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肠道微生物衍生代谢物对免疫检查点抑制剂治疗的影响:敌是友?

Effect of Gut Microbiota-Derived Metabolites on Immune Checkpoint Inhibitor Therapy: Enemy or Friend?

机构信息

Department of General Practice, People's Hospital of Longhua, Shenzhen 518109, China.

Department of Gastroenterology, People's Hospital of Longhua, Shenzhen 518109, China.

出版信息

Molecules. 2022 Jul 27;27(15):4799. doi: 10.3390/molecules27154799.


DOI:10.3390/molecules27154799
PMID:35956752
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9369921/
Abstract

The human gut is inhabited by hundreds of billions of commensal microbiota that collectively produce thousands of small molecules and metabolites with local and systemic effects on the physiology of the host. Much evidence from preclinical to clinical studies has gradually confirmed that the gut microbiota can regulate anti-tumor immunity and affect the efficacy of cancer immune checkpoint inhibitors (ICIs) therapy. In particular, one of the main modes of gut microbiota regulating anti-tumor immunity is through metabolites, which are small molecules that can be transported in the body and act on local and systemic anti-tumor immune responses to promote ICIs immunotherapy efficacy. We discuss the functions of microbial metabolites in humans, focusing on the effects and mechanisms of microbial metabolites on immunotherapy, and analyze their potential applications as immune adjuvants and therapeutic targets to regulate immunity and enhance ICIs. In summary, this review provides the basis for the rational design of microbiota and microbial metabolite-based strategies of enhancing ICIs.

摘要

人体肠道中栖息着数以千亿计的共生微生物菌群,它们共同产生数千种小分子和代谢物,对宿主的生理机能具有局部和全身影响。从临床前研究到临床研究的大量证据逐渐证实,肠道微生物群可以调节抗肿瘤免疫,并影响癌症免疫检查点抑制剂(ICI)治疗的疗效。特别是,肠道微生物群调节抗肿瘤免疫的主要方式之一是通过代谢物,代谢物是可以在体内运输并作用于局部和全身抗肿瘤免疫反应的小分子,以促进 ICI 免疫治疗的疗效。我们讨论了微生物代谢物在人类中的功能,重点分析了微生物代谢物对免疫治疗的影响和作用机制,并分析了它们作为免疫佐剂和治疗靶点的潜在应用,以调节免疫并增强 ICI。总之,本综述为合理设计基于微生物组和微生物代谢物的增强 ICI 策略提供了依据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbf5/9369921/1a56d2aa8067/molecules-27-04799-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbf5/9369921/ceff97180d0c/molecules-27-04799-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbf5/9369921/db03567e664d/molecules-27-04799-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbf5/9369921/bc4e13bf3e1d/molecules-27-04799-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbf5/9369921/4005433172c1/molecules-27-04799-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbf5/9369921/1a56d2aa8067/molecules-27-04799-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbf5/9369921/ceff97180d0c/molecules-27-04799-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbf5/9369921/db03567e664d/molecules-27-04799-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbf5/9369921/bc4e13bf3e1d/molecules-27-04799-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbf5/9369921/4005433172c1/molecules-27-04799-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbf5/9369921/1a56d2aa8067/molecules-27-04799-g005.jpg

相似文献

[1]
Effect of Gut Microbiota-Derived Metabolites on Immune Checkpoint Inhibitor Therapy: Enemy or Friend?

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[2]
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[4]
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[10]
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引用本文的文献

[1]
Bridging traditional Chinese medicine and Alzheimer's disease: the pivotal role of gut microbiota in multitarget therapeutic mechanisms.

Front Pharmacol. 2025-6-27

[2]
Ozone rectal insufflation inhibits the development of atherosclerosis in ApoE-/-mice, which is mediated by the regulation of gut microbiota and metabolites.

Front Microbiol. 2025-6-25

[3]
The Effect of Microbiome-Derived Metabolites in Inflammation-Related Cancer Prevention and Treatment.

Biomolecules. 2025-5-8

[4]
Gut microbiota affects PD-L1 therapy and its mechanism in melanoma.

Cancer Immunol Immunother. 2025-4-11

[5]
Advances in research on the intestinal microbiota in the mechanism and prevention of colorectal cancer (Review).

Mol Med Rep. 2025-5

[6]
Gut Microbiota Secondary Metabolites: Key Roles in GI Tract Cancers and Infectious Diseases.

Biomedicines. 2025-1-3

[7]
Contribution of tryptophan and its metabolites to transplant outcome: a mini-review.

Front Immunol. 2024

[8]
Harmony unveiled: Intricate the interplay of dietary factor, gut microbiota, and colorectal cancer-A narrative review.

SAGE Open Med. 2024-8-31

[9]
Microbial metabolites affect tumor progression, immunity and therapy prediction by reshaping the tumor microenvironment (Review).

Int J Oncol. 2024-7

[10]
Dynamics of inflammation-associated plasma proteins following faecal microbiota transplantation in patients with psoriatic arthritis and healthy controls: exploratory findings from the FLORA trial.

RMD Open. 2024-1-30

本文引用的文献

[1]
The impact of the gut microbiome on extra-intestinal autoimmune diseases.

Nat Rev Immunol. 2023-1

[2]
Cancer immunotherapy resistance: The impact of microbiome-derived short-chain fatty acids and other emerging metabolites.

Life Sci. 2022-7-1

[3]
Human gut bacteria produce Τ17-modulating bile acid metabolites.

Nature. 2022-3

[4]
Gut microbiome correlates of response and toxicity following anti-CD19 CAR T cell therapy.

Nat Med. 2022-4

[5]
The microbial metabolite trimethylamine N-oxide promotes antitumor immunity in triple-negative breast cancer.

Cell Metab. 2022-4-5

[6]
Optimizing therapeutic outcomes of immune checkpoint blockade by a microbial tryptophan metabolite.

J Immunother Cancer. 2022-3

[7]
Dietary Lactobacillus-Derived Exopolysaccharide Enhances Immune-Checkpoint Blockade Therapy.

Cancer Discov. 2022-5-2

[8]
Tryptophan-derived microbial metabolites activate the aryl hydrocarbon receptor in tumor-associated macrophages to suppress anti-tumor immunity.

Immunity. 2022-2-8

[9]
A Natural Polyphenol Exerts Antitumor Activity and Circumvents Anti-PD-1 Resistance through Effects on the Gut Microbiota.

Cancer Discov. 2022-4-1

[10]
modulates the gut microbiota and produces anti-cancer metabolites to protect against colorectal tumourigenesis.

Gut. 2021-12-22

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