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. 2021 Jan 20;22(3):1026. doi: 10.3390/ijms22031026

Table 1.

Summary of the potential effects of gut microbiota on anticancer agents used in clinical hematology.

Mechanism Outcome Involved Drug (s)
Enzymatic modification of the drugs Decreased levels Cladribine, gemcitabine, doxorubicin, Idarubicin, etoposide, mitoxantrone [99]
Increased activity Fludarabine, 6-Mercaptopurine [99]
Translocation of Gram-positive bacteria Generation of Th17 and Th1 lymphocytes Cyclophosphamide [74]
Modulation of genotoxicity Reduction of DNA damage and apoptosis Oxaliplatin, cisplatin [87]