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The purpose of this process is to clarify the characteristics of gut microbiota changes in patients with locally advanced rectal cancer undergoing preoperative neoadjuvant treatment, and to identify key bacterial species closely related to sensitivity to radiotherapy. This aims to elucidate the mechanism linking gut microbiome dysbiosis with radiotherapy sensitivity, thereby providing new combined treatment strategies to enhance the efficacy of radiotherapy.
The study is expected to enroll 100 patients with locally advanced rectal cancer, including 50 patients in the radiotherapy-sensitive group and 50 in the radiotherapy-resistant group. Each participant will provide stool and blood samples before treatment for subsequent metagenomic and metabolomic sequencing analysis.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Radiosensitive group |
| ||
| The radiotherapy-insensitive group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| No intervention | Other | No intervention |
|
| Measure | Description | Time Frame |
|---|---|---|
| Diameter of tumor | The tumor diameter before and after radiotherapy and the reduced tumor diameter after treatment were calculated | 30 days |
| Measure | Description | Time Frame |
|---|---|---|
| Change in Gut Microbiota Composition | Change in gut microbiota composition, including alterations in bacterial taxa, diversity, and abundance, between rectal cancer patients sensitive to radiotherapy and a control group of patients insensitive to radiotherapy. | 30 days |
| Change in Plasma metabolites |
| Measure | Description | Time Frame |
|---|---|---|
| Five-year survival rate | 5 year |
Inclusion Criteria:
Exclusion Criteria:
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This study will enroll 100 patients with locally advanced rectal cancer, aged 18-75, scheduled for neoadjuvant treatment. Participants will be divided into two groups of 50: one sensitive to radiotherapy and the other resistant. Each will provide stool and blood samples for metagenomic and metabolomic sequencing to investigate the gut microbiome's role in radiotherapy sensitivity. This will aid in identifying predictive biomarkers for personalized treatment strategies.
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Feces;Blood
Metabolomics sequencing, including profiling of metabolites and their differences, was performed on patients' plasma before radiotherapy. |
| 30 days |