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<article article-type="review-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">oncotomsk</journal-id><journal-title-group><journal-title xml:lang="ru">Сибирский онкологический журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Siberian journal of oncology</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1814-4861</issn><issn pub-type="epub">2312-3168</issn><publisher><publisher-name>Tomsk National Research Medical Сепtеr of the Russian Academy of Sciences</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21294/1814-4861-2025-24-1-150-163</article-id><article-id custom-type="elpub" pub-id-type="custom">oncotomsk-3456</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Пробиотики против патогенных бактерий и рака</article-title><trans-title-group xml:lang="en"><trans-title>Probiotics against pathogenic bacteria and cancer</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Белявская</surname><given-names>В. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Belyavskaya</surname><given-names>V. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Белявская Валентина Александровна - доктор биологических наук, профессор, ведущий научный сотрудник.</p><p>630559, р. п. Кольцово, Новосибирск</p><p>Author ID (Scopus) 6701653852</p></bio><bio xml:lang="en"><p>Valentina A. Belyavskaya - DSc, Professor, Leading Researcher, State Research Center of Virology and Biotechnology “Vector”, Rospotrebnadzor.</p><p>Koltsovo, Novosibirsk, 630559</p><p>Author ID (Scopus) 6701653852</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1526-9013</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Чердынцева</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Cherdyntseva</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Чердынцева Надежда Викторовна - доктор биологических наук, профессор, член-корреспондент РАН, заведующая лабораторией молекулярной онкологии и иммунологии, заместитель директора, НИИ онкологии, Томский НИМЦ РАН; профессор кафедры природных соединений, фармацевтики и медицинской химии, ФГАОУ ВО «ТГУ».</p><p>634009, Томск, пер. Кооперативный, 5; 634050, Томск, ул. Ленина, 36</p><p>Researcher ID (WOS) C-7943-2012, Author ID (Scopus) 6603911744</p></bio><bio xml:lang="en"><p>Nadezda V. Cherdyntseva - DSc, Professor, Corresponding Member of the Russian Academy of Sciences, Head of the Laboratory of Molecular Oncology and Immunology, Deputy Director, Cancer Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences; Professor, Department of Natural Compounds, Pharmaceutics and Medical Chemistry, National Research Tomsk State University.</p><p>5, Kooperativny St., Tomsk, 634009; 36, Lenina St., Tomsk, 634050</p><p>Researcher ID (WOS) C-7943-2012, Author ID (Scopus) 6603911744</p></bio><email xlink:type="simple">nvch@tnimc.ru</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-0714-8927</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Литвяков</surname><given-names>Н. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Litviakov</surname><given-names>N. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Литвяков Николай Васильевич - доктор биологических наук, профессор РАН, заведующий лабораторией онковирусологии, НИИ онкологии, Томский НИМЦ РАН; научный сотрудник лаборатории генетических технологий центральной научно-исследовательской лаборатории, ФГБОУ ВО «Сибирский государственный медицинский университет» Минздрава России.</p><p>634009, Томск, пер. Кооперативный, 5</p><p>Researcher ID (WOS) C-3263-2012, Author ID (Scopus) 6506850698</p></bio><bio xml:lang="en"><p>Nikolai V. Litviakov - DSc, Professor, Head of Viral Oncology Department, Cancer Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences; Researcher, Laboratory of Genetic Technologies of the Central Research Laboratory, Siberian State Medical University of the Ministry of Health of Russia.</p><p>5, Kooperativny St., Tomsk, 634009</p><p>Researcher ID (WOS) C-3263-2012, Author ID (Scopus) 6506850698</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-2060-4840</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Пономарева</surname><given-names>А. A.</given-names></name><name name-style="western" xml:lang="en"><surname>Ponomaryova</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пономарева Анастасия Алексеевна - кандидат биологических наук, научный сотрудник лаборатории молекулярной онкологии и иммунологии.