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Uncharted Potentials of Synbiotics in Treatment of Cervical and Ovarian Cancer

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Synbiotics for the Management of Cancer

Abstract

Cancer is the one of the most prevalent causes of the deaths globally and also a major hindrance to achieve the desired life expectancy in most of the countries. Across a wide range of neoplastic disorders, oncobiosis biotransformation, an alteration in microbiome compartment is observed. Several changes occur in microbiome compartment during ovarian and cervical cancer. Oncobiosis is seen in several compartments including cervicovaginal, ovarian and intra-tumoral compartment, serum and intestines, upper and lower genital tract. The gut microbiome can be modulated by use of pro-, pre-, and synbiotics that can also modulate the host metabolism. This in turn has a huge potential to minimize the side effects and even enhances the cancer management health benefits. Hence, the World Health Organization (WHO) and the Food and Agriculture Organization (FAO) define probiotics as “live microorganisms which, when administered in adequate amounts, confer a health benefit on the host.” Symbiotics are defined as “combination[s] of probiotic bacteria and growth promoting prebiotic ingredient[s]” that achieve “synergism.” Synbiotics may act as antimutagens, giving their carcinogen scavenging and elimination action. Major challenge in use of synbiotics for cervical and ovarian cancer is that these synbiotics may also imbalance the microbiota as risk of infection is very high in immunocompromised cancer patients and lack of scientific evidence. Very less evidence is reported for cervical and ovarian cancer. There is a need of clinical trials to be initiated for establishing the clinical benefits of synbiotics in cervical and ovarian cancer. Regulatory authorities should initiate the studies to build in the evidence so that the health benefits associated with these synbiotics can enhance the quality of life in cancer patients.

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Abbreviations

ACS:

American Cancer Society

AGS:

Adenocarcinoma gastric cell line

AKAP4:

A-kinase anchor protein 4 precursor

ARID1A:

AT-Rich Interaction Domain 1A

AURKC:

Aurora Kinase C

BCl2:

B-cell lymphoma 2

BRAF:

Serine/threonine-protein kinase B-Raf

BRCA1:

Breast Cancer gene 1

BRCA2:

Breast Cancer gene 2

CASP3:

Cysteine-aspartic acid protease

CDK2:

Cyclin-dependent kinase 2

CTAs:

Cancer testis antigens

CTNNB1:

Catenin Beta 1

FIGO:

Fédération Internationale de Gynécologie et d’Obstétrique

HeLa:

Henrietta Lacks

HPV:

Human Papillomavirus

hrHPV:

High-risk human papillomavirus

HT-29:

Human Colorectal Adenocarcinoma Cell Line

IL-10:

Interleukin 10

IL12:

Interleukin 12

KRAS:

Kirsten rat sarcoma viral oncogene homolog

MCF-7:

Michigan Cancer Foundation-7

miR-200b:

MicroRNA-200b

miR-21:

MicroRNA-21

MMP2:

Matrix metalloproteinase-2

MMP9:

Matrix metalloproteinase-9

NF-κB:

Nuclear factor kappa B

OIP5:

Opa interacting protein 5

PCOS:

Polycystic ovarian syndrome

PIK3CA:

Phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit alpha.

PPP2R1A:

Serine/threonine-protein phosphatase 2A

PTEN:

Phosphatase and Tensin

Th1:

T helper type 1

TLR-4:

Toll-like receptor 4

TNF-α:

Tumor Necrosis Factor alpha

TP53:

Tumor Protein P53

TSGA10:

Testis Specific 10

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© 2023 The Author(s), under exclusive license to Springer Nature Singapore Pte Ltd.

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Mehta, N., Suares, D., Shetty, S. (2023). Uncharted Potentials of Synbiotics in Treatment of Cervical and Ovarian Cancer. In: Mishra, N., Bhatt, S., Paudel, K.R., M Hansbro, P., Dua, K. (eds) Synbiotics for the Management of Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-19-7550-9_11

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