Department of Pharmaceutical Technology, Kolkata-Group of Institutions, NSHM Knowledge Campus, 124, B. L. Saha Road, Tara Park, Behala, Kolkata, West Bengal, 700053, India.
Med Oncol. 2024 Jun 14;41(7):175. doi: 10.1007/s12032-024-02416-3.
The immune system plays a pivotal role in the battle against cancer, serving as a formidable guardian in the ongoing fight against malignant cells. To combat these malignant cells, immunotherapy has emerged as a prevalent approach leveraging antibodies and peptides such as anti-PD-1, anti-PD-L1, and anti-CTLA-4 to inhibit immune checkpoints and activate T lymphocytes. The optimization of gut microbiota plays a significant role in modulating the defense system in the body. This study explores the potential of certain gut-resident bacteria to amplify the impact of immunotherapy. Contemporary antibiotic treatments, which can impair gut flora, may diminish the efficacy of immune checkpoint blockers. Conversely, probiotics or fecal microbiota transplantation can help re-establish intestinal microflora equilibrium. Additionally, the gut microbiome has been implicated in various strategies to counteract immune resistance, thereby enhancing the success of cancer immunotherapy. This paper also acknowledges cutting-edge technologies such as nanotechnology, CAR-T therapy, ACT therapy, and oncolytic viruses in modulating gut microbiota. Thus, an exhaustive review of literature was performed to uncover the elusive link that could potentiate the gut microbiome's role in augmenting the success of cancer immunotherapy.
免疫系统在与癌症的斗争中起着关键作用,是对抗恶性细胞的强大守护者。为了对抗这些恶性细胞,免疫疗法已经成为一种流行的方法,利用抗体和肽,如抗 PD-1、抗 PD-L1 和抗 CTLA-4 来抑制免疫检查点并激活 T 淋巴细胞。优化肠道微生物群在调节身体防御系统方面起着重要作用。本研究探讨了某些肠道常驻细菌放大免疫疗法影响的潜力。现代抗生素治疗可能会损害肠道菌群,从而降低免疫检查点抑制剂的疗效。相反,益生菌或粪便微生物群移植有助于重新建立肠道微生物群平衡。此外,肠道微生物组还涉及各种对抗免疫抵抗的策略,从而提高癌症免疫治疗的成功率。本文还介绍了纳米技术、CAR-T 疗法、ACT 疗法和溶瘤病毒等前沿技术在调节肠道微生物组中的作用。因此,进行了全面的文献回顾,以揭示可能增强肠道微生物组在提高癌症免疫治疗成功率方面作用的难以捉摸的联系。
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