GAO Ying,WANG Jundong,XIAO Chong,et al.The Biological Connotation of “Earth Deficiency and Wood Constraint” in Colorectal Adenoma Canceration based on Intestinal Flora-bile Acid Interaction[J].Journal of Traditional Chinese Medicine,2021,62(23):2032-2036.
GAO Ying,WANG Jundong,XIAO Chong,et al.The Biological Connotation of “Earth Deficiency and Wood Constraint” in Colorectal Adenoma Canceration based on Intestinal Flora-bile Acid Interaction[J].Journal of Traditional Chinese Medicine,2021,62(23):2032-2036.DOI: 10.13288/j.11-2166/r.2021.23.002.
The Biological Connotation of “Earth Deficiency and Wood Constraint” in Colorectal Adenoma Canceration based on Intestinal Flora-bile Acid Interaction
The interaction imbalance between the intestinal flora and bile acid metabolism is closely related to the canceration of colorectal adenoma. Based on the traditional Chinese medicine (TCM) theories and the clinical researches, it is found that “earch deficiency and wood constraint”is the key pathogenesis of colorectal adenoma canceration. According to the modern medical and molecular biological literature, the disturbance of intestinal flora is closely related to the “earth deficiency” in TCM, and abnormal secretion of bile acid is a microscopic manifestation of “wood constraint”; simultaneously, the interaction imbalance between intestinal flora and bile acid is consistent with the “earth deficiency and wood constraint”. By exploring the biological connotation of “earth deficiency and wood constraint”in colorectal adenoma canceration from the perspective of“intestinal flora-bile acid interaction”, this paper provides important references for studying the root pathogenesis of “earth deficiency and wood constraint” and the effects of the representative prescriptions on preventing colorectal adenoma from becoming cancerous.
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NEARY PM , SCHWARTZBERG DM , BORA CT , et al . Aspects of the natural history of sessile serrated adenomas/polyps: risk indicators for carcinogenesis in the colorectal mucosa? [J]. Dis Colon Rectum , 2018 , 61 ( 12 ): 1380 - 1385 .
LEE JK , JENSEN CD , LEVIN TR , et al . Long-term risk of colorectal cancer and related death after adenoma removal in a large, community-based population [J]. Gastroenterology , 2020 , 158 ( 4 ): 884 - 894 .
FACCIORUSSO A , MASO MD , SERVIDDIO G , et al . Development and validation of a risk score for advanced colorectal adenoma recurrence after endoscopic resection [J]. World J Gastroenterology , 2016 , 22 ( 26 ): 6049 - 6056 .
TICHO AL , MALHOTRA P , DUDEJA PK , et al . Intestinal absorption of bile acids in health and disease [J]. Compr Physiol , 2019 , 10 ( 1 ): 21 - 56 .
JIA W , XIE GX , JIA WP . Bile acid-microbiota crosstalk in gastrointestinal inflammation and carcinogenesis [J]. Nat Rev Gastroenterol Hepatol , 2018 , 15 ( 2 ): 111 - 128 .
LIU L , DONG WX , WANG SN , et al . Deoxycholic acid disrupts the intestinal mucosal barrier and promotes intestinal tumorigenesis [J]. Food Funct , 2018 , 9 ( 11 ): 5588 - 5597 .
DONG WX , LIU L , DOU Y , et al . Deoxycholic acid activates epidermal growth factor receptor and promotes intestinal carcinogenesis by ADAM17-dependent ligand release [J]. J Cell Mol Med , 2018 , 22 ( 9 ): 4263 - 4273 .
KÜHN T , STEPIEN M , LÓPEZ-NOGUEROLES M , et al . Prediagnostic plasma bile acid levels and colon cancer risk: a prospective study [J]. J Natl Cancer Inst , 2020 , 112 ( 5 ): 516 - 524 .
ZENG HW , UMAR S , RUST B , et al . Secondary bile acids and short chain fatty acids in the colon: a focus on colonic microbiome, cell proliferation, inflammation, and cancer [J]. Int J Mol Sci , 2019 , 20 ( 5 ): 1214 .
YANG J , YU J . The association of diet, gut microbiota and colorectal cancer:what we eat may imply what we get [J]. Protein Cell , 2018 , 9 ( 5 ): 474 - 487 .
KIM M , VOGTMANN E , AHLQUIST DA , et al . Fecal metabolomic signatures in colorectal adenoma patients are associated with gut microbiota and early events of colorectal cancer pathogenesis [J]. mBio , 2020 , 11 ( 1 ): e03186-19 .
SAUS E , IRAOLA-GUZMÁN S , WILLIS JR , et al . Microbiome and colorectal cancer:roles in carcinogenesis and clinical potential [J]. Mol Aspects Med , 2019 , 69 : 93 - 106 . doi: 10.1016/j.mam.2019.05.001 http://dx.doi.org/10.1016/j.mam.2019.05.001 .
TSOI H , CHU ESH , ZHANG X , et al . Peptostreptococcus anaerobius induces intracellular cholesterol biosynthesis in colon cells to induce proliferation and causes dysplasia in mice [J]. Gastroenterology , 2017 , 152 ( 6 ): 1419 - 1433 .
WONG SH , ZHAO LY , ZHANG X , et al . Gavage of fecal samples from patients with colorectal cancer promotes intestinal carcinogenesis in germ-free and conventional mice [J]. Gastroenterology , 2017 , 153 ( 6 ): 1621 - 1633 .
WAHLSTRÖM A , SAYIN SI , MARSCHALL HU , et al . Intestinal crosstalk between bile acids and microbiota and its impact on host metabolism [J]. Cell Metab , 2016 , 24 ( 1 ): 41 - 50 .
TIAN Y , GUI W , KOO I , et al . The microbiome modulating activity of bile acids [J]. Gut Microbes , 2020 , 11 ( 4 ): 979 - 996 .
SELWYN FP , CSANAKY IL , ZHANG YC , et al . Importance of large intestine in regulating bile acids and glucagon-like peptide-1 in germfree mice [J]. Drug Metab Dispos , 2015 , 43 ( 10 ): 1544 - 1556 .
WAHLSTROM A , KOVATCHEVA-DATCHARY P , STAHLMAN M , et al . Induction of farnesoid X receptor signaling in germ-free mice colonized with a human microbiota [J]. J Lipid Res , 2017 , 58 ( 2 ): 412 - 419 .
LI F , JIANG CT , KRAUSZ KW , et al . Microbiome remodelling leads to inhibition of intestinal farnesoid X receptor signalling and decreased obesity [J]. Nat Commun , 2013 , 4 ( 1 ): 886 - 895 .
WIRBEL J , PYL PT , KARTAL E , et al . Meta-analysis of fecal metage-nomes reveals global microbial signatures that are specific for colorectal cancer [J]. Nat Med , 2019 , 25 ( 4 ): 679 - 689 .
WANG SN , DONG WX , LIU L , et al . Interplay between bile acids and the gut microbiota promotes intestinal carcinogenesis [J]. Mol Carcinog , 2019 , 58 ( 7 ): 1155 - 1167 .
DEVKOTA S , CHANG EB . Interactions between diet, bile acid metabolism, gut microbiota, and inflammatory bowel diseases [J]. Dig Dis , 2015 , 33 ( 3 ): 351 - 356 .
XU MQ , CEN MS , SHEN YQ , et al . Deoxycholic acid-induced gut dysbiosis disrupts bile acid enterohepatic circulation and promotes intestinal inflammation [J]. Dig Dis Sci , 2021 , 66 ( 2 ): 568 - 576 .
PARSEUS A , SOMMER N , SOMMER F , et al . Microbiota-induced obesity requires farnesoid X receptor [J]. Gut , 2017 , 66 ( 3 ): 429 - 437 .
GONZALEZ F J , JIANG CT , XIE C , et al . Intestinal farnesoid X receptor signaling modulates metabolic disease [J]. Dig Dis , 2017 , 35 ( 3 ): 178 - 184 .
GADALETA RM , GARCIA-IRIGOYEN O , Cariello M , et al . Fibroblast growth factor 19 modulates intestinal microbiota and inflammation in presence of farnesoid X receptor [J]. EBioMedicine , 2020 , 54 : 102719 . 10.1016/j.ebiom.2020. 102719 .
MELOF DS , KURTOVA AV , HARNOSS JM , et al . A distinct role for Lgr5 + stem cells in primary and metastatic colon cancer [J]. Nature , 2017 , 543 ( 7647 ): 676 - 680 .
NGUYEN TT , UNG TT , KIM NH , et al . Role of bile acids in colon carcinogenesis [J]. World J Clin Cases , 2018 , 6 ( 13 ): 577 - 588 .
AYMERIC L , DONNADIEU F , MULET C , et al . Colorectal cancer specific condition promote streptococcus gallolyticus gut colonization [J]. Proc Natl Acad Sci USA , 2018 , 115 ( 2 ): 283 - 291 .
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