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Updated: Sep 25, 2025

A Robust Discovery Platform for the Identification of Novel Mediators of Melanoma Metastasis
Published on: March 8, 2022
The cure from within? a review of the microbiome and diet in melanoma
Priyanka Kumar1, Danielle Brazel1, Julia DeRogatis2
1Department of Medicine, University of California Irvine, Orange, CA, USA.
Abstract:
Therapy for cutaneous melanoma, the deadliest of the skin cancers, is inextricably linked to the immune system. Once thought impossible, cures for metastatic melanoma with immune checkpoint inhibitors have been developed within the last decade and now occur regularly in the clinic. Unfortunately, half of tumors do not respond to checkpoint inhibitors and efforts to further exploit the immune system are needed. Tantalizing associations with immune health and gut microbiome composition suggest we can improve the success rate of immunotherapy. The gut contains over half of the immune cells in our bodies and increasingly, evidence is linking the immune system within our gut to melanoma development and treatment. In this review, we discuss the importance the skin and gut microbiome may play in the development of melanoma. We examine the differences in the microbial populations which inhabit the gut of those who develop melanoma and subsequently respond to immunotherapeutics. We discuss the role of dietary intake on the development and treatment of melanoma. And finally, we review the landscape of published and registered clinical trials therapeutically targeting the microbiome in melanoma through dietary supplements, fecal microbiota transplant, and microbial supplementation.
Insights
The gut microbiome influences melanoma immunotherapy effectiveness. Research explores targeting gut bacteria through diet and transplants to improve cancer treatment outcomes for patients with melanoma.
Area of Science:
- Immunology
- Oncology
- Microbiology
Background:
- Cutaneous melanoma therapy increasingly relies on the immune system.
- Immune checkpoint inhibitors offer cures for metastatic melanoma but only benefit half of patients.
- The gut microbiome's role in immune health and melanoma development/treatment is an emerging area of research.
Purpose of the Study:
- To review the significance of the skin and gut microbiome in melanoma development.
- To examine microbial population differences in melanoma patients responding to immunotherapy.
- To discuss dietary impacts and therapeutic strategies targeting the microbiome in melanoma treatment.
Main Methods:
- Literature review of scientific publications.
- Analysis of clinical trial data (published and registered).
- Examination of microbial population differences and their correlation with treatment response.
Main Results:
- The gut microbiome composition differs in individuals with melanoma and those who respond to immunotherapy.
- Dietary intake significantly influences melanoma development and treatment efficacy.
- Various therapeutic approaches targeting the microbiome are under investigation.
Conclusions:
- The gut microbiome is a critical factor in melanoma immunotherapy.
- Modulating the gut microbiome via diet or transplantation holds promise for enhancing melanoma treatment.
- Further research and clinical trials are essential to optimize microbiome-based melanoma therapies.
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