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Published on: February 28, 2018
Antibiotic-Related Changes in Microbiome: The Hidden Villain behind Colorectal Carcinoma Immunotherapy Failure
Tsvetelina Velikova1, Boris Krastev2, Stefan Lozenov3
1Department of Clinical Immunology, University Hospital Lozenetz, Sofia University St. Kliment Ohridski, Kozyak 1 Str., 1407 Sofia, Bulgaria.
Abstract:
The interplay between drugs and microbiota is critical for successful treatment. An accumulating amount of evidence has identified the significant impact of intestinal microbiota composition on cancer treatment response, particularly immunotherapy. The possible molecular pathways of the interaction between immune checkpoint inhibitors (ICIs) and the microbiome can be used to reverse immunotherapy tolerance in cancer by using various kinds of interventions on the intestinal bacteria. This paper aimed to review the data available on how the antibiotic-related changes in human microbiota during colorectal cancer (CRC) treatment can affect and determine ICI treatment outcomes. We also covered the data that support the potential intimate mechanisms of both local and systemic immune responses induced by changes in the intestinal microbiota. However, further better-powered studies are needed to thoroughly assess the clinical significance of antibiotic-induced alteration of the gut microbiota and its impact on CRC treatment by direct observations of patients receiving antibiotic treatment.
Insights
Antibiotics can alter gut bacteria, impacting colorectal cancer immunotherapy effectiveness. Understanding these gut microbiota changes is crucial for improving patient outcomes with immune checkpoint inhibitors.
Area of Science:
- Oncology
- Microbiology
- Immunology
Background:
- The gut microbiome significantly influences cancer treatment response, especially immunotherapy.
- Intestinal microbiota composition affects patient outcomes with immune checkpoint inhibitors (ICIs).
Purpose of the Study:
- To review how antibiotic-induced changes in gut microbiota affect ICI treatment outcomes in colorectal cancer (CRC).
- To explore the mechanisms linking gut microbiota alterations to immune responses during CRC treatment.
Main Methods:
- Literature review of studies investigating antibiotic use, gut microbiota, and ICI response in CRC patients.
- Analysis of data on molecular pathways and immune system interactions.
Main Results:
- Antibiotic administration can alter the gut microbiome, potentially impacting the efficacy of immune checkpoint inhibitors.
- Changes in gut microbiota composition are associated with both local and systemic immune responses.
Conclusions:
- Antibiotic-induced alterations in gut microbiota may significantly influence colorectal cancer treatment outcomes.
- Further robust clinical studies are necessary to confirm the impact of gut microbiota modifications on CRC patients receiving antibiotics and ICIs.
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