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Updated: Jan 25, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Altered abundance in cancer patients gut of diadenylate cyclase-encoding bacteria
Francesco Candeliere1, Laura Sola1, Enrico Busi1
1Department of Life Sciences, University of Modena and Reggio Emilia, Via Campi 103, 41125, Modena, Italy.
Abstract:
c-di-AMP is a bacterial second messenger recognized by host immune sensors such as the STING pathway, linking gut microbiota activity to tumor immunity. This interaction holds significant therapeutic potential particularly for oncologic patients, given the increasingly recognized relationship between gut microbiota and tumor immunity. Recent evidence shows that microbial c-di-AMP can enhance anti-tumor responses and improve the efficacy of PD-1/PD-L1 blockade and radiotherapy. This study identified gut microbial species capable of synthesizing c-di-AMP by mining the Unified Human Gastrointestinal Protein catalogue for diadenylate cyclases (DACs), generating a database of 4,228 DACs across 3,901 species out of 4,744 presents in the Unified Human Gastrointestinal Genome catalogue. Analysis of metagenomic data from 190 healthy subjects and 569 cancer patients (melanoma, NSCLC, renal carcinoma) revealed a significantly higher abundance of DAC-encoding species in healthy microbiota, with no differences between responders and non-responders to immunotherapy. These findings indicate that c-di-AMP-producing bacteria are depleted in cancer-associated microbiota, supporting further studies on their role in modulating anti-tumor immunity.
Insights
Cyclic di-AMP (c-di-AMP), a bacterial molecule, influences tumor immunity. C-di-AMP-producing bacteria are less abundant in cancer patients, suggesting a role in anti-tumor responses.
Area of Science:
- Microbiome research
- Immunology
- Oncology
Background:
- Cyclic di-AMP (c-di-AMP) is a bacterial second messenger that engages host immune sensors, notably the STING pathway.
- This interaction connects gut microbiota activity to tumor immunity, presenting therapeutic potential for cancer patients.
- Emerging evidence indicates microbial c-di-AMP can bolster anti-tumor responses and enhance treatments like PD-1/PD-L1 blockade and radiotherapy.
Purpose of the Study:
- To identify gut microbial species capable of synthesizing c-di-AMP.
- To analyze the abundance of c-di-AMP-producing bacteria in healthy individuals versus cancer patients.
- To explore the relationship between c-di-AMP-producing bacteria and response to cancer immunotherapy.
Main Methods:
- Mining the Unified Human Gastrointestinal Protein catalogue for diadenylate cyclases (DACs).
- Constructing a comprehensive database of DACs across numerous microbial species.
- Analyzing metagenomic data from healthy subjects and cancer patients (melanoma, NSCLC, renal carcinoma).
Main Results:
- A database of 4,228 DACs from 3,901 species was generated.
- Species encoding DACs were significantly more abundant in healthy microbiota compared to cancer-associated microbiota.
- No significant differences in DAC-encoding species abundance were observed between immunotherapy responders and non-responders.
Conclusions:
- C-di-AMP-producing bacteria are depleted in the microbiota of cancer patients.
- These findings highlight the potential role of c-di-AMP-producing bacteria in modulating anti-tumor immunity.
- Further research is warranted to investigate the therapeutic implications of these bacteria in oncology.
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