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Although genetic background is known to contribute to colon carcinogenesis, the exact etiology of the disease remains elusive. Theorgan’s extensive interaction with microbes necessitated research on the role of microbiota on development of colon cancer. In thisreview, we summarized the defense mechanism of colon from foreign organism, and germ-free animal models that have been employedto elucidate microbial effect. We also comprehensively discussed the metabolic property of microbiota such as butyrate production,facilitation of heme toxicity, bile acid transformation, and nitrate reduction that has been shown to contribute to the development ofthe tumor. Finally, up-to-date subjects such as the effect of age and gender on microbiota are briefly discussed.
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