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Cancer and immunotherapy: a role for microbiota composition.
Fiona Pham1, Fabien Moinard-Butot2, Clélia Coutzac3
1Department of Pharmacy, Hôpital Henri Mondor, AP-HP Créteil, F-94000, France; Department of Pharmacy, Centre Intercommunal de Créteil Créteil, F-94000, France.
Gut microbiota composition influences cancer treatment response, particularly with immune checkpoint blockers (ICBs). Modulating the microbiome may enhance ICB efficacy and reduce toxicities, offering new therapeutic strategies.
Area of Science:
- Microbiome research
- Cancer immunology
- Pharmacology
Background:
- The human gut microbiota is crucial for maintaining health and homeostasis.
- Alterations in gut microbiota composition are linked to various diseases.
- Recent research highlights the gut microbiome's potential role in cancer treatment response.
Purpose of the Study:
- To review the relationship between microbiome composition and response to immune checkpoint blockers (ICBs).
- To explore the influence of microbiota-derived metabolites on ICB efficacy and immune-related adverse events.
- To discuss strategies for modulating the gut microbiota to improve cancer treatment outcomes.
Main Methods:
- Literature review of studies investigating the gut microbiome and ICB therapy.
- Analysis of data correlating microbiome composition with patient response to ICBs.
- Examination of research on microbiota-derived metabolites and their impact on cancer treatment.
Main Results:
- Gut microbiota composition is associated with patient response to ICBs.
- Specific microbial metabolites may predict or influence ICB efficacy.
- Microbiota modulation strategies are being explored to enhance treatment outcomes.
Conclusions:
- The gut microbiome represents a promising biomarker for predicting ICB response in cancer patients.
- Targeting the microbiome offers potential for improving ICB efficacy and managing toxicities.
- Microbiome modulation could emerge as a complementary approach in cancer therapy.
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