Center for Traditional Chinese Medicine and Gut Microbiota, Minhang Hospital, Fudan University, Shanghai, China.
Institute of Fudan-Minhang Academic Health System, Minhang Hospital, Fudan University, Shanghai, China.
Gut Microbes. 2022 Jan-Dec;14(1):2046246. doi: 10.1080/19490976.2022.2046246.
The gut microbiota was emerging as critical regulatory elements in shaping the outcome of cancer immunotherapy. However, the underlying mechanisms by which the gut commensal species enhance antitumor immunity remain largely unexplored. Here, we show that the gut microbiota from healthy individuals conferred considerable sensitivity to anti-PD-1 in the colorectal cancer (CRC) tumor-bearing mice, whereas gut microbiota from CRC patients failed to do so. By 16S rRNA gene sequencing, we identified that was significantly increased in the mice with good response to anti-PD-1, and significantly correlated with anti-tumor immunity. After a series of screening, we isolated a novel strain, named showed the most notable anti-tumor immunity in the mice with gut dysbiosis. Mechanistically, the antitumor immune response elicited by was dependent on CD8 T cell. and studies revealed that stimulation triggered the upregulated expression of CXCL10 in the tumors and subsequently enhanced CD8 T cell recruitment. Meanwhile, the modulation of gut microbiota caused by enhanced its antitumor effect and gut barrier function. Overall, our study offered novel insights into the mechanism by which gut microbiota shaped the outcome of cancer immunotherapy and, more importantly, the novel strain might serve as an easy and effective way to promote anti-PD-1 effect in clinical practice.
肠道微生物群作为影响癌症免疫治疗结果的关键调节因子而受到关注。然而,肠道共生物种增强抗肿瘤免疫的潜在机制在很大程度上仍未得到探索。在这里,我们发现健康个体的肠道微生物群赋予了结直肠癌(CRC)荷瘤小鼠对抗 PD-1 治疗的高度敏感性,而 CRC 患者的肠道微生物群则不能。通过 16S rRNA 基因测序,我们鉴定出在对抗 PD-1 治疗反应良好的小鼠中显著增加的 ,并且与抗肿瘤免疫显著相关。经过一系列筛选,我们分离出一种新型 菌株,命名为 ,它在肠道失调的小鼠中表现出最显著的抗肿瘤免疫作用。在机制上,由 引发的抗肿瘤免疫反应依赖于 CD8 T 细胞。 和 研究表明, 刺激可触发肿瘤中 CXCL10 的上调表达,进而增强 CD8 T 细胞募集。同时, 引起的肠道微生物群的调节增强了其抗肿瘤作用和肠道屏障功能。总的来说,我们的研究为肠道微生物群影响癌症免疫治疗结果的机制提供了新的见解,更重要的是,新型菌株 可能成为促进临床实践中抗 PD-1 效果的一种简单有效的方法。