Colorectal cancer is considered a leading
cause of cancer mortality, the third most common cancer in men but the second
in women, worldwide, with a high 5 year recurrence rates for patients. Since
developments in therapeutic strategies still have limitations in improving the
survival rate of colorectal cancer patients, CRC is considered one of these
types of cancers for which the mortality regressions comes significantly as a
results of earlier detection and prevention making chemoprevention an
attractive strategy for this disease. Contrary to common chemo-preventive
agents which long administration brings unknown risk factors and possible
toxicity, probiotics have been shown more safety, reduced cancer recurrence andtoxicity in CRC patients. Some of these probiotic formulations contained lactic
acid bacteria (LAB) of which many were used in biopharmaceutical supplements
for CRC patients. As in the different stages of carcinogenesis, apoptosis and
cell proliferation come as key factors, studies showed that many Lactobacilli
extracts induced cell death, cell differentiation and apoptosis in cancer
cells, in some cases, by the production of anti-carcinogenic products such as
short chain fatty acids (SCFAs) and conjugated linoleic acid (CLA).
In fact, L. acidophilus and L. rhamnosus have
showed a potential effect in colon cancer suppression, while for some speciessuch as L. reuteri, only recently shown to possess probiotic efficacy, are lessinvestigated. Most of the studies on L. reuteri bacteria focused on their
ability to affect the production in intestinal environment, while very few
showed production of SCFAs.

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