</p><p>634009, Томск, пер. Кооперативный, 5</p><p>Researcher ID (WOS) D-8734-2012, Author ID (Scopus) 37116096000</p></bio><bio xml:lang="en"><p>Anastasia A. Ponomaryova - PhD, Researcher, Laboratory of Molecular Oncology and Immunology, Cancer Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences.</p><p>5, Kooperativny St., Tomsk, 634009</p><p>Researcher ID (WOS) D-8734-2012, Author ID (Scopus) 37116096000</p></bio><xref ref-type="aff" rid="aff-3"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-6104-4782</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Удут</surname><given-names>Е. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Udut</surname><given-names>E. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Удут Елена Владимировна - доктор медицинских наук, профессор, заведующая центральной научно-исследовательской лабораторией.</p><p>634050, Томск, Московский тракт, 2</p><p>Researcher ID (WOS) O-9807-2015, Author ID (Scopus) 6507329853</p></bio><bio xml:lang="en"><p>Elena V. Udut - DSc, Professor, Head of Central Research Laboratory, Siberian State Medical University of the Ministry of Health of Russia.</p><p>2, Moskovsky trakt, Tomsk, 634050</p><p>Researcher ID (WOS) O-9807-2015, Author ID (Scopus) 6507329853</p></bio><xref ref-type="aff" rid="aff-4"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>ФБУН «Государственный научный центр вирусологии и биотехнологии “Вектор” Роспотребнадзора»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>State Research Center of Virology and Biotechnology “Vector”, Rospotrebnadzor</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Научно-исследовательский институт онкологии, Томский национальный исследовательский медицинский центр Российской академии наук; ФГАОУ ВО «Национальный исследовательский Томский государственный университет»</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Cancer Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences; National Research Tomsk State University</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-3"><aff xml:lang="ru"><institution>Научно-исследовательский институт онкологии, Томский национальный исследовательский медицинский центр Российской академии наук</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Cancer Research Institute, Tomsk National Research Medical Center, Russian Academy of Sciences</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-4"><aff xml:lang="ru"><institution>ФГБОУ ВО «Сибирский государственный медицинский университет» Минздрава России</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Siberian State Medical University of the Ministry of Health of Russia</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>18</day><month>03</month><year>2025</year></pub-date><volume>24</volume><issue>1</issue><fpage>150</fpage><lpage>163</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Белявская В.А., Чердынцева Н.В., Литвяков Н.В., Пономарева А.A., Удут Е.В., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Белявская В.А., Чердынцева Н.В., Литвяков Н.В., Пономарева А.A., Удут Е.В.</copyright-holder><copyright-holder xml:lang="en">Belyavskaya V.A., Cherdyntseva N.V., Litviakov N.V., Ponomaryova A.A., Udut E.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.siboncoj.ru/jour/article/view/3456">https://www.siboncoj.ru/jour/article/view/3456</self-uri><abstract><p>Введение. Обзор фокусируется на роли пробиотиков в качестве альтернативных агентов для профилактики и лечения рака. В связи с этим в настоящем обзоре мы обсуждаем альтернативные биотерапевтические препараты для лечения рака, которые применяются в лабораторных условиях, in vivo и клинических исследованиях. Эти препараты включают живые или мертвые пробиотики и их метаболиты, в частности, короткоцепочечные жирные кислоты, ингибирующие соединения белка, полисахариды, нуклеиновые кислоты и феррихром. В обзоре представлены имеющиеся данные о взаимосвязи микробиома с развитием рака шейки матки, рака молочной железы и колоректального рака, а также данные о применении пробиотиков для профилактики и лечения рака. Материал и методы. Нами был проведен анализ современной литературы с использованием баз данных Pubmed и eLibrary. Из 140 статей на эту тему в обзор были включено 57. Результаты. Показано, что микробиом играет важную роль в поддержании клеточной и генетической стабильности в организме. Микробиом действует как защитный барьер от инфекционных агентов и при развитии различных патологических