在固体瘤治疗中,利用肠道微生物群加强免疫检查点封锁
Jia Hu1, Tang Feng2, Ling Zhang3
1Lung Cancer Center/Lung Cancer Institute and State Key Laboratory of Respiratory Health and Multimorbidity, West China Hospital, Sichuan University, Chengdu, Sichuan 610041, China.
Chinese medical journal
|July 1, 2025
概括
肠道微生物组显著影响癌症免疫疗法 (免疫检查点封锁). 调节肠道细菌提供了提高治疗效率和减少结肠炎等副作用的策略.
科学领域:
- 在瘤学瘤学.
- 免疫学 免疫学 免疫学
- 微生物学 微生物学
背景情况:
- 肠道微生物群影响抗瘤免疫和免疫检查点阻塞 (ICB) 治疗结果.
- 个人对ICB的反应因肠道微生物组成的差异而有所不同.
研究的目的:
- 审查特定的肠道细菌如何影响ICB疗效和毒性.
- 概述利用微生物向干预来优化ICB的策略.
- 讨论用于预测ICB反应的微生物生物标志物.
主要方法:
- 关于肠道微生物群和ICB的研究的文献综述.
- 细菌调节免疫反应的机制的分析.
- 检查转化策略和临床证据.
主要成果:
- 特定的细菌物种可以通过改变免疫细胞激活,抗原呈现和炎症来增强或阻碍ICB.
- 针对微生物群的干预措施 (益生菌,FMT,代谢物治疗) 显示出克服ICB耐药性和管理毒性,特别是免疫相关的大肠炎的潜力.
- 微生物生物标志物正在出现,用于预测黑色素瘤,肺癌和肝胆癌等癌症的ICB反应.
结论:
- 肠道微生物组是ICB疗效和安全的关键因素.
- 以微生物群为中心的方法对个性化癌症免疫疗法充满希望.
- 准肠道微生物群可以改善患者在ICB治疗中的结果,并减轻不良事件.
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