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Published on: March 10, 2015
Univariable and multivariable Mendelian randomization study identified the key role of gut microbiota in
Baike Liu1,2, Zheran Liu3, Tianxiang Jiang1,2
1Department of General Surgery, West China Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China.
Background:
In cancer patients receiving immune checkpoint inhibitors (ICIs), there is emerging evidence suggesting a correlation between gut microbiota and immune-related adverse events (irAEs). However, the exact roles of gut microbiota and the causal associations are yet to be clarified.
Methods:
To investigate this, we first conducted a univariable bi-directional two-sample Mendelian randomization (MR) analysis. Instrumental variables (IVs) for gut microbiota were retrieved from the MiBioGen consortium (18,340 participants). GWAS summary data for irAEs were gathered from an ICIs-treated cohort with 1,751 cancer patients. Various MR analysis methods, including inverse variance weighted (IVW), MR PRESSO, maximum likelihood (ML), weighted median, weighted mode, and cML-MA-BIC, were used. Furthermore, multivariable MR (MVMR) analysis was performed to account for possible influencing instrumental variables.
Results:
Our analysis identified fourteen gut bacterial taxa that were causally associated with irAEs. Notably, Lachnospiraceae was strongly associated with an increased risk of both high-grade and all-grade irAEs, even after accounting for the effect of BMI in the MVMR analysis. Akkermansia, Verrucomicrobiaceae, and Anaerostipes were found to exert protective roles in high-grade irAEs. However, Ruminiclostridium6, Coprococcus3, Collinsella, and Eubacterium (fissicatena group) were associated with a higher risk of developing high-grade irAEs. RuminococcaceaeUCG004, and DefluviitaleaceaeUCG011 were protective against all-grade irAEs, whereas Porphyromonadaceae, Roseburia, Eubacterium (brachy group), and Peptococcus were associated with an increased risk of all-grade irAEs.
Conclusions:
Our analysis highlights a strong causal association between Lachnospiraceae and irAEs, along with some other gut microbial taxa. These findings provide potential modifiable targets for managing irAEs and warrant further investigation.
Insights
Gut bacteria like Lachnospiraceae are causally linked to immune-related adverse events (irAEs) in cancer patients on immune checkpoint inhibitors (ICIs). Some microbes may protect against irAEs, offering potential targets for management.
Area of Science:
- Microbiome research
- Immunology
- Oncology
Background:
- Emerging evidence links gut microbiota to immune-related adverse events (irAEs) in cancer patients receiving immune checkpoint inhibitors (ICIs).
- The precise causal roles of gut microbes in irAE development remain unclear.
Purpose of the Study:
- To investigate the causal associations between specific gut bacterial taxa and irAEs in patients treated with ICIs.
- To identify potential microbial biomarkers or therapeutic targets for managing irAEs.
Main Methods:
- Utilized univariable and multivariable Mendelian randomization (MR) analysis.
- Employed instrumental variables for gut microbiota from the MiBioGen consortium (18,340 participants).
- Analyzed GWAS summary data for irAEs from an ICI-treated cohort (1,751 patients) using various MR methods.
Main Results:
- Identified fourteen gut bacterial taxa causally associated with irAEs.
- Lachnospiraceae showed a strong association with increased risk of high-grade and all-grade irAEs.
- Akkermansia, Verrucomicrobiaceae, and Anaerostipes were protective against high-grade irAEs, while Ruminiclostridium6, Coprococcus3, Collinsella, and Eubacterium (fissicatena group) increased risk.
Conclusions:
- Established a strong causal link between Lachnospiraceae and irAEs, alongside other microbial taxa.
- Findings suggest gut microbiota modulation as a potential strategy for managing irAEs in ICI-treated cancer patients.
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