Chemotherapy modulation by a cancer-associated microbiota metabolite

Daniel Martinez-Martinez1, Tanara V Peres1, Kristin Gehling2

  • 1MRC Laboratory of Medical Sciences (LMS), Du Cane Road, London W12 0HS, UK; Institute of Clinical Sciences, Imperial College London, Hammersmith Hospital Campus, Du Cane Road, London W12 0HS, UK.

Cell Systems
|September 11, 2025
PubMed

Insights

Microbiome-produced 2-methylisocitrate inhibits cancer cell proliferation and enhances chemotherapy efficacy. This metabolite shows potential as a co-adjuvant for cancer therapy, improving treatment outcomes.

Area of Science:

  • Microbiology
  • Metabolomics
  • Cancer Biology
  • Pharmacology

Background:

  • Microbiota-derived metabolites play a crucial role in cancer development and treatment.
  • Understanding the molecular mechanisms of host-microbe interactions is vital for advancing cancer therapy.

Purpose of the Study:

  • To investigate the role of nutrition and microbial metabolites in the context of 5-fluorouracil (5-FU) chemotherapy.
  • To identify and characterize novel microbial metabolites with anti-cancer properties.

Main Methods:

  • A 4-way screening approach (host-microbe-drug-nutrient) was employed.
  • In vitro assays using cancer cell lines and 3D spheroids, and in vivo studies using a Drosophila gut tumor model.
  • Chemical landscape interaction screens and multi-omic analyses were performed.

Main Results:

  • The metabolite 2-methylisocitrate was identified as being produced by tumor-associated microbiota.
  • 2-methylisocitrate demonstrated anti-proliferative effects across diverse cancer models and improved survival in vivo.
  • Synergy was observed between 2-methylisocitrate and 5-fluorouracil, with the metabolite modulating chemotherapy response through metabolic and DNA damage pathways.
  • A trimethyl ester derivative of 2-methylisocitrate showed enhanced potency.

Conclusions:

  • Microbiome-derived 2-methylisocitrate possesses significant anti-tumor properties.
  • 2-methylisocitrate acts as a regulator of chemotherapy, linking metabolism and DNA damage.
  • This metabolite holds promise as a co-adjuvant for enhancing cancer treatment efficacy.

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