Cancers, Journal Year: 2024, Volume and Issue: 16(24), P. 4271 - 4271
Published: Dec. 23, 2024
Immunotherapy with immune checkpoint inhibitors represents a revolutionary approach to the treatment of solid tumors, including malignant melanoma, lung cancer, and gastrointestinal malignancies. Anti-CTLA-4 anti-PD-1/PDL-1 therapies provide prolonged survival for cancer patients, but their efficacy safety are highly variable. This review focuses on crucial role gut microbiome in modulating toxicity blockade. Studies suggest that composition may influence response immunotherapy, specific bacterial strains able promote an anti-tumor response. On other hand, dysbiosis increase risk adverse effects, such as immune-mediated colitis. Interventions aimed at microbiome, use probiotics, prebiotics, fecal microbial transplantation, or dietary modifications, represent promising strategies reduce toxicity. The combination immunotherapy microbiome-based strategy opens up new possibilities personalized treatment. In addition, factors physical activity nutritional supplementation indirectly ecosystem consequently improve outcomes refractory leading enhanced patient responses survival.
Language: Английский