Manipulating Gut Microbiota Composition to Enhance the Therapeutic Effect of Cancer Immunotherapy
Open accessAbstract
In the past decade, a growing set of immunotherapies including immune checkpoint blockade, chimeric antigen receptor T cells, and bispecific antibodies propelled the advancement of oncology therapeutics. Accumulating evidence demonstrates that immunotherapy could eliminate tumors better than traditional chemotherapy or radiotherapy with lower risk of adverse events in numerous cancer types. Unfortunately, a substantial proportion of patients eventually acquire resistance to immunotherapy. By analyzing the differences between immunotherapy-sensitive and immunotherapy-resistant populations, it was noticed that the composition of gut microbiota is closely related to treatment effect. Moreover, in xenograft models, interventional regulation of gut microbiota could effectively enhance efficacy and relieve resistance during immunotherapy. Thus, we believe that gut microbiota composition might be helpful to explain the heterogeneity of treatment effect, and manipulating gut microbiota could be a promising adjuvant treatment for cancer immunotherapy. In this mini review, we focus on the latest understanding of the cross-talk between gut microbiota and host immunity. Moreover, we highlight the role of gut microbiota in cancer immunotherapy including immune checkpoint inhibitor and adoptive cell transfer.
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Bacteria including Bacteroidales, Ruminococcus obeum, and Roseburia intestinalis increased immunoinhibitory components such as MDSC and Treg, impairing the efficacy of immunotherapy.
“Conversely, bacteria including Bacteroidales, Ruminococcus obeum, and Roseburia intestinalis increased the immunoinhibitory components such as MDSC and Treg, impairing the efficacy of immunotherapy [313].”
From Combination strategies with PD-1/PD-L1 blockade: current advances and future directions (2022) · cites this paper as [313]
Specific bacteria including Bifidobacterium, Faecalibacterium, Akkermansia muciniphila, and Bacteroides fragilis enhanced the functions of DC and T cells, contributing to a better response to immunotherapy.
“Some specific bacteria including Bifidobacterium, Faecalibacterium, Akkermansia muciniphila, and Bacteroides fragilis enhanced the functions of DC and T cells, contributing to the better response to immunotherapy [313].”
From Combination strategies with PD-1/PD-L1 blockade: current advances and future directions (2022) · cites this paper as [313]
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Self-citation
- Authors
- Yi, M., Jiao, D., Qin, S., Chu, Q., Li, A., & Wu, K.
- Affiliations
- Tongji Hospital (CN)
- First Affiliated Hospital of Zhengzhou University (CN)
- Corresponding author
- Wu, Kongming
- Venue
- Integrative Cancer Therapies
- Publisher
- SAGE Publications
- Published
- 2019-01
- Volume
- 18
- Pages
- 1534735419876351-1534735419876351
- ISSN
- 1534-7354 (ISSN-L)
- 1552-695X
- PMC
- PMC7242797
- OpenAlex
- W2973032531
- Cited by
- 69
- References
- 110
- Citations by year
- 2026: 1 · 2025: 10 · 2024: 9 · 2023: 15 · 2022: 17 · 2021: 9 · 2020: 5 · 2018: 3
- FWCI
- 0.68
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Integrative Cancer Therapies (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Natural Science Foundation of China (81874120, 81672984, 81572608)
- wuhan municipal science and technology bureau (2017060201010170)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Health Sciences › Medicine › Oncology › Cancer Immunotherapy and Biomarkers
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biotechnology › Cancer Research and Treatments
- Keywords
- gut microbiota, cancer immunotherapy, immune checkpoint inhibitors, immunotherapy resistance, adoptive cell transfer, chimeric antigen receptor T cells, bispecific antibodies, xenograft models, microbiota modulation
- MeSH terms
- Gastrointestinal Microbiome, Animals, Antibodies, Monoclonal, Humans, Immunity, Immunotherapy, Neoplasms
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