Journal of International Oncology ›› 2026, Vol. 53 ›› Issue (6): 370-375.doi: 10.3760/cma.j.cn371439-20251119-00060

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Relationship between intestinal microecology and the occurrence and progression of colorectal cancer

Wang Yong1, Zhao Haiyan2, Zhang Mingming3, Wu Xinlin4()   

  1. 1 First Clinical College of Inner Mongolia Medical UniversityHohhot 010050, China
    2 Department of Medical OncologyAffiliated Hospital of Inner Mongolia Medical UniversityHohhot 010050, China
    3 Department of GastrointestinalUrinary and Hernia Surgery,Jungar Banner Central Hospital of Inner MongoliaJungar Banner 010300, China
    4 Department of Gastrointestinal SurgeryAffiliated Hospital of Inner Mongolia Medical UniversityHohhot 010050, China
  • Received:2025-11-19 Online:2026-06-08 Published:2026-06-05
  • Contact: Wu Xinlin E-mail:wuxinlin@126.com
  • Supported by:
    Science and Technology Program of the Joint Fund of Scientific Research for the Public Hospitals of Inner Mongolia Academy of Medical Sciences(2024GLLH0300);Science and Technology Program Project of Inner Mongolia Autonomous Region of China(2025YFHH0192)

Abstract:

The intestinal microecology consists of intestinal microorganisms and their metabolites,and is closely related to the occurrence and development of colorectal cancer. Among intestinal microorganisms,bacteria such as fusobacterium nucleatumentero toxigenic bacteroides fragilis,and pks+ escherichia coli; and fungi such as candida tropicalis and candida albicans; as well as related viruses,can promote the occurrence and development of colorectal cancer through different mechanisms. Microbial metabolites exert a bidirectional effect in the occurrence and development of colorectal cancer:butyric acid,indole-3-lactic acid,ursodeoxycholic acid,etc.,play tumor-suppressive roles,while formic acid,indole-3-acrylic acid,deoxycholic acid,etc.,exert tumor-promoting effects. In-depth analysis of the functions and mechanisms of the intestinal microecology can provide theoretical references for related basic research and clinical diagnosis and treatment of colorectal cancer.

Key words: Colorectal neoplasms, Gastrointestinal microbiome, Immunomodulation