How Gut Microbiome Influences Cancer Progression

Recent research highlights the complex relationship between stress, circadian rhythms, and cancer risk, particularly colorectal cancer.

Understanding these factors can provide insights into how to mitigate risks and promote better health outcomes.

Both stress and nighttime work are known to impact cancer risk, including the risk of developing colorectal cancer.

Studies have established connections between the gut microbiome and colorectal cancer, with disruptions in the microbiome linked to stress and circadian rhythm disturbances.

In recent research conducted on mice, stress and disrupted circadian cycles were found to negatively affect the gut microbiome, potentially contributing to the progression of colorectal cancer.

The findings suggest that changes in the microbiome can influence intestinal permeability and inflammation, which are crucial factors in cancer development.

A study published in Science Advances in September 2024 has shown that colorectal cancer risk increases with disruptions in the circadian rhythm.

These disruptions lead to alterations in the gut microbiome, which can heighten intestinal permeability and inflammation.

Both of these factors are critical in the progression of colorectal cancer.

In addition, stress has been demonstrated to influence the microbiome, impacting colorectal cancer progression in mice, as presented during the United European Gastroenterology Week 2024 in Vienna, Austria.

The studies utilized genetically modified mouse models to mimic conditions related to tumor formation and circadian disruption.

Shuji Ogino, a professor of pathology at Harvard Medical School, noted that the stress associated with sleep disruption and its effect on the circadian cycle could significantly influence various homeostatic processes.

He pointed out that night shift work may act as a carcinogen, disrupting hormonal balances and interfering with anti-carcinogenic and anti-inflammatory processes, potentially leading to cancer development.

Ogino emphasized that sleep disturbances can adversely affect gut homeostasis, explaining that the body’s sympathetic and parasympathetic nervous systems operate differently during wakefulness and sleep.

Researchers from the West China Hospital, Sichuan University, studied the effects of chronic stress on colorectal cancer using mouse models.

In this study, mice were subjected to chronic stress through restraint and subsequently received fecal transplants to assess the stress’s impact on the microbiome and colorectal cancer development.

The findings revealed that mice receiving fecal transplants from stressed individuals showed a greater tumor burden than those receiving transplants from the control group.

This indicates that chronic stress affects gut microbiota in a way that may be involved in promoting colorectal cancer progression.

Further analysis of the gut microbiome showed that specific bacterial strains, particularly beneficial Lactobacillus strains, were present in lower quantities among the chronic stress group.

Additionally, lower activity levels of certain anti-tumor immune cells were observed in this group.

The lead researcher, Qing Li, noted the importance of the gut microbiota in mediating the effects of chronic stress on colorectal cancer progression.

He suggested that supplementing with Lactobacillus plantarum during periods of chronic stress could inhibit cancer progression.

This finding opens the door to potential interventions aimed at preventing colorectal cancer in individuals experiencing chronic stress.

Another significant study published in Science Advances used two genetically engineered mouse models.

One model was predisposed to developing tumors, while the other had a disrupted circadian rhythm.

Researchers combined these models to create offspring that exhibited both traits.

The study demonstrated that when circadian disruption coincided with colorectal cancer predisposition, the gut microbiome’s diversity changed, impacting metabolite pathways and intestinal junction function.

These alterations may lead to increased inflammation in the gut, further contributing to colorectal cancer progression.

Dr. Anton Bilchik, a surgical oncologist at Providence Saint John’s Cancer Institute, remarked that the study underscores how disruptions in circadian rhythms can lead to alterations in the gut microbiome and immune environment.

While the study did not establish a direct causal link, these changes may increase the risk of developing colorectal cancer and potentially other forms of cancer.

Given the rising incidence of early-onset colorectal cancer, these findings could help explain the phenomenon, though further research is needed to draw definitive conclusions.

Overall, these studies emphasize the importance of maintaining a regular sleep schedule and managing stress to promote gut health and reduce cancer risk.

By understanding the intricate connections between these factors, individuals can take proactive steps to support their health and well-being.

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