TY - JOUR AU - Huang, Xingxing AU - Pan, Ting AU - Yan, Lili AU - Jin, Ting AU - Zhang, Ruonan AU - Chen, Bi AU - Feng, Jiao AU - Duan, Ting AU - Xiang, Yu AU - Zhang, Mingming AU - Chen, Xiaying AU - Yang, Zuyi AU - Zhang, Wenzheng AU - Ding, Xia AU - Xie, Tian AU - Sui, Xinbing PY - 2021 TI - The inflammatory microenvironment and the urinary microbiome in the initiation and progression of bladder cancer JO - Genes & Diseases SN - 2352-4820 SP - 781 EP - 797 VL - 8 IS - 6 AB - Accumulating evidence suggests that chronic inflammation may play a critical role in various malignancies, including bladder cancer. This hypothesis stems in part from inflammatory cells observed in the urethral microenvironment. Chronic inflammation may drive neoplastic transformation and the progression of bladder cancer by activating a series of inflammatory molecules and signals. Recently, it has been shown that the microbiome also plays an important role in the development and progression of bladder cancer, which can be mediated through the stimulation of chronic inflammation. In effect, the urinary microbiome can play a role in establishing the inflammatory urethral microenvironment that may facilitate the development and progression of bladder cancer. In other words, chronic inflammation caused by the urinary microbiome may promote the initiation and progression of bladder cancer. Here, we provide a detailed and comprehensive account of the link between chronic inflammation, the microbiome and bladder cancer. Finally, we highlight that targeting the urinary microbiome might enable the development of strategies for bladder cancer prevention and personalized treatment. UR - https://doi.org/10.1016/j.gendis.2020.10.002 DO - 10.1016/j.gendis.2020.10.002