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Global Translational Medicine





                                        REVIEW ARTICLE
                                        Novel applications of manipulating gut

                                        microbiota for alleviating hematological
                                        disorders



                                        Sibusiso Luthuli * and Lulama Luthuli 2
                                                      1
                                        1 Department of Hematology, The First Affiliated Hospital of Nanjing Medical University, Jiangsu
                                        Provincial People’s Hospital, Nanjing, 210029, China
                                        2 Department of Paediatric Surgery, Kalafong  Academic Hospital of the University of Pretoria,
                                        Pretoria, 0001, South Africa



                                        Abstract

                                        Investigations toward malignancies involving gut microbiota are still in their infancy,
                                        especially in hematology and oncology. There are approximately 1.2 million new
                                        hematological malignancy cases, resulting in more than 500,000  cases/year in
                                        mortality worldwide. It is through commendable advancements directed toward
                                        anticancer therapy in recent times that have significantly improved the survival rate
                                        among individuals; however, their cytotoxicity or side effects tend to be challenging
                                        for patients to tolerate, attributed to anticancer therapies such as chemotherapy
                                        and/or radiation therapy due to the aggressive nature in terms of their mechanism
                                        of action. Therefore, novel means, or treatments that could present less or non-
                                        toxic  modalities  are  warranted,  especially  those  that  decrease  unpleasant  side
                                        effects. Studies indicate that the human body accommodates roughly 40 trillion
                                        microorganisms, also referred to as the human microbiota, and the abundance of
            *Corresponding author:      this microbiota is predominantly found in the gastrointestinal tract. The microbiota
            Sibusiso Luthuli            is associated with various physiological roles, like immunology, digestive functions,
            (luthuli.sibusiso@gmail.com)
                                        and neural development. Therefore, the aim of this literature is to summarize current
            Citation: Luthuli S, Luthuli L, 2023,   innovations (and achievements) in using gut microbiota to alleviate diseases and
            Novel applications of manipulating
            gut microbiota for alleviating   possible directions to explore toward curing malignancies or associated ailments.
            hematological disorders. Global   In addition, this type of publication seeks to encourage possible directions to be
            Transl Med, 2(2): 0389.     employed in establishing “possible biomarkers” which could be used in both the
            https://doi.org/10.36922/gtm.0389
                                        laboratory and clinical settings; this includes methodologies involving translational
            Received: April 3, 2023     medicine through undertakings of improving cancer therapy.
            Accepted: June 16, 2023
            Published Online: June 30, 2023
            Copyright: © 2023 Author(s).   Keywords: Chemotherapy; Lymphoma; Leukemia; Myeloma; Microbiota; Hematological
            This is an Open Access article   malignancies
            distributed under the terms of the
            Creative Commons Attribution
            License, permitting distribution,
            and reproduction in any medium,
            provided the original work is   1. Introduction
            properly cited.
                                        1.1. An introduction to gut microbiota
            Publisher’s Note: AccScience
            Publishing remains neutral with   The term microbiome applies to a collection of genomes originating from all the
            regard to jurisdictional claims in
            published maps and institutional   microorganisms found in the ecosystem, while microbiota (such as gut microbiota) refers
            affiliations.               to microorganisms that assemble within a specific location or environment. Therefore,



            Volume 2 Issue 2 (2023)                         1                        https://doi.org/10.36922/gtm.0389
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