A clinic-responder-derived defined microbial consortium enhances anti-PD-1 immunotherapy efficacy in mice

Haiyan Zhou1, Ruiming Sun2,3, Xiaoqun Nie1

  • 1State Key Laboratory of Microbial Metabolism, and School of Life Sciences & Biotechnology, Shanghai Jiao Tong University, Shanghai, China.

Nature Microbiology
|March 10, 2026
PubMed

Insights

A novel bacterial consortium (RCom) enhances cancer immunotherapy. Oral RCom administration improved anti-programmed cell death protein 1 (PD-1) treatment efficacy by boosting anti-tumour immune responses.

Area of Science:

  • Microbiome research
  • Cancer immunotherapy
  • Bacterial consortia

Background:

  • Targeting the gut microbiota is a promising strategy for cancer immunotherapy.
  • Current approaches have shown limited success in enhancing immunotherapy efficiency.
  • Identifying specific bacterial species linked to treatment response is crucial.

Purpose of the Study:

  • To identify bacterial species associated with immunotherapy response in non-small-cell lung cancer patients.
  • To construct and evaluate a defined bacterial consortium for enhancing anti-programmed cell death protein 1 (PD-1) therapy.

Main Methods:

  • Metagenomic analysis and in silico prediction to identify key bacterial species.
  • Construction of a 15-species defined bacterial consortium (RCom) from responder patient samples.
  • In vitro, in vivo, and syngeneic tumour model experiments to assess RCom's stability, engraftment, immunomodulatory effects, and anti-tumour activity.

Main Results:

  • RCom demonstrated stability and cooperation within the community, producing immunomodulatory metabolites.
  • Oral RCom administration enhanced anti-PD-1 therapy efficacy by increasing intratumoural CD8+ T cell infiltration and function.
  • RCom supplementation reduced resistance to anti-PD-1 therapy in mouse models.

Conclusions:

  • The defined bacterial consortium RCom shows potential as an adjuvant therapy.
  • RCom can improve responsiveness to anti-PD-1 treatment in cancer patients.
  • Further investigation into RCom's role in cancer immunotherapy is warranted.

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