Bifidobacterium can mitigate intestinal immunopathology in the context of CTLA-4 blockade
Open accessAbstract
Significance: The major stumbling block in the use of checkpoint inhibitors for cancer treatment is the severe autoimmunity that often results. In this study, we found the toxicity of a checkpoint blockade antibody can be ameliorated via administration of Bifidobacterium , a widely available probiotic. These results suggest that it may be possible to mitigate the autoimmunity caused by anti–CTLA-4 and perhaps other checkpoint inhibitors by manipulating gut microbiota.
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Mouse models have verified that Bifidobacteria, Bacteroides fragilis, and Burkholderia cepacia can ameliorate intestinal immunopathology in the context of anti-CTLA-4 therapy.
“Mouse models have verified that Bifidobacteria, Bacteroides fragilis, and Burkholderia cepacia can ameliorate intestinal immunopathology in the context of anti-CTLA-4 therapy [17, 125, 126].”
From Gut microbiota influence immunotherapy responses: mechanisms and therapeutic strategies (2022) · cites this paper as [125]
Gut microbiota correlated with the occurrence of immune-related adverse events (irAEs) induced by ICIs.
“gut microbiota also correlated with the occurrence of immune-related adverse events (irAEs) induced by ICIs.”
From Gut microbiota-mediated immunomodulation in tumor (2021) · cites this paper as [106]
In pre-clinical models, targeting specific bacterial taxa may reduce ICI-related toxicity.
“and have shown that targeting specific bacterial taxa may abrogate ICI-related toxicity in pre-clinical models17.”
From Fecal microbiota transplantation for refractory immune checkpoint inhibitor-associated colitis (2018) · cites this paper as [17]
Patient 1 had an expansion of Bifidobacterium after FMT, which has been reported to reduce ICI-related toxicity in mice.
“Of note, the patient also showed an expansion of Bifidobacterium after FMT, which recently was reported to abrogate ICI-related toxicity in a murine model17”
From Fecal microbiota transplantation for refractory immune checkpoint inhibitor-associated colitis (2018) · cites this paper as [17]
In patient 2, Blautia and Bifidobacterium increased after FMT, and these have been linked to less intestinal inflammation.
“In the second patient, there was a notable increase in the abundance of Blautia and Bifidobacterium species after FMT, which have been associated with reduced intestinal inflammation”
From Fecal microbiota transplantation for refractory immune checkpoint inhibitor-associated colitis (2018) · cites this paper as [17]
Bifidobacterium treatment reduces weight loss following CTLA-4 blocking therapy in a standard colitis mouse model.
“Bifidobacterium treatment reduces weight loss following CTLA-4 blocking therapy in a standard colitis mouse model (83).”
From Gut Microbiome as a Potential Factor for Modulating Resistance to Cancer Immunotherapy (2020) · cites this paper as [83]
Bifidobacterium mitigates gut immunopathology without compromising the effects of immunotherapy.
“In addition, decreased secretion of inflammatory cytokines such as KC, IL-6, and CFS3 as observed with the same growth kinetics of the tumor, indicating that Bifidobacterium mitigates gut immunopathology without compromising on the effects of immunotherapy.”
From Gut Microbiome as a Potential Factor for Modulating Resistance to Cancer Immunotherapy (2020) · cites this paper as [83]
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References 28 · Cited by 223
- Authors
- Wang, F., Yin, Q., Chen, L., & Davis, M. M.
- Affiliations
- Howard Hughes Medical Institute (US)
- Stanford Medicine (US)
- Venue
- Proceedings of the National Academy of Sciences
- Publisher
- National Academy of Sciences
- Published
- 2017-12-18
- Volume
- 115
- Issue
- 1
- Pages
- 157-161
- ISSN
- 0027-8424 (ISSN-L)
- 1091-6490
- PMC
- PMC5776803
- OpenAlex
- W2779119900
- Cited by
- 223
- References
- 28
- Citations by year
- 2026: 13 · 2025: 27 · 2024: 32 · 2023: 38 · 2022: 31 · 2021: 29 · 2020: 30 · 2019: 17 · 2018: 6
- FWCI
- 6.39
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Proceedings of the National Academy of Sciences (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Howard Hughes Medical Institute (NA)
- Parker Foundation (NA)
- Topics
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Keywords
- Bifidobacterium, probiotics, CTLA-4 blockade, immune checkpoint inhibitors, immune-related adverse events, autoimmunity, gut microbiota, cancer immunotherapy toxicity
- MeSH terms
- Animals, Bifidobacterium, Colitis, Mice, Transgenic, Vancomycin, Mice, Antibodies, Neutralizing, CTLA-4 Antigen
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