процессов, включая рак. Микробиом использует несколько стратегий для нейтрализации канцерогенных веществ. Предварительные клинические испытания показали, что пробиотики могут быть использованы для профилактики рака и могут влиять на эффективность противоопухолевой терапии. Однако для подтверждения данного предположения необходимы дальнейшие исследования. Современные противоопухолевые препараты часто имеют существенные недостатки, включая негативное влияние на качество жизни пациентов, развитие лекарственной устойчивости и высокую стоимость. Заключение. На эффективность пробиотической терапии влияют несколько факторов, таких как конкретный используемый штамм бактерий или грибков, применяемая дозировка, продолжительность лечения. В настоящем обзоре делается вывод о необходимости дальнейших клинических испытаний для подтверждения важной роли пробиотиков для профилактики и лечения рака. Необходимы более масштабные исследования для оценки как краткосрочных, так и долгосрочных эффектов пробиотиков, разработка стандартизированных методик. Применение таких подходов позволит снизить вероятность возникновения побочных эффектов и найти способ безопасного и эффективного применения пробиотиков в клинической практике.</p></abstract><trans-abstract xml:lang="en"><p>This review focuses on the role of probiotics as alternative prevention and treatment of cancer. In this regard, we discuss the alternative cancer biotherapeutic drugs including live or dead probiotics and their metabolites, such as short chain fatty acids, inhibitory compounds of protein, polysaccharide, nucleic acid and ferrichrome in vitro, in vivo and clinical studies. We also summarize the available data on the relationship between the development of cervical, breast and colorectal cancers, and microbiome, as well as data about the potential of probiotics as an alternative approach to cancer prevention and treatment. Material and methods. A literature search was conducted using the Pubmed and eLibrary databases. Of 140 publications, the review included 57 studies. Results. the microbiome plays a crucial role in maintaining cellular and genetic stability within the body. it acts as a defense mechanism against infectious agents and various pathological processes including, cancers. The microbiome employs several strategies to neutralize carcinogenic agents. Preliminary clinical trials have yielded promising results, suggesting that probiotics may contribute to cancer prevention and enhance both the safety and efficacy of cancer treatment. However, further research is needed to confirm this suggestion. Current anticancer drugs often have significant drawbacks, including negative impact on patients’ quality of life, development of drug resistance, and high cost. Conclusion. The effectiveness of probiotic therapies appears to be influenced by several factors, such as the specific bacterial or fungal strain used, the dosage administered, and the duration of treatment. The review emphasizes the need for further rigorous clinical trials to validate the significant role of probiotics in cancer prevention and treatment. While existing research indicates promising results from probiotic treatments primarily in controlled settings, more extensive studies are required to assess both short-and long-term effects and establish standardized methodologies. This will help minimize potential side effects and find the way for the safe and effective application of probiotics as a medical intervention.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>микробиом</kwd><kwd>пробиотики</kwd><kwd>рак молочной железы</kwd><kwd>колоректальный рак</kwd><kwd>гинекологический рак</kwd><kwd>профилактика и лечение рака</kwd></kwd-group><kwd-group xml:lang="en"><kwd>microbiome</kwd><kwd>probiotics</kwd><kwd>breast and colon cancer</kwd><kwd>gynecological cancers</kwd><kwd>cancer prevention and treatment</kwd></kwd-group><funding-group><funding-statement xml:lang="ru">Работа поддержана грантом Минобрнауки РФ № 075-15-2021-1073.</funding-statement><funding-statement xml:lang="en">The study was supported by the grant of the Ministry of Science and Higher Education of the Russian Federation No. 075-15-2021-1073.</funding-statement></funding-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Summer M., Ali S., Fiaz U., Tahir H.M., Ijaz M., Mumtaz S., Mushtaq R., Khan R., Shahzad H., Fiaz H. 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