4.8 Review

Targeting the gut and tumor microbiota in cancer

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SER-109, an Oral Microbiome Therapy for Recurrent Clostridioides difficile Infection

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Summary: SER-109 microbiome therapy is superior to placebo in reducing the risk of recurrent C. difficile infection, and has a similar safety profile as placebo.

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Cancer Induces a Stress Ileopathy Depending on β-Adrenergic Receptors and Promoting Dysbiosis that Contributes to Carcinogenesis

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Cross-cohort gut microbiome associations with immune checkpoint inhibitor response in advanced melanoma

Karla A. Lee et al.

Summary: An analysis of metagenomic sequencing of stool samples reveals the association between gut microbiome and response to immune checkpoint blockade therapy in melanoma patients. However, there is limited consistency in the microbiome-based signatures across different populations. Future studies should consider larger sample sizes and examine the complex interplay between clinical factors and the gut microbiome.

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Microbiota triggers STING-type I IFN-dependent monocyte reprogramming of the tumor microenvironment

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Hallmarks of response, resistance, and toxicity to immune checkpoint blockade

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Gut microbiota influence tumor development and Alter interactions with the human immune system

Yanshan Ge et al.

Summary: Recent scientific advances have shown the complex relationship between the gut microbiome and cancer. Changes in gut microbiota composition can lead to immune dysregulation, promoting chronic inflammation and tumor development. Gut microorganisms and their metabolites can affect inflammation and tumorigenesis in specific organs through various axes of interaction.

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Summary: Detailed analyses of B cells in the tumor microenvironment of HPV-linked head and neck cancers reveal strong humoral immune responses to HPV antigens and the secretion of HPV-specific antibodies in situ. The findings suggest that tumor-infiltrating B cells could potentially be utilized for the development of therapeutic agents in human cancer.

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Fecal microbiota transplant promotes response in immunotherapy-refractory melanoma patients

Erez N. Baruch et al.

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Nod1 promotes colorectal carcinogenesis by regulating the immunosuppressive functions of tumor-infiltrating myeloid cells

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Summary: The pioneering studies in the early 1980s indicated that bacterial peptidoglycan-derived muramyl peptides (MPs) have dual functions of either stimulation or immunosuppression depending on the chronicity of exposure. This study demonstrates the immunosuppressive potential of Nod1, the bacterial sensor of diaminopimelic acid (DAP)-containing MPs, in reprogramming macrophages and inducing myeloid-derived suppressor cells (MDSCs) to maintain their immunosuppressive activity, ultimately promoting tumor progression in colorectal cancer.

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Gladys Ferrere et al.

Summary: Limited experimental evidence suggests a link between nutrition and cancer immunosurveillance. This study demonstrates that ketogenic diet induces an anti-tumor effect through 3HB-mediated T cell-mediated cancer immunosurveillance. 3HB prevents immune checkpoint inhibition and promotes the expansion of specific T cells, while KD also leads to compositional changes in gut microbiota.

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The gut microbiome modulates the protective association between a Mediterranean diet and cardiometabolic disease risk

Dong D. Wang et al.

Summary: The study shows that a healthy Mediterranean-style diet is linked to specific functional and taxonomic components of the gut microbiome, and its protective effects on cardiometabolic health depend on microbial composition. In particular, the protective association between adherence to the Mediterranean diet and cardiometabolic disease risk is significantly stronger among participants with decreased abundance of Prevotella copri.

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Commensal bacteria promote endocrine resistance in prostate cancer through androgen biosynthesis

Nicolo Pernigoni et al.

Summary: The gut microbiota enriched for species capable of converting androgen precursors into active androgens was found to contribute to the onset of castration resistance in CRPC. Ablation of the gut microbiota by antibiotic therapy delayed the emergence of castration resistance in mice. Fecal microbiota transplantation from CRPC patients rendered mice resistant to castration.

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Dietary fiber and probiotics influence the gut microbiome and melanoma immunotherapy response

Christine N. Spencer et al.

Summary: The study suggests that dietary fiber intake is associated with significantly improved progression-free survival in melanoma patients receiving ICB treatment, especially without the use of probiotics. Preclinical studies demonstrate that a low-fiber diet or probiotics can impair the treatment response to anti-PD-1 therapy, leading to a lower frequency of interferon-gamma-positive cytotoxic T cells in the tumor microenvironment.

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Summary: The study demonstrated that fecal microbiota transplantation combined with anti-PD-1 therapy can overcome resistance to anti-PD-1 in a subset of PD-1 refractory melanoma patients, leading to clinical benefits. This approach induced changes in the gut microbiome and reprogrammed the tumor microenvironment, ultimately enhancing the efficacy of anti-PD-1 treatment.

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Daily caloric restriction limits tumor growth more effectively than caloric cycling regardless of dietary composition

Laura C. D. Pomatto-Watson et al.

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Common and Novel Markers for Measuring Inflammation and Oxidative Stress Ex Vivo in Research and Clinical Practice-Which to Use Regarding Disease Outcomes?

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Summary: Many chronic diseases are associated with low-grade inflammation, which is closely related to oxidative stress that can either cause or be caused by inflammation. Valid biomarkers can help detect and track the progression of oxidative stress/inflammation and evaluate treatment efficacy, and should be stable, non-invasive, affordable and easy to determine. Commonly used markers include acute-phase proteins, cytokines, and oxidative stress products, but novel markers also show promise.

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Uqba Khan et al.

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Multifaceted modes of action of the anticancer probiotic Enterococcus hirae

Anne-Gaelle Goubet et al.

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Gut microbial metabolites facilitate anticancer therapy efficacy by modulating cytotoxic CD8+ T cell immunity

Yao He et al.

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Haematological Malignancies in Older People 1 A comprehensive approach to therapy of haematological malignancies in older patients

Raul Cordoba et al.

Summary: Haematological malignancies are a diverse group of diseases with increasing incidence with age, particularly reaching a peak at 75-99 years, but overall survival is low for older adults, especially with acute leukaemias. Understanding the heterogeneity in outcomes, treatment challenges, and management of frailty and comorbidities among older patients can help physicians better address the burden and mortality of haematological cancers in aging populations.

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Gut microbiome is associated with the clinical response to anti-PD-1 based immunotherapy in hepatobiliary cancers

Jinzhu Mao et al.

Summary: This study investigated the relationship between gut microbiome and clinical response to anti-PD-1 immunotherapy in patients with advanced hepatobiliary cancers. Taxonomic signatures enriched in responders were effective biomarkers to predict the clinical response and survival benefit of immunotherapy. Functional annotation indicated that taxa associated with different metabolic pathways may modulate the clinical response to immunotherapy in hepatobiliary cancers.

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Tao Zeng et al.

Summary: In recent years, there has been a growing focus on the role of microbiome big data in gastrointestinal diseases, with the use of artificial intelligence technologies to extract relevant information.

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SCIENCE (2021)

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Erez N. Baruch et al.

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Hyo Shin Yoon et al.

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Gut microbiota signatures are associated with toxicity to combined CTLA-4 and PD-1 blockade

Miles C. Andrews et al.

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Enterococcus peptidoglycan remodeling promotes checkpoint inhibitor cancer immunotherapy

Matthew E. Griffin et al.

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SCIENCE (2021)

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Reece J. Knippel et al.

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Lisa Derosa et al.

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NAD+ supplement potentiates tumor-killing function by rescuing defective TUB-mediated NAMPT transcription in tumor-infiltrated T cells

Yuetong Wang et al.

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Benjamin Ruf et al.

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Hao Zhang et al.

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Ye Zhao et al.

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