Yıl: 2018 Cilt: 75 Sayı: 4 Sayfa Aralığı: 421 - 442 Metin Dili: Türkçe DOI: 10.5505/TurkHijyen.2018.15428 İndeks Tarihi: 22-07-2020

Probiyotiklerin tümör baskılayıcı etkileri

Öz:
Hipokrat’ın “Tüm hastalıklar bağırsakta başlar.”yaklaşımından sonra günümüzde de bağırsaklar“ikinci beyin” olarak adlandırılmakta ve bağırsaktakimikrobiyal denge-sağlık ilişkisi yoğun araştırmalarınkonusu olmaktadır. Bağırsaklarda çeşitli nedenlerlebozulan mikrobiyal dengenin yeniden oluşturulmasındaise probiyotiklerden yararlanılmaktadır. Özellikleson 20 yılda probiyotiklerin sağlık üzerine etkilerineyönelik pek çok bilimsel bulgu elde edilmiştir.Bunlar arasında modern çağın vebası olarak dakabul edilen kanser üzerine probiyotiklerin etkisiniincelemeye yönelik çalışmalar son derece ilginçtir vebu konu aydınlatılması gereken pek çok bilinmeyeniiçermektedir. Probiyotiklerin kanseri önleme ve tedavietmesinde çeşitli mekanizmalar geçerlidir. Örneğinkanser öncül maddelerini üreten patojenleri inhibeederek bağırsak mikroflorasının düzenlenmesindeve böylece bu zararlı bileşiklerin oluşumununönlenmesinde etkili olmaktadır. Probiyotiklerin,antimikrobiyal ürünlerin üretimi yoluyla patojenbakterileri engelleyici ve immunomodülatör hücreleriuyarıcı özellikleri gibi kanser oluşumunu önleyiciolumlu etkilerine ait de birçok bulgu elde edilmiştir.Kanseri tetikleyen etkenler oldukça karmaşık olmaklabirlikte, beslenme yoluyla alındığında probiyotiklerinmutasyona ve tümör oluşumuna yol açan bileşiklerinneden olduğu DNA hasarını önlediği gözlenmiştir. Ayrıcaprobiyotikler kısa zincirli yağ asitleri gibi kanserdenkorunmada yararlı olan metabolitleri üretmektedir.Probiyotiklerin kanseri önleyici etkilerini, tümöroluşumunu engelleme, tekrar etme olasılığını azaltmave oluşmuş kanser hücrelerini ve dokularını yıkımauğratma şeklinde gerçekleştirebildiklerini gösterençalışmalar bulunmaktadır. Probiyotiklerin yerleşim alanıolan kalın bağırsak dışında, mesane, meme ve karaciğergibi yerleşim alanı olmayan organ ve dokularda datümör oluşumu ve gelişimini engelleyici etkisi olduğugösterilmiştir. Probiyotiklerin sağlık üzerine etkilerinintoplum tarafından anlaşılması ticari preparatlarınkullanımını dünyada ve ülkemizde yaygınlaştırmıştır.Ancak probiyotiklerin kanserin önlenmesi ve tedavisindekullanılabilmesi için etki mekanizmalarını somut şekildeaçıklayan ve olumlu sonuçları klinik denemelerleispatlanmış birçok çalışmanın yapılması gerekmektedir.Bu derlemede, probiyotiklerin farklı kanser tiplerineetkilerini ispatlamak amacıyla in vitro ve in vivokoşullarda yapılmış öncü niteliğinde çeşitli çalışmalarbu alana ilgi duyan araştırıcılar için irdelenmiş vetartışılmıştır.
Anahtar Kelime:

