The emerging tumor microbe microenvironment: From delineation to multidisciplinary approach-based interventions
Open accessAbstract
Intratumoral microbiota has become research hotspots, and emerges as a non-negligent new component of tumor microenvironments (TME), due to its powerful influence on tumor initiation, metastasis, immunosurveillance and prognosis despite in low-biomass. The accumulations of microbes, and their related components and metabolites within tumor tissues, endow TME with additional pluralistic features which are distinct from the conventional one. Therefore, it’s definitely necessary to comprehensively delineate the sophisticated landscapes of tumor microbe microenvironment, as well as their functions and related underlying mechanisms. Herein, in this review, we focused on the fields of tumor microbe microenvironment, including the heterogeneity of intratumor microbiota in different types of tumors, the controversial roles of intratumoral microbiota, the basic features of tumor microbe microenvironment (i.e., pathogen-associated molecular patterns (PAMPs), typical microbial metabolites, autophagy, inflammation, multi-faceted immunomodulation and chemoresistance), as well as the multidisciplinary approach-based intervention of tumor microbiome for cancer therapy by applying wild-type or engineered live microbes, microbiota metabolites, antibiotics, synthetic biology and rationally designed biomaterials. We hope our work will provide valuable insight to deeply understand the interplay of cancer-immune-microbial, and facilitate the development of microbes-based tumor-specific treatments.
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Tumor microenvironment microbes produce pro-proliferative metabolites.
“These microbes interact with both tumor and immune cells, influencing tumor dynamics by modulating immune responses, producing pro-proliferative metabolites, and reshaping the structural and biochemical landscape of the TME [38–40]”
From Phage therapy in oncology: opportunities for cancer prevention and treatment (2026) · cites this paper as [38]
The section on the pro-tumorigenic roles of intratumoral microbiota says that microbes secrete metabolites that promote tumorigenesis, and the section on microbial-metabolite interactions describes cancer-promoting examples (page numbers unavailable). These passages support production of pro-tumor metabolites, but do not specifically establish that the metabolites promote tumor-cell proliferation. (LLM, conf=0.79)
Experimental — accuracy not yet measuredTumor microenvironment microbes reshape the structural and biochemical landscape of the tumor microenvironment.
“These microbes interact with both tumor and immune cells, influencing tumor dynamics by modulating immune responses, producing pro-proliferative metabolites, and reshaping the structural and biochemical landscape of the TME [38–40]”
From Phage therapy in oncology: opportunities for cancer prevention and treatment (2026) · cites this paper as [38]
The Introduction says that microbes, their residues, and metabolites give the TME additional features, supporting a changed biochemical landscape. It also describes organized, less-vascularized microbial niches as suggesting a potential contribution to TME heterogeneity, but does not establish that microbes reshape the TME’s structure. (LLM, conf=0.79)
Experimental — accuracy not yet measuredTumor microenvironment microbes influence tumor dynamics by modulating immune responses.
“These microbes interact with both tumor and immune cells, influencing tumor dynamics by modulating immune responses, producing pro-proliferative metabolites, and reshaping the structural and biochemical landscape of the TME [38–40]”
From Phage therapy in oncology: opportunities for cancer prevention and treatment (2026) · cites this paper as [38]
Tumor microenvironment microbes interact with both tumor and immune cells.
“These microbes interact with both tumor and immune cells, influencing tumor dynamics by modulating immune responses, producing pro-proliferative metabolites, and reshaping the structural and biochemical landscape of the TME [38–40]”
From Phage therapy in oncology: opportunities for cancer prevention and treatment (2026) · cites this paper as [38]
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The metabolic dialogue between intratumoural microbes and cancer: implications for immunotherapy
Situ, Y., Zhang, P., Zhang, C., Jiang, A., Zhang, N., Zhu, L., Mou, W., Liu, Z., Wong, H. Z. H., Zhang, J., et al. (2025) · eBioMedicine · doi:10.1016/j.ebiom.2025.105708 · Cited by 45 · see citing works
Phage therapy in oncology: opportunities for cancer prevention and treatment
Mutalik, V. K., Inman, J. L., Chang, H., Arkin, A., & Mao, J.-H. (2026) · Trends in Molecular Medicine · doi:10.1016/j.molmed.2026.02.001 · Cited by 5 · see citing works
- Authors
- Fu, Y., Li, J., Cai, W., Huang, Y., Liu, X., Ma, Z., Tang, Z., Bian, X., Zheng, J., Jiang, J., & Li, C.
- Affiliations
- Southwest University (CN)
- Army Medical University (CN)
- Corresponding author
- Zheng, Ji
- Jiang, Jiayun
- Li, Chong
- Venue
- Acta Pharmaceutica Sinica B
- Publisher
- Elsevier BV
- Published
- 2024-04
- Volume
- 14
- Issue
- 4
- Pages
- 1560-1591
- ISSN
- 2211-3835 (ISSN-L)
- PMC
- PMC10985043
- OpenAlex
- W4388706621
- Cited by
- 48
- References
- 30
- Citations by year
- 2026: 20 · 2025: 19 · 2024: 9
- FWCI
- 1.27
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Acta Pharmaceutica Sinica B (publishedVersion, cc-by-nc-nd)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (82204281, CX2019LC107)
- Natural Science Foundation of Chongqing (cstc2021jcyj, cstc2021jcyj-msxmX0544)
- Army Medical University (CX2019LC107)
- Centre Scientifique et Technique du Bâtiment
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biotechnology › Cancer Research and Treatments
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Keywords
- intratumoral microbiota, tumor microenvironment, tumor microbiome, microbial metabolites, pathogen-associated molecular patterns, autophagy, inflammation, immunomodulation, chemoresistance, cancer immunotherapy, antibiotics, synthetic biology, biomaterials
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