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Pectin supplement significantly enhanced the anti-PD-1 efficacy in tumor-bearing mice humanized with gut microbiota from patients with colorectal cancer.

作者信息

Zhang Shi-Long, Mao Yu-Qin, Zhang Zheng-Yan, Li Zhan-Ming, Kong Chao-Yue, Chen Hui-Ling, Cai Pei-Ran, Han Bing, Ye Tao, Wang Li-Shun

机构信息

Key laboratory of whole-period monitoring and precise intervention of digestive cancer (SMHC), Minhang Hospital, Fudan University, Shanghai, 201199, P.R. China.

Institute of Fudan-Minhang academic health system, Minhang Hospital, Fudan University, Shanghai, 201100, P.R. China.

出版信息

Theranostics. 2021 Feb 19;11(9):4155-4170. doi: 10.7150/thno.54476. eCollection 2021.


DOI:10.7150/thno.54476
PMID:33754054
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7977465/
Abstract

Anti-PD-1-based immunotherapy has emerged as a promising therapy for several cancers. However, it only benefits a small subset of colorectal cancer (CRC) patients. Mounting data supports the pivotal role of gut microbiota in shaping immune system. Pectin, a widely consumed soluble fiber, has been reported to ameliorate the imbalance of gut microbiota. Therefore, we aimed to explore the effect and the underlying mechanisms of pectin in improving anti-PD-1 mAb efficacy. The C57BL/6 mice were treated with a broad-spectrum antibiotic (ATB) cocktail to depleted endogenous gut microbiota and subsequently humanized with feces from healthy controls or newly diagnosed CRC patients. The antitumor efficacies of anti-PD-1 mAb combined with or without pectin were assessed using these mice. Flow cytometry and immunohistochemistry (IHC) were conducted to investigate the tumor immune microenvironment after treatment. The gut microbiota profiles and short-chain fatty acids (SCFAs) levels were determined by 16S ribosomal RNA (16S rRNA) gene sequencing and gas chromatography-mass spectrometry (GC-MS), respectively. The effect of gut microbiota on anti-PD-1 mAb efficacy after pectin supplement was further tested by fecal microbiota transplantation (FMT). The anti-PD-1 mAb efficacy was largely impaired in the mice humanized with feces from newly diagnosed CRC patients compared to those from healthy controls. However, pectin significantly enhanced the anti-PD-1 mAb efficacy in the tumor-bearing mice humanized with CRC patient gut microbiota. Flow cytometry and IHC analysis revealed increased T cell infiltration and activation in the tumor microenvironment of mice treated with anti-PD-1 mAb plus pectin. In vivo depletion of CD8 T cells diminished the anti-tumor effect of anti-PD-1 mAb combined with pectin. 16S rRNA gene sequencing showed that pectin significantly increased gut microbial diversity and beneficially regulated microbial composition. In addition, we identified unique bacterial modules that were significantly enriched in the anti-PD-1 mAb + pectin group, which composed of butyrate-producing bacteria indicative of good response to immunotherapy. Meanwhile, GC-MS showed that pectin altered the level of SCFA butyrate. Furthermore, butyrate, a main product of dietary fiber in gut microbial fermentation, was found to be sufficient to promote T cells infiltration and thus enhance the efficacy of anti-PD-1 mAb. In addition, FMT demonstrated the effects of pectin were dependent on gut microbiota. Importantly, the beneficial effects of pectin were confirmed in the mice humanized with gut microbiota from patient with resistance to anti-PD-1 mAb. Pectin facilitated the anti-PD-1 mAb efficacy in CRC via regulating the T cell infiltration in the tumor microenvironment, which was potentially mediated by the metabolite butyrate.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/8a8e474e662d/thnov11p4155g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/ca0a944ea839/thnov11p4155g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/e429d0433a31/thnov11p4155g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/a5fde2341594/thnov11p4155g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/c892ad2e17a2/thnov11p4155g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/39b26359624c/thnov11p4155g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/a49084cfe209/thnov11p4155g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/3f5b30259cd0/thnov11p4155g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/8a8e474e662d/thnov11p4155g008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/ca0a944ea839/thnov11p4155g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/e429d0433a31/thnov11p4155g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/a5fde2341594/thnov11p4155g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/c892ad2e17a2/thnov11p4155g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/39b26359624c/thnov11p4155g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/a49084cfe209/thnov11p4155g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/3f5b30259cd0/thnov11p4155g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/474e/7977465/8a8e474e662d/thnov11p4155g008.jpg

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引用本文的文献

[1]
Gut microbiota shapes cancer immunotherapy responses.

NPJ Biofilms Microbiomes. 2025-7-25

[2]
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J Transl Med. 2025-7-8

[3]
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Front Immunol. 2025-6-20

[4]
Immune Cell Characteristics in a Gut-Kidney Axis-Induced Mouse Model of IgA Nephropathy: The Upregulated Dendritic Cells and Neutrophils.

J Inflamm Res. 2025-7-1

[5]
Dysbiosis and colorectal cancer: conducive factors, biological and molecular role, and therapeutic prospectives.

Explor Target Antitumor Ther. 2025-6-27

[6]
Unraveling the Role of the Microbiota in Cancer Immunotherapy: A New Frontier.

Research (Wash D C). 2025-6-24

[7]
Gut Microbiota Reshapes the Tumor Microenvironment and Affects the Efficacy of Colorectal Cancer Immunotherapy.

Cancer Med. 2025-6

[8]
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J Transl Med. 2025-6-12

[9]
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[10]
Microbiota-derived butyrate alleviates asthma via inhibiting Tfh13-mediated IgE production.

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本文引用的文献

[1]
Microbiome-derived inosine modulates response to checkpoint inhibitor immunotherapy.

Science. 2020-8-13

[2]
Bacteria pathogens drive host colonic epithelial cell promoter hypermethylation of tumor suppressor genes in colorectal cancer.

Microbiome. 2020-7-16

[3]
Association of Short-Chain Fatty Acids in the Gut Microbiome With Clinical Response to Treatment With Nivolumab or Pembrolizumab in Patients With Solid Cancer Tumors.

JAMA Netw Open. 2020-4-1

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Nat Rev Gastroenterol Hepatol. 2020-2-19

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Dietary Fiber Pectin Ameliorates Experimental Colitis in a Neutral Sugar Side Chain-Dependent Manner.

Front Immunol. 2019-12-19

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Proc Natl Acad Sci U S A. 2019-11-11

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Integrated microbiome and metabolome analysis reveals a novel interplay between commensal bacteria and metabolites in colorectal cancer.

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Microbiota-Derived Short-Chain Fatty Acids Promote the Memory Potential of Antigen-Activated CD8 T Cells.

Immunity. 2019-7-1

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Effect of Grape Pomace Polyphenols With or Without Pectin on TMAO Serum Levels Assessed by LC/MS-Based Assay: A Preliminary Clinical Study on Overweight/Obese Subjects.

Front Pharmacol. 2019-5-21

[10]
The Diversity of Gut Microbiome is Associated With Favorable Responses to Anti-Programmed Death 1 Immunotherapy in Chinese Patients With NSCLC.

J Thorac Oncol. 2019-4-23

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