# The role of gut microbiota and its metabolites in preventing oncogenesis

**Authors:** Zehua Li, Jiaxi Yan, Ziyi Zeng, Linyong Zhao

PMC · DOI: 10.3389/fcell.2026.1790063 · Frontiers in Cell and Developmental Biology · 2026-02-24

## TL;DR

This review explores how gut microbes and their byproducts can prevent cancer by supporting immune function and reducing harmful effects.

## Contribution

The paper provides a comprehensive synthesis of mechanisms by which gut microbiota and metabolites prevent cancer.

## Key findings

- Dysbiosis promotes cancer by disrupting immune and metabolic balance.
- Microbial metabolites help prevent cancer through immune modulation and detoxification.
- Strategies like probiotics and fecal transplants show promise for microbiome-based cancer prevention.

## Abstract

The gut microbiota is increasingly recognized as a key determinant of cancer susceptibility, functioning as a dynamic interface between environmental exposures and host physiology. Dysbiosis disrupts immune homeostasis, epithelial integrity, and metabolic equilibrium, thereby fostering a microenvironment conducive to oncogenesis. Conversely, a balanced microbial ecosystem and its metabolites exert potent anti-tumor effects through immune modulation, maintenance of mucosal barrier function, and detoxification of carcinogens. This Review synthesizes emerging mechanistic insights into how commensal microbes and their metabolic products coordinate host defense pathways to suppress malignant transformation. We further discuss translational strategies—ranging from probiotics, prebiotics, and synbiotics to fecal microbiota transplantation and dietary interventions—that leverage microbiome modulation for cancer prevention. Despite compelling preclinical evidence, clinical translation remains constrained by inter-individual variability and incomplete mechanistic understanding. Integration of multi-omics analyses, gnotobiotic models, and precision microbial engineering offers a path toward microbiota-based interventions as a cornerstone of personalized cancer prevention and immunomodulation.

## Linked entities

- **Diseases:** cancer (MONDO:0004992)

## Full-text entities

- **Diseases:** cancer (MESH:D009369), Dysbiosis (MESH:D064806), oncogenesis (MESH:D063646)

## Full text

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## Figures

3 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12971968/full.md

## References

204 references — full list in the complete paper: https://tomesphere.com/paper/PMC12971968/full.md

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Source: https://tomesphere.com/paper/PMC12971968