# The role of gut microbiome in colorectal cancer development: a comprehensive analysis based on metabolomics and immunomodulatory mechanisms

**Authors:** Yichi Xu, Bo Wen, Shu Liu

PMC · DOI: 10.3389/fonc.2025.1629495 · Frontiers in Oncology · 2025-07-11

## TL;DR

This paper explores how gut microbiome influences colorectal cancer development and immune responses, aiming to improve early diagnosis and personalized treatment.

## Contribution

The paper integrates recent findings on gut microbiome-immune interactions to guide future personalized immunotherapy for colorectal cancer.

## Key findings

- Gut microbiome variations affect immune responses in colorectal cancer patients.
- Microbiome-based approaches show promise for early diagnosis and prognosis assessment.
- Understanding microbiome-immune interactions could lead to better personalized treatments.

## Abstract

With shifts in lifestyle and dietary habits, the incidence of colorectal cancer has been rising annually, with an increasing prevalence among younger populations, thereby imposing a significant burden on global health. Although the rate of early diagnosis for colorectal cancer has improved due to the widespread use of gastrointestinal endoscopy, many patients still do not experience substantial improvements in survival rates or quality of life. Consequently, there is a pressing need for further in-depth research into the pathogenesis of colorectal cancer, as well as the exploration of potential methods for early diagnosis and precise treatment. As research into the gut microbiome system advances, its remarkable efficacy in the early diagnosis, treatment, and prognosis assessment of various diseases has garnered considerable attention. Variations in the gut microbiome among individuals may result in differential immune responses to specific pathogens or treatment modalities. This article reviews the interaction mechanisms between gut microbiota and immune cells in colorectal cancer, integrating the latest research findings in the field, with the aim of providing potential directions and theoretical foundations for the development of personalized immunotherapy.

## Linked entities

- **Diseases:** colorectal cancer (MONDO:0005575)

## Full-text entities

- **Diseases:** colorectal cancer (MESH:D015179)
- **Species:** gut metagenome (species) [taxon 749906], Homo sapiens (human, species) [taxon 9606]

## Full text

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## References

68 references — full list in the complete paper: https://tomesphere.com/paper/PMC12289479/full.md

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Source: https://tomesphere.com/paper/PMC12289479