Tumor suppressor effects of probiotics

Öz:
After the approach of Hippocrates, “All diseases start in the intestine”, now the intestines are called “second brain” and microbial balance-health relation intestines is the subject of intensive researches. Probiotics are used for the reconstitution of microbial balance which is destroyed by various reasons in the intestines. Especially in the last 20 years, many scientific findings have been obtained about the health effects of probiotics. It is interesting to study the effects of probiotics on cancer, which is also accepted as a modern age plague, and this subject contains many unknowns that need to be elucidated. There are various mechanisms in the effects of probiotics in cancer prevention and treatment. For example, they inhibit pathogens that produce cancer precursors, thereby regulating intestinal microflora and thus inhibiting the formation of these deleterious compounds. There are also many findings of the positive effects of inhibiting cancer formation, such as the ability of pathogens to inhibit pathogenic bacteria and stimulate immunomodulatory cells through the production of antimicrobial products. While the cancer-causing agents are quite complex, it has been observed that probiotics prevent DNA damage caused by compounds that reason mutation and tumor formation when intake via nutrition. In addition, probiotics produce metabolites, such as short-chain fatty acids, that are useful for cancer protection. There are studies showing that probiotics can inhibit cancer, effects by inhibiting tumor formation, reducing the chance of recurrence, and destroying cancer cells and tissues. It has been shown to inhibit tumor growth and development in organs and tissues other than the colon where the probiotics are located such as bladder, breast, and liver. The public understanding of the health effects of probiotics has made the use of commercial preparations widespread in the world and in our country. However, in order to use probiotics in prevention and treatment of cancer, clinical studies which will demonstrate the mechanisms of action probiotics, must be conducted. In this review, several pioneering studies on in vitro and in vivo to elucidate the effects of probiotics on different cancer types have been emphasized and discussed for researchers interested in this field.
Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
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APA KAHRAMAN M, KARAHAN A (2018). Probiyotiklerin tümör baskılayıcı etkileri. , 421 - 442. 10.5505/TurkHijyen.2018.15428
Chicago KAHRAMAN Münevver,KARAHAN Aynur Gül Probiyotiklerin tümör baskılayıcı etkileri. (2018): 421 - 442. 10.5505/TurkHijyen.2018.15428
MLA KAHRAMAN Münevver,KARAHAN Aynur Gül Probiyotiklerin tümör baskılayıcı etkileri. , 2018, ss.421 - 442. 10.5505/TurkHijyen.2018.15428
AMA KAHRAMAN M,KARAHAN A Probiyotiklerin tümör baskılayıcı etkileri. . 2018; 421 - 442. 10.5505/TurkHijyen.2018.15428
Vancouver KAHRAMAN M,KARAHAN A Probiyotiklerin tümör baskılayıcı etkileri. . 2018; 421 - 442. 10.5505/TurkHijyen.2018.15428
IEEE KAHRAMAN M,KARAHAN A "Probiyotiklerin tümör baskılayıcı etkileri." , ss.421 - 442, 2018. 10.5505/TurkHijyen.2018.15428
ISNAD KAHRAMAN, Münevver - KARAHAN, Aynur Gül. "Probiyotiklerin tümör baskılayıcı etkileri". (2018), 421-442. https://doi.org/10.5505/TurkHijyen.2018.15428
APA KAHRAMAN M, KARAHAN A (2018). Probiyotiklerin tümör baskılayıcı etkileri. Türk Hijyen ve Deneysel Biyoloji Dergisi, 75(4), 421 - 442. 10.5505/TurkHijyen.2018.15428
Chicago KAHRAMAN Münevver,KARAHAN Aynur Gül Probiyotiklerin tümör baskılayıcı etkileri. Türk Hijyen ve Deneysel Biyoloji Dergisi 75, no.4 (2018): 421 - 442. 10.5505/TurkHijyen.2018.15428
MLA KAHRAMAN Münevver,KARAHAN Aynur Gül Probiyotiklerin tümör baskılayıcı etkileri. Türk Hijyen ve Deneysel Biyoloji Dergisi, vol.75, no.4, 2018, ss.421 - 442. 10.5505/TurkHijyen.2018.15428
AMA KAHRAMAN M,KARAHAN A Probiyotiklerin tümör baskılayıcı etkileri. Türk Hijyen ve Deneysel Biyoloji Dergisi. 2018; 75(4): 421 - 442. 10.5505/TurkHijyen.2018.15428
Vancouver KAHRAMAN M,KARAHAN A Probiyotiklerin tümör baskılayıcı etkileri. Türk Hijyen ve Deneysel Biyoloji Dergisi. 2018; 75(4): 421 - 442. 10.5505/TurkHijyen.2018.15428
IEEE KAHRAMAN M,KARAHAN A "Probiyotiklerin tümör baskılayıcı etkileri." Türk Hijyen ve Deneysel Biyoloji Dergisi, 75, ss.421 - 442, 2018. 10.5505/TurkHijyen.2018.15428
ISNAD KAHRAMAN, Münevver - KARAHAN, Aynur Gül. "Probiyotiklerin tümör baskılayıcı etkileri". Türk Hijyen ve Deneysel Biyoloji Dergisi 75/4 (2018), 421-442. https://doi.org/10.5505/TurkHijyen.2018.15428