The Microbiome in PDAC—Vantage Point for Future Therapies?

Microorganisms have been increasingly implicated in the pathogenesis of malignant diseases, potentially affecting different hallmarks of cancer. Despite the fact that we have recently gained tremendous insight into the existence and interaction of the microbiome with neoplastic cells, we are only be...

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Main Authors: Nina Pfisterer, Catharina Lingens, Cathleen Heuer, Linh Dang, Albrecht Neesse, Christoph Ammer-Herrmenau
Format: Article
Language:English
Published: MDPI AG 2022-12-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/14/23/5974
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author Nina Pfisterer
Catharina Lingens
Cathleen Heuer
Linh Dang
Albrecht Neesse
Christoph Ammer-Herrmenau
author_facet Nina Pfisterer
Catharina Lingens
Cathleen Heuer
Linh Dang
Albrecht Neesse
Christoph Ammer-Herrmenau
author_sort Nina Pfisterer
collection DOAJ
description Microorganisms have been increasingly implicated in the pathogenesis of malignant diseases, potentially affecting different hallmarks of cancer. Despite the fact that we have recently gained tremendous insight into the existence and interaction of the microbiome with neoplastic cells, we are only beginning to understand and exploit this knowledge for the treatment of human malignancies. Pancreatic ductal adenocarcinoma (PDAC) is an aggressive solid tumor with limited therapeutic options and a poor long-term survival. Recent data have revealed fascinating insights into the role of the tumoral microbiome in PDAC, with profound implications for survival and potentially therapeutic outcomes. In this review, we outline the current scientific knowledge about the clinical and translational role of the microbiome in PDAC. We describe the microbial compositions in healthy and tumoral pancreatic tissue and point out four major aspects of the microbiome in PDAC: pathogenesis, diagnosis, treatment, and prognosis. However, caution must be drawn to inherent pitfalls in analyzing the intratumoral microbiome. Among others, contamination with environmental microbes is one of the major challenges. To this end, we discuss different decontamination approaches that are crucial for clinicians and scientists alike to foster applicability and physiological relevance in this translational field. Without a definition of an exact and reproducible intratumoral microbial composition, the exploitation of the microbiome as a diagnostic or therapeutic tool remains theoretical.
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spelling doaj.art-d6c2227d72b543bb81ead82ea1442c4b2023-11-24T10:41:44ZengMDPI AGCancers2072-66942022-12-011423597410.3390/cancers14235974The Microbiome in PDAC—Vantage Point for Future Therapies?Nina Pfisterer0Catharina Lingens1Cathleen Heuer2Linh Dang3Albrecht Neesse4Christoph Ammer-Herrmenau5Department of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Goettingen, 37075 Goettingen, GermanyDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Goettingen, 37075 Goettingen, GermanyDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Goettingen, 37075 Goettingen, GermanyDepartment of Medical Bioinformatics, University Medical Center Goettingen, 37075 Goettingen, GermanyDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Goettingen, 37075 Goettingen, GermanyDepartment of Gastroenterology, Gastrointestinal Oncology and Endocrinology, University Medical Center Goettingen, 37075 Goettingen, GermanyMicroorganisms have been increasingly implicated in the pathogenesis of malignant diseases, potentially affecting different hallmarks of cancer. Despite the fact that we have recently gained tremendous insight into the existence and interaction of the microbiome with neoplastic cells, we are only beginning to understand and exploit this knowledge for the treatment of human malignancies. Pancreatic ductal adenocarcinoma (PDAC) is an aggressive solid tumor with limited therapeutic options and a poor long-term survival. Recent data have revealed fascinating insights into the role of the tumoral microbiome in PDAC, with profound implications for survival and potentially therapeutic outcomes. In this review, we outline the current scientific knowledge about the clinical and translational role of the microbiome in PDAC. We describe the microbial compositions in healthy and tumoral pancreatic tissue and point out four major aspects of the microbiome in PDAC: pathogenesis, diagnosis, treatment, and prognosis. However, caution must be drawn to inherent pitfalls in analyzing the intratumoral microbiome. Among others, contamination with environmental microbes is one of the major challenges. To this end, we discuss different decontamination approaches that are crucial for clinicians and scientists alike to foster applicability and physiological relevance in this translational field. Without a definition of an exact and reproducible intratumoral microbial composition, the exploitation of the microbiome as a diagnostic or therapeutic tool remains theoretical.https://www.mdpi.com/2072-6694/14/23/5974microbiomepancreatic ductal adenocarcinomacontaminationbiomarker
spellingShingle Nina Pfisterer
Catharina Lingens
Cathleen Heuer
Linh Dang
Albrecht Neesse
Christoph Ammer-Herrmenau
The Microbiome in PDAC—Vantage Point for Future Therapies?
Cancers
microbiome
pancreatic ductal adenocarcinoma
contamination
biomarker
title The Microbiome in PDAC—Vantage Point for Future Therapies?
title_full The Microbiome in PDAC—Vantage Point for Future Therapies?
title_fullStr The Microbiome in PDAC—Vantage Point for Future Therapies?
title_full_unstemmed The Microbiome in PDAC—Vantage Point for Future Therapies?
title_short The Microbiome in PDAC—Vantage Point for Future Therapies?
title_sort microbiome in pdac vantage point for future therapies
topic microbiome
pancreatic ductal adenocarcinoma
contamination
biomarker
url https://www.mdpi.com/2072-6694/14/23/5974
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