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Published on: August 30, 2019
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.
Abstract:
Lung cancer, the leading cause of cancer-related mortality worldwide, poses considerable therapeutic challenges due to the varied responses to programmed death-1/programmed death-ligand 1 (PD-1/PD-L1) inhibitors. Emerging highlight the pivotal role of host-microbiome interactions in modulating antitumor immunity and influencing clinical outcomes. This review examines how the respiratory and gut microbiota contribute to the immunosuppressive tumor microenvironment through dysbiosis-induced T-cell exhaustion and regulatory cell activation, while certain commensals facilitate dendritic cell-mediated recruitment of cytotoxic T lymphocytes. Additionally, this review explores the molecular mechanisms by which microbial metabolites, such as short-chain fatty acids, influence myeloid-derived suppressor cells. Therapeutically, microbiota-modulation strategies-such as tailored probiotic formulations and precision fecal microbiota transplantation-offer potential to enhance immunotherapy efficacy. This review provides a foundation for microbiome-guided immunotherapy, advocating for biomarker-driven patient stratification and the use of engineered microbial consortia to counteract therapeutic resistance. These findings pave the way for the integration of microbiome science into next-generation precision oncology.
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.
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