Frontiers in Immunology,
Journal Year:
2023,
Volume and Issue:
14
Published: Feb. 10, 2023
Hepatocellular
carcinoma
(HCC)
is
the
most
common
primary
liver
malignancy
and
third
leading
cause
of
tumor-related
mortality
worldwide.
In
recent
years,
emergency
immune
checkpoint
inhibitor
(ICI)
has
revolutionized
management
HCC.
Especially,
combination
atezolizumab
(anti-PD1)
bevacizumab
(anti-VEGF)
been
approved
by
FDA
as
first-line
treatment
for
advanced
Despite
great
breakthrough
in
systemic
therapy,
HCC
continues
to
portend
a
poor
prognosis
owing
drug
resistance
frequent
recurrence.
The
tumor
microenvironment
(TME)
complex
structured
mixture
characterized
abnormal
angiogenesis,
chronic
inflammation,
dysregulated
extracellular
matrix
(ECM)
remodeling,
collectively
contributing
immunosuppressive
milieu
that
turn
prompts
proliferation,
invasion,
metastasis.
coexists
interacts
with
various
cells
maintain
development
It
widely
accepted
dysfunctional
tumor-immune
ecosystem
can
lead
failure
surveillance.
TME
an
external
evasion
consisting
1)
cells;
2)
co-inhibitory
signals;
3)
soluble
cytokines
signaling
cascades;
4)
metabolically
hostile
microenvironment;
5)
gut
microbiota
affects
microenvironment.
Importantly,
effectiveness
immunotherapy
largely
depends
on
(TIME).
Also,
metabolism
profoundly
affect
Understanding
how
progression
will
contribute
better
preventing
HCC-specific
overcoming
already
developed
therapies.
this
review,
we
mainly
introduce
underlying
role
microenvironment,
describe
dynamic
interaction
microbiome,
propose
therapeutic
strategies
manipulate
favor
more
effective
immunotherapy.
Molecular Cancer,
Journal Year:
2019,
Volume and Issue:
18(1)
Published: May 20, 2019
Microbiota
is
just
beginning
to
be
recognized
as
an
important
player
in
carcinogenesis
and
the
interplay
among
microbes
greater
than
expected.
Pancreatic
ductal
adenocarcinoma
(PDAC)
a
highly
lethal
disease
for
which
mortality
closely
parallels
incidence.
Early
detection
would
provide
best
opportunity
increase
survival
rates.
Specific
well-studied
oral,
gastrointestinal,
intrapancreatic
some
kinds
of
hepatotropic
viruses
bactibilia
may
have
potential
etiological
roles
pancreatic
carcinogenesis,
or
modulating
individual
responses
oncotherapy.
Concrete
mechanisms
mainly
involve
perpetuating
inflammation,
regulating
immune
system-microbe-tumor
axis,
affecting
metabolism,
altering
tumor
microenvironment.
The
revolutionary
technology
omics
has
generated
insight
into
cancer
microbiomes.
A
better
understanding
microbiota
PDAC
might
lead
establishment
screening
early-stage
diagnosis
methods,
implementation
bacteriotherapy,
adjustment
therapeutic
efficacy
even
alleviating
adverse
effects,
creating
new
opportunities
fostering
hope
desperate
patients.
Signal Transduction and Targeted Therapy,
Journal Year:
2019,
Volume and Issue:
4(1)
Published: Oct. 11, 2019
Abstract
The
trillions
of
microorganisms
in
the
gut
microbiome
have
attracted
much
attention
recently
owing
to
their
sophisticated
and
widespread
impacts
on
numerous
aspects
host
pathophysiology.
Remarkable
progress
large-scale
sequencing
mass
spectrometry
has
increased
our
understanding
influence
and/or
its
metabolites
onset
progression
extraintestinal
cancers
efficacy
cancer
immunotherapy.
Given
plasticity
microbial
composition
function,
microbial-based
therapeutic
interventions,
including
dietary
modulation,
prebiotics,
probiotics,
as
well
fecal
transplantation,
potentially
permit
development
novel
strategies
for
therapy
improve
clinical
outcomes.
Herein,
we
summarize
latest
evidence
involvement
immunity
metabolism,
effects
immune
response,
modulate
microbiome,
discuss
ongoing
studies
future
areas
research
that
deserve
focused
efforts.
Cancer Letters,
Journal Year:
2019,
Volume and Issue:
447, P. 41 - 47
Published: Jan. 24, 2019
Microbiome
is
becoming
crucial
in
that
the
balance
between
human
health
and
disease
can
be
mediated
by
gut
microbiome.
The
microbiome
modulate
host
immune
system
both
locally
systemically.
Cancer
immunotherapy
has
emerged
as
a
promising
way
treatment
of
patients
with
cancer.
Accumulating
evidence
supports
affects
therapeutic
efficacy
cancer
immunotherapy,
particularly
checkpoint
inhibitors.
Here,
we
discuss
mutual
relationship
among
microbiome,
cancer,
immunity,
focus
on
immunotherapy.
Also,
briefly
introduce
relevant
challenges
affect
present
possible
solutions.
•
plays
key
role
disease,
immunity
Gut
especially
ICIs
involving
blockade
PD-1
or
PD-L1
CTLA-4.
Despite
potential
some
remain,
including
selection
an
optimal
FMT
donor.
Journal for ImmunoTherapy of Cancer,
Journal Year:
2021,
Volume and Issue:
9(12), P. e003334 - e003334
Published: Dec. 1, 2021
The
gut
microbiome
is
associated
with
the
response
to
immunotherapy
for
different
cancers.
However,
impact
of
on
hepatobiliary
cancers
receiving
remains
unknown.
This
study
aims
investigate
relationship
between
and
clinical
anti-programmed
cell
death
protein
1
(PD-1)
in
patients
advanced
cancers.Patients
unresectable
hepatocellular
carcinoma
or
biliary
tract
who
have
progressed
from
first-line
chemotherapy
(gemcitabine
plus
cisplatin)
were
enrolled.
Fresh
stool
samples
collected
before
during
anti-PD-1
treatment
analyzed
metagenomic
sequencing.
Significantly
differentially
enriched
taxa
prognosis
identified.
Kyoto
Encyclopedia
Genes
Genomes
database
MetaCyc
further
applied
annotate
explore
potential
mechanism
influencing
cancer
immunotherapy.In
total,
65
included
this
study.
Seventy-four
significantly
benefit
(CBR)
group
40
non-clinical
(NCB)
group.
Among
these
taxa,
higher
abundance
Lachnospiraceae
bacterium-GAM79
Alistipes
sp
Marseille-P5997,
which
CBR
group,
achieved
longer
progression-free
survival
(PFS)
overall
(OS)
than
lower
abundance.
Higher
Ruminococcus
calidus
Erysipelotichaceae
bacterium-GAM147
was
also
observed
better
PFS.
In
contrast,
worse
PFS
OS
found
Veillonellaceae,
NCB
Functional
annotation
indicated
that
energy
metabolism
while
amino
acid
metabolism,
may
modulate
addition,
immunotherapy-related
adverse
events
affected
by
diversity
relative
abundance.We
demonstrate
Taxonomic
signatures
responders
are
effective
biomarkers
predict
immunotherapy,
might
provide
a
new
therapeutic
target
immunotherapy.
Cancer Discovery,
Journal Year:
2020,
Volume and Issue:
11(5), P. 1248 - 1267
Published: Dec. 15, 2020
Gut
dysbiosis
is
commonly
observed
in
patients
with
cirrhosis
and
chronic
gastrointestinal
disorders;
however,
its
effect
on
antitumor
immunity
the
liver
largely
unknown.
Here
we
studied
how
gut
microbiome
affects
cholangiocarcinoma.
Primary
sclerosing
cholangitis
(PSC)
or
colitis,
two
known
risk
factors
for
cholangiocarcinoma
which
promote
tumor
development
mice,
caused
an
accumulation
of
CXCR2+
polymorphonuclear
myeloid-derived
suppressor
cells
(PMN-MDSC).
A
decrease
barrier
function
mice
PSC
colitis
allowed
gut-derived
bacteria
lipopolysaccharide
to
appear
induced
CXCL1
expression
hepatocytes
through
a
TLR4-dependent
mechanism
PMN-MDSCs.
In
contrast,
neomycin
treatment
blocked
PMN-MDSC
inhibited
growth
even
absence
disease
colitis.
Our
study
demonstrates
that
controls
form
immunosuppressive
environment
by
increasing
PMN-MDSCs
cancer.
SIGNIFICANCE:
MDSCs
have
been
shown
be
tumors
suppress
immunity.
show
can
control
context
benign
colitis.See
related
commentary
Chagani
Kwong,
p.
1014.This
article
highlighted
This
Issue
feature,
995.
Gut,
Journal Year:
2022,
Volume and Issue:
71(7), P. 1412 - 1425
Published: March 11, 2022
Despite
the
promising
advances
in
novel
cancer
therapy
such
as
immune
checkpoint
inhibitors
(ICIs),
limitations
including
therapeutic
resistance
and
toxicity
remain.
In
recent
years,
relationship
between
gut
microbiota
has
been
extensively
studied.
Accumulating
evidence
reveals
role
of
defining
efficacy
toxicity.
Unlike
host
genetics,
can
be
easily
modified
via
multiple
strategies,
faecal
transplantation
(FMT),
probiotics
antibiotics.
Preclinical
studies
have
identified
mechanisms
on
how
microbes
influence
treatment
outcomes.
Clinical
trials
also
demonstrated
potential
modulation
treatments.
Herein,
we
review
mechanistic
insights
microbial
interactions
with
chemotherapy
ICIs,
particularly
focusing
interplay
bacteria
pharmacokinetics
(eg,
metabolism,
enzymatic
degradation)
or
pharmacodynamics
immunomodulation)
treatment.
The
translational
basic
findings
clinical
settings
is
then
explored,
using
predictive
biomarkers
by
antibiotics,
probiotics,
prebiotics,
dietary
modulations
FMT.
We
further
discuss
current
patients
suggest
essential
directions
for
future
study.
era
personalised
medicine,
it
crucial
to
understand
its
cancer.
Manipulating
augment
responses
provide
new
into
Gut Pathogens,
Journal Year:
2019,
Volume and Issue:
11(1)
Published: Jan. 18, 2019
The
onset
of
hepatocellular
carcinoma
(HCC)
ranked
fifth
malignancies
all
over
the
world.
Increasing
evidences
showed
that
distribution
HCC
was
related
to
incidence
chronic
hepatitis
B
virus
(HBV)
infection
and
other
factors,
such
as
alcoholism,
aflatoxin
B1
ingestion
obesity.
Recent
studies
demonstrated
gut
dysbiosis
plays
an
important
role
in
liver
diseases.
However,
researches
on
microbiota
HBV
non-HBV
non-HCV
have
not
been
reported.
In
this
study,
we
investigated
differences
between
(B-HCC)
(NBNC-HCC),
finally
found
some
potential
bacteria,
linking
different
pathological
mechanism
both
types
HCCs.
We
carried
out
16S
rRNA
analyses
a
cohort
33
healthy
controls,
35
individuals
with
22
(NBNC)
(NBNC-HCC).
species
richness
fecal
B-HCC
patients
much
higher
than
two
groups.
Interestingly,
feces
NBNC-HCC
harbored
more
pro-inflammatory
bacteria
(Escherichia-Shigella,
Enterococcus)
reduced
levels
Faecalibacterium,
Ruminococcus,
Ruminoclostridium
which
results
decrease
anti-inflammatory
short-chain
fatty
acids.
had
relatively
fewer
abundance
multiple
biological
pathways
amino
acid
glucose
metabolism,
but
high
level
transport
secretion
types.
opposite
bacterial
composition
associated
versus
patients.
Meanwhile,
aberrant
network
occurred
differently
Our
study
indicated
differential
involved
functions
or
pathways.
suggested
modification
specific
may
provide
therapeutic
benefit
for
NBNC-HCC.
Clinical Gastroenterology and Hepatology,
Journal Year:
2021,
Volume and Issue:
20(2), P. 283 - 292.e10
Published: May 28, 2021
Background
&
AimsNonalcoholic
fatty
liver
disease
(NAFLD)
may
be
a
risk
factor
for
hepatocellular
carcinoma
(HCC),
but
the
extent
of
this
association
still
needs
to
addressed.
Pooled
incidence
rates
HCC
across
spectrum
NAFLD
have
never
been
estimated
by
meta-analysis.MethodsIn
systematic
review,
we
searched
Web
Science,
Embase,
PubMed,
and
Cochrane
Library
from
January
1,
1950
through
July
30,
2020.
We
included
studies
reporting
on
in
patients
with
NAFLD.
The
main
outcomes
were
pooled
incidences
at
distinct
severity
stages.
Summary
estimates
calculated
random-effects
models.
Sensitivity
analyses
meta-regression
carried
out
address
heterogeneity.ResultsWe
18
involving
470,404
patients.
In
stage
earlier
than
cirrhosis,
rate
was
0.03
per
100
person-years
(95%
confidence
interval
[CI],
0.01–0.07;
I2
=
98%).
3.78
CI,
2.47–5.78;
93%).
Patients
cirrhosis
undergoing
regular
screening
had
an
4.62
2.77–7.72;
77%).ConclusionsPatients
NAFLD-related
developing
similar
that
reported
other
etiologies.
Evidence
documenting
nonalcoholic
steatohepatitis
or
simple
steatosis
is
limited,
these
populations
lie
below
thresholds
used
recommend
screening.
Well-designed
prospective
subpopulations
are
needed.
protocol
review
registered
Prospero
database
(registration
number
CRD42018092861).
Nonalcoholic
meta-analysis.
heterogeneity.
77%).