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Modulating gut microbiome in cancer immunotherapy: Harnessing microbes to enhance treatment efficacy

Xing Kang (Nanyang Technological University, Chinese University of Hong Kong), Harry Cheuk-Hay Lau (Chinese University of Hong Kong, Chinese University of Hong Kong, Shenzhen), Jun Qing Yu (Chinese University of Hong Kong, Chinese University of Hong Kong, Shenzhen)

Cell Reports Medicine
DOI: 10.1016/j.xcrm.2024.101478 (Biochemistry, Genetics and Molecular Biology)
License: CC BY-NC-ND

Abstract: Immunotherapy has emerged as a robust approach against cancer, yet its efficacy has varied among individuals, accompanied by the occurrence of immune-related adverse events. As a result, the efficacy of immunotherapy is far from satisfactory, and enormous efforts have been invested to develop strategies to improve patient outcomes. The gut microbiome is now well acknowledged for its critical role in immunotherapy, with better understanding on host-microbes interaction in the context of cancer treatment. Also, an increasing number of trials have been conducted to evaluate the potential and feasibility of microbiome-targeting approaches to enhance efficacy of cancer treatment in patients. Here, the role of the gut microbiome and metabolites (e.g., short-chain fatty acids, tryptophan metabolites) in immunotherapy and the underlying mechanisms are explored. The application of microbiome-targeting approaches that aim to improve immunotherapy efficacy (e.g., fecal microbiota transplantation, probiotics, dietary intervention) is also elaborated, with further discussion on current challenges and suggestions for future research.

Published on 01 Apr. 2024