The intratumoral microbiota: friend or foe?

Valentina Ferrari1, Maria Rescigno2

  • 1IRCSS Humanitas Research Hospital, Milan, Italy.

Trends in Cancer
|April 15, 2023
PubMed

Insights

The intratumoral microbiota plays a dual role in cancer, potentially promoting tumor growth and metastasis, but also offering avenues for antitumor immune responses. Understanding the balance of microbes is key for cancer therapy.

Area of Science:

  • Oncology
  • Microbiology
  • Immunology

Background:

  • The intratumoral microbiota, microbes within tumors, influences cancer progression.
  • It can promote tumor evasion through DNA damage, epithelial-mesenchymal transition, drug inactivation, immune suppression, and metastasis.
  • Conversely, it can also stimulate anti-tumor immune responses.

Purpose of the Study:

  • To explore the multifaceted role of the intratumoral microbiota in cancer.
  • To investigate how microbial composition impacts tumor evasion and immune surveillance.
  • To highlight the potential of harnessing microbial interactions for cancer immunotherapy.

Main Methods:

  • Literature review and synthesis of current research on intratumoral microbiota.
  • Analysis of mechanisms by which microbes affect tumor biology and host immunity.
  • Comparative analysis with gut microbiota research.

Main Results:

  • Intratumoral microbes can drive tumor progression and metastasis via multiple mechanisms.
  • These microbes can also activate bacterial antigen-specific immune responses beneficial for cancer treatment.
  • The balance between beneficial (symbionts) and harmful (pathobionts) microbes is crucial.

Conclusions:

  • The intratumoral microbiota exhibits a complex, dual role in cancer, acting as both a promoter and a potential target.
  • Further research is essential to elucidate the precise mechanisms and therapeutic potential of manipulating the intratumoral microbiome.
  • The ratio of symbionts to pathobionts likely dictates the overall impact on cancer outcomes.

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