RT Journal Article T1 The Role of the Gut Microbiome in Colorectal Cancer Development and Therapy Response. A1 Sánchez-Alcoholado, Lidia A1 Ramos-Molina, Bruno A1 Otero, Ana A1 Laborda-Illanes, Aurora A1 Ordóñez, Rafael A1 Medina, José Antonio A1 Gómez-Millán, Jaime A1 Queipo-Ortuño, María Isabel K1 colorectal cancer K1 dietary fiber K1 dysbiosis K1 gut microbiota K1 inflammation K1 polyamines K1 polyphenols K1 polyunsaturated fatty acids K1 probiotics K1 short-chain fatty acids AB Colorectal cancer (CRC) is the third most common cancer worldwide and the leading cause of cancer-related deaths. Recently, several studies have demonstrated that gut microbiota can alter CRC susceptibility and progression by modulating mechanisms such as inflammation and DNA damage, and by producing metabolites involved in tumor progression or suppression. Dysbiosis of gut microbiota has been observed in patients with CRC, with a decrease in commensal bacterial species (butyrate-producing bacteria) and an enrichment of detrimental bacterial populations (pro-inflammatory opportunistic pathogens). CRC is characterized by altered production of bacterial metabolites directly involved in cancer metabolism including short-chain fatty acids and polyamines. Emerging evidence suggests that diet has an important impact on the risk of CRC development. The intake of high-fiber diets and the supplementation of diet with polyunsaturated fatty acids, polyphenols and probiotics, which are known to regulate gut microbiota, could be not only a potential mechanism for the reduction of CRC risk in a primary prevention setting, but may also be important to enhance the response to cancer therapy when used as adjuvant to conventional treatment for CRC. Therefore, a personalized modulation of the pattern of gut microbiome by diet may be a promising approach to prevent the development and progression of CRC and to improve the efficacy of antitumoral therapy. SN 2072-6694 YR 2020 FD 2020-05-29 LK https://hdl.handle.net/10668/26734 UL https://hdl.handle.net/10668/26734 LA en DS RISalud RD Apr 6, 2025