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Immunotherapy is a treatment that boosts or manipulates the immune system to fight diseases, including cancer. For instance, by stimulating an immune response through vaccinations against viruses that cause cancers, like hepatitis B virus and human papillomavirus, these diseases can be prevented. Nonetheless, some cancer cells can avoid the immune system due to their rapid mutation and division. The immune response to many cancers involves three phases: elimination, equilibrium, and escape.
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  6. Microbiota-derived Urocanic Acid Triggered By Tyrosine Kinase Inhibitors Potentiates Cancer Immunotherapy Efficacy

Microbiota-derived urocanic acid triggered by tyrosine kinase inhibitors potentiates cancer immunotherapy efficacy

Mengying Zhang1, Zhonghong Wei2, Bin Wei3

  • 1Key Laboratory of Drug Metabolism and Pharmacokinetics, State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing 210009, China.

Cell Host & Microbe
|May 29, 2025

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View abstract on PubMed

Summary
This summary is machine-generated.

Tyrosine kinase inhibitors (TKIs) enhance immunotherapy by boosting the gut microbe Muribaculum and its metabolite urocanic acid (UCA). UCA reduces suppressor cells, improving cancer treatment response and serving as a predictive biomarker.

Area of Science:

  • Oncology
  • Microbiology
  • Immunology

Background:

  • Host-gut microbiota interactions significantly impact cancer progression and treatment efficacy.
  • Tyrosine kinase inhibitors (TKIs) combined with immune checkpoint blockade (ICB) improve outcomes, but patient responses vary.
  • Mediators of this heterogeneity in response to cancer therapies are not fully understood.

Purpose of the Study:

  • To investigate the role of gut microbiota and its metabolites in mediating responses to combined TKI and ICB cancer therapy.
  • To identify potential biomarkers for predicting patient response to immunotherapy.

Main Methods:

  • Analysis of gut microbiota composition and metabolite levels in cancer patients undergoing TKI and ICB treatment.
  • Mechanistic studies involving urocanic acid (UCA) and its effect on myeloid-derived suppressor cells (MDSCs) and the CXCL1-CXCR2 signaling pathway.
Keywords:
Muribaculumgut microbiotaimmune checkpoint blockadetyrosine kinase inhibitors

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  • In vitro experiments to elucidate the molecular interaction between UCA and IκBα.
  • Main Results:

    • TKIs increase the abundance of Muribaculum and its metabolite urocanic acid (UCA).
    • UCA reduces MDSC recruitment via the CXCL1-CXCR2 axis by inhibiting p65 in tumor vascular endothelial cells.
    • Clinical ICB responders exhibit higher fecal UCA concentrations and Muribaculum gordoncarteri levels compared to non-responders.

    Conclusions:

    • The gut microbial metabolite urocanic acid (UCA) plays a crucial role in potentiating the response to immune checkpoint blockade (ICB).
    • UCA and Muribaculum gordoncarteri are identified as potential predictive biomarkers for cancer immunotherapy response.
    • Targeting the gut microbiota and its metabolites may offer novel strategies to improve cancer treatment outcomes.
    urocanic acid