Studies linking the gut microbiome composition to efficacy of cancer therapy. The table summarizes major findings from clinical and preclinical studies pointing to a link between gut bacteria and therapeutic outcomes in the context of various cancers and therapeutic regimens
Major finding | Mouse or Human data | Cancer/Therapy | Reference |
---|---|---|---|
Chemotherapy with immunostimulatory properties | |||
Akkermansia muciniphila abundance in baseline stool samples was associated with response to ICB | Mouse | Various cancer models/Cyclophosphamide immunostimulatory chemotherapy | [86] |
Presence of intratumoral gammaproteobacteria was associated with resistance to gemcitabine chemotherapy | Human; Mouse | Pancreatic ductal adenocarcinoma/ Gemcitabine immunostimulatory chemotherapy | [94] |
Immunotherapy | |||
Commensal microbiota was required for optimal response to therapy | Mouse | Various cancer models/ CpG-oligonucleotide + anti-IL-10R antibody and platinum chemotherapy (oxaliplatin) | [85] |
Total body irradiation disrupted intestinal barrier and improved outcome of T-cell based therapy by a mechanism dependent on LPS/microbe translocation and TLR4 signaling | Mouse | Melanoma/Adoptive T cell transfer | [97] |
Eubacterium limosum abundance was associated with decreased risk of relapse or disease progression | Human | Hematologic cancers/Allo-HSCT | [88] |
Blautia abundance was associated with increased overall survival and reduced risk of GVHD | Human | Hematologic cancers/Allo-HSCT | [87] |
Bacteroides abundance was associated with resistance to ICB-induced colitis | Human | Metastatic melanoma/Anti-CTLA-4 | [93] |
Bacteroides abundance was associated with response to ICB | Mouse; Human | Metastatic melanoma/Anti-CTLA-4 | [18] |
Bifidobacterium abundance was associated with improved spontaneous anti-tumor immunity and response to ICB | Mouse | Melanoma/Anti-PD-L1 | [17] |
Faecalibacterium and other Firmicutes abundance in baseline stool samples was associated with response to ICB; Bacteroides abundance was associated with poor responsiveness to ICB | Human | Metastatic melanoma/Anti-CTLA-4 | [92] |
Bacteroides caccae, Faecalibacterium prausnitzii, Bacteroides thetaiotaomicron, Holdemania filiformis, and Dorea formicogenerans were associated with response to ICB | Human | Metastatic melanoma/Anti-PD-1; Anti-CTLA-4 | [91] |
A. muciniphila abundance in baseline stool samples was associated with response to ICB | Human; Mouse | Non-small cell lung cancer; Renal cell carcinoma/Anti-PD-1 | [89] |
Higher microbiome richness, Clostridiales, Ruminococcaceae, and Faecalibacterium abundance, and enrichment in genes involved in anabolic pathways in baseline stool samples were associated with responsiveness to ICB | Human; Mouse | Metastatic melanoma/Anti-PD-1 | [90] |
Several dozen bacterial species in baseline stool samples were differentially enriched between patients with strong vs. poor responsiveness to ICB | Human; Mouse | Metastatic melanoma/Anti-PD-1 | [44] |