CRC

INTRODUCTION
ALTERATIONS OF GUT MICROBIOME ASSOCIATED WITH CRC
The Interaction Between Environmental Factors and Gut Microbiome
The Link Between Genetic Mutations and Different Gut Microbiome Profiles
The Mechanisms of Colon Carcinogenesis Mediated by Gut Microbiota
DNA damage
METABOLOMICS DISCLOSES CRC BIOMARKERS ASSOCIATED WITH GUT FLORA
THE APPLICATION OF ASSOCIATION ANALYSIS OF METABOLOMICS AND GUT MICROBIOME
Findings
CONCLUDING REMARKS AND FUTURE PERSPECTIVES
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