Non-Invasive Biomarkers for Immunotherapy in Patients with Hepatocellular Carcinoma: Current Knowledge and Future Perspectives DOI Open Access

Maria Pallozzi,

Natalia Di Tommaso,

Valeria Maccauro

et al.

Cancers, Journal Year: 2022, Volume and Issue: 14(19), P. 4631 - 4631

Published: Sept. 23, 2022

The treatment perspectives of advanced hepatocellular carcinoma (HCC) have deeply changed after the introduction immunotherapy. results in responders show improved survival compared with Sorafenib, but only one-third patients achieve a significant benefit from treatment. As tumor microenvironment exerts central role shaping response to immunotherapy, future goal HCC should be identify proxy hepatic tissue condition that is easy use clinical practice. Therefore, search for biomarkers are accurate predicting prognosis will hot topic therapeutic management near future. Understanding mechanisms resistance immunotherapy may expand patient population it, and help researchers find new combination regimens improve patients’ outcomes. In this review, we describe current knowledge on prognostic non-invasive related immune checkpoint inhibitors, focusing serological markers gut microbiota.

Language: Английский

Biomarkers in Hepatocellular Carcinoma: Diagnosis, Prognosis and Treatment Response Assessment DOI Creative Commons
Federico Piñero, Melisa Dirchwolf, Mário G. Pessôa

et al.

Cells, Journal Year: 2020, Volume and Issue: 9(6), P. 1370 - 1370

Published: June 1, 2020

Hepatocellular carcinoma (HCC) is one of the main cancer-related causes death worldwide. Thus, there a constant search for improvement in screening, diagnosis, and treatment strategies to improve prognosis this malignancy. The identification useful biomarkers surveillance early HCC diagnosis still deficient, with available serum showing low sensitivity heterogeneous specificity despite different cut-off points, even when assessed longitudinally, or combination biomarkers. In contrast, used prognostic (when associated clinical outcomes) predictive purposes response) may have an increased role near future. Furthermore, some are already implicated as selection tool, whether provide access certain therapies assess benefit after treatment. present review we will discuss utility foreseen future surveillance, prognosis, post-treatment assessment.

Language: Английский

Citations

402

Intestinal Barrier in Human Health and Disease DOI Open Access

Natalia Di Tommaso,

Antonio Gasbarrini, Francesca Romana Ponziani

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(23), P. 12836 - 12836

Published: Dec. 6, 2021

The intestinal mucosa provides a selective permeable barrier for nutrient absorption and protection from external factors. It consists of epithelial cells, immune cells their secretions. gut microbiota participates in regulating the integrity function homeostatic balance. Pathogens, xenobiotics food can disrupt barrier, promoting systemic inflammation tissue damage. Genetic factors predispose individuals to dