Gut microbiota-immune-brain interactions in chemotherapy-associated behavioral comorbidities.

Abstract:

:Increasing scientific attention is focused on the gut-brain axis, including the ability of the gastrointestinal (GI) tract to modulate central nervous system function. Changes in the intestinal microbiome can influence affective-like behavior, cognitive performance, fatigue, and sleep in rodents and humans. Patients with cancer who are receiving chemotherapy experience similar negative behavioral changes and concurrent GI symptoms. These chemotherapy comorbidities can be long-lasting and may reduce patients' quality of life and motivation to comply with treatment. This review summarizes the clinical and preclinical evidence supporting a role for the intestinal microbiome in mediating behavioral comorbidities through peripheral immune activation in patients with cancer who are receiving chemotherapy. In addition, evidence suggesting that targeted modification of the intestinal microbiome during cancer treatment could ameliorate associated behavioral comorbidities is reviewed.

journal_name

Cancer

journal_title

Cancer

authors

Jordan KR,Loman BR,Bailey MT,Pyter LM

doi

10.1002/cncr.31584

subject

Has Abstract

pub_date

2018-10-15 00:00:00

pages

3990-3999

issue

20

eissn

0008-543X

issn

1097-0142

journal_volume

124

pub_type

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