口腔医学研究 ›› 2024, Vol. 40 ›› Issue (5): 379-384.DOI: 10.13701/j.cnki.kqyxyj.2024.05.001

• 综述 •    下一篇

具核梭杆菌在口腔黏膜癌变中的作用与机制

曲别芳芳, 江潞*   

  1. 口腔疾病防治全国重点实验室 国家口腔医学中心 国家口腔疾病临床医学研究中心四川大学华西口腔医院口腔黏膜病科 四川 成都 610041
  • 收稿日期:2023-09-27 出版日期:2024-05-28 发布日期:2024-05-22
  • 通讯作者: * 江潞,E-mail:jianglu@scu.edu.cn
  • 作者简介:曲别芳芳(2000~ ),女,四川乐山人,硕士在读,研究方向:口腔黏膜癌变及防治。
  • 基金资助:
    国家自然科学基金面上项目(编号:82171809)

Role and Mechanism of Fusobacterium Nucleatum in Oral Mucosal Carcinogenesis

QUBIE Fangfang, JIANG Lu*   

  1. State Key Laboratory of Oral Diseases & National Center for Stomatology & National Clinical Research Center for Oral Diseases, Department of Oral Medicine, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, China
  • Received:2023-09-27 Online:2024-05-28 Published:2024-05-22

摘要: 口腔黏膜癌变是一种严重的健康问题,其发生、发展涉及多种因素。近年来,具核梭杆菌作为口腔微生物群落的一部分,被视为在多种癌症中发挥重要作用的感染性因素之一。本综述旨在全面探讨具核梭杆菌在口腔黏膜癌变中的作用和机制。通过分析临床和分子生物学研究,发现具核梭杆菌与口腔潜在恶性疾患和口腔鳞状细胞癌的发生及发展密切相关。具体来说,该菌种可以调控肿瘤免疫微环境,促进细胞增殖和侵袭,以及激活免疫检查点。此外,具核梭杆菌还可能作为口腔癌的生物标志物和治疗目标。然而,该领域的研究仍面临样本数量不足、患者特异性强以及多学科交叉合作的挑战。未来研究需要进一步揭示其作用机制,并探索其在口腔癌预防和治疗中的潜在应用。

关键词: 具核梭杆菌, 口腔黏膜癌变, 肿瘤免疫微环境, 细胞增殖, 细胞侵袭, 免疫检查点

Abstract: Oral mucosal carcinogenesis is a serious health issue involving multiple factors in its onset and progression. In recent years, fusobacterium nucleatum (F.nucleatum), as a part of the oral microbiota, has been considered as one of the infectious agents playing a significant role in various cancers. This review aims to comprehensively explore the role and mechanisms of F.nucleatum in oral mucosal carcinogenesis. Through the analysis of clinical and molecular biology studies, we found that F.nucleatum is closely related to the occurrence and development of oral potentially malignant disorders (OPMD) and oral squamous cell carcinoma (OSCC). Specifically, this bacterium can modulate the tumor immune microenvironment, promote cell proliferation and invasion, and activate immune checkpoints. Additionally, F.nucleatum may serve as a biomarker and therapeutic target for oral cancer. However, research in this field still faces challenges such as insufficient sample size, strong patient specificity, and the need for multidisciplinary collaboration. Future studies are needed to further reveal its mechanisms and explore its potential applications in the prevention and treatment of oral cancer.

Key words: Fusobacterium nucleatum, oral mucosal carcinogenesis, tumor immune microenvironment, cell proliferation, cell invasion, immune checkpoints