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.
Signal Transduction and Targeted Therapy,
Journal Year:
2023,
Volume and Issue:
8(1)
Published: May 13, 2023
Abstract
In
the
past
period,
due
to
rapid
development
of
next-generation
sequencing
technology,
accumulating
evidence
has
clarified
complex
role
human
microbiota
in
cancer
and
therapeutic
response.
More
importantly,
available
seems
indicate
that
modulating
composition
gut
improve
efficacy
anti-cancer
drugs
may
be
feasible.
However,
intricate
complexities
exist,
a
deep
comprehensive
understanding
how
interacts
with
is
critical
realize
its
full
potential
treatment.
The
purpose
this
review
summarize
initial
clues
on
molecular
mechanisms
regarding
mutual
effects
between
development,
highlight
relationship
microbes
immunotherapy,
chemotherapy,
radiation
therapy
surgery,
which
provide
insights
into
formulation
individualized
strategies
for
management.
addition,
current
emerging
microbial
interventions
as
well
their
clinical
applications
are
summarized.
Although
many
challenges
remain
now,
great
importance
cannot
overstated
strategies,
it
necessary
explore
holistic
approach
incorporates
modulation
cancer.
World Journal of Hepatology,
Journal Year:
2019,
Volume and Issue:
11(8), P. 619 - 637
Published: Aug. 23, 2019
Non-alcoholic
fatty
liver
disease
(NAFLD)
has
become
an
epidemic
largely
due
to
the
worldwide
increase
in
obesity.
While
lifestyle
modifications
and
pharmacotherapies
have
been
used
alleviate
NAFLD,
successful
treatment
options
are
limited.
One
of
main
barriers
finding
safe
effective
drugs
for
long-term
use
NAFLD
is
fast
initiation
progression
available
preclinical
models.
Therefore,
we
need
models
that
(1)
mimic
human
manifestation
(2)
a
longer
time
allow
design
superior
treatments.To
characterize
model
prolonged
high-fat
diet
(HFD)
feeding
investigation
NAFLD.In
this
study,
utilized
HFD
examine
features
C57BL/6
male
mice.
We
fed
mice
with
(60%
fat,
20%
protein,
carbohydrate)
80
wk
promote
obesity
(Old-HFD
group,
n
=
18).
A
low-fat
(LFD)
(14%
32%
54%
was
administered
same
duration
age-matched
(Old-LFD
15).
An
additional
group
maintained
on
LFD
(Young-LFD,
20)
shorter
(6
wk)
distinguish
between
age-dependent
age-independent
effects.
Liver,
colon,
adipose
tissue,
feces
were
collected
histological
molecular
assessments.Prolonged
led
insulin
resistance.
Histological
analysis
demonstrated
steatosis,
cell
injury,
portal
lobular
inflammation
fibrosis.
In
addition,
markers
endoplasmic
reticulum
stress
established
tissue
increased
phosphorylated
Jnk
CHOP.
Lastly,
evaluated
gut
microbial
composition
Old-LFD
Old-HFD.
observed
relative
abundance
Firmicutes
phylum.
At
genus
level,
significant
Adercreutzia,
Coprococcus,
Dorea,
Ruminococcus
decreased
Turicibacter
Anaeroplasma
mice.Overall,
these
data
suggest
chronic
consumption
can
pathophysiological
some
events
patients.
Gut,
Journal Year:
2019,
Volume and Issue:
68(8), P. 1477 - 1492
Published: March 14, 2019
There
is
a
striking
association
between
human
cholestatic
liver
disease
(CLD)
and
inflammatory
bowel
disease.
However,
the
functional
implications
for
intestinal
microbiota
inflammasome-mediated
innate
immune
response
in
CLD
remain
elusive.
Here
we
investigated
role
of
gut-liver
crosstalk
murine
Mdr2
knockout
(Mdr2-/-)
model
resembling
primary
sclerosing
cholangitis
(PSC).Male
Mdr2-/-,
Mdr2-/-
crossed
with
hepatocyte-specific
deletion
caspase-8
(Mdr2-/-
/Casp8∆hepa)
wild-type
(WT)
control
mice
were
housed
8
or
52
weeks,
respectively,
to
characterise
impact
on
gut
including
bile
acid
profiling.
To
block
caspase
activation,
pan-caspase
inhibitor
(IDN-7314)
was
administered.
Finally,
-associated
dysbiosis
studied
by
transfer
experiments.Mdr2-/-
displayed
an
unfavourable
signature
pronounced
NLRP3
inflammasome
activation
within
axis.
Intestinal
prompted
barrier
dysfunction
increased
bacterial
translocation
amplifying
hepatic
NLRP3-mediated
response.
Transfer
into
healthy
WT
induced
significant
injury
recipient
mice,
highlighting
causal
progression.
Strikingly,
IDN-7314
dampened
ameliorated
injury,
reversed
serum
profile
cholestasis-associated
signature.MDR2-associated
cholestasis
triggers
dysbiosis.
In
turn,
endotoxin
portal
vein
subsequent
contribute
higher
injury.
This
process
does
not
essentially
depend
hepatocytes,
but
can
be
blocked
IDN-7314.
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.