Microbiome Modulation in Lung Cancer Immunotherapy: Unveiling the Role of Respiratory and Gut Microbiota in the

Yuanyuan Xu1, Yixing Tao1, Hanbo Pan1

  • 1Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai Jiao Tong University School of Medicine, 200030 Shanghai, China.

Insights

The gut and respiratory microbiome influence lung cancer immunotherapy. Modulating the microbiome with probiotics or fecal transplants may improve treatment outcomes for cancer patients.

Area of Science:

  • Oncology
  • Immunology
  • Microbiome Research

Background:

  • Lung cancer is a leading cause of cancer mortality globally.
  • Responses to programmed death-1/programmed death-ligand 1 (PD-1/PD-L1) inhibitors vary significantly.
  • Host-microbiome interactions are increasingly recognized for their role in antitumor immunity.

Purpose of the Study:

  • To review the role of respiratory and gut microbiota in lung cancer immunity.
  • To explore mechanisms by which microbiota influence the tumor microenvironment.
  • To discuss microbiome-based strategies for enhancing cancer immunotherapy.

Main Methods:

  • Literature review of studies on host-microbiome interactions in lung cancer.
  • Analysis of mechanisms involving dysbiosis, T-cell exhaustion, and regulatory cell activation.
  • Exploration of microbial metabolites' impact on immune cells.
  • Review of microbiota-modulation strategies for immunotherapy.

Main Results:

  • Microbiota dysbiosis can create an immunosuppressive tumor microenvironment.
  • Specific commensals can enhance anti-tumor immunity by recruiting cytotoxic T lymphocytes.
  • Microbial metabolites influence myeloid-derived suppressor cells.
  • Microbiota modulation strategies show potential for improving immunotherapy efficacy.

Conclusions:

  • The microbiome plays a critical role in modulating lung cancer immunity and immunotherapy response.
  • Strategies like probiotics and fecal microbiota transplantation can enhance treatment efficacy.
  • Integrating microbiome science into precision oncology offers a path towards overcoming therapeutic resistance.

Related Concept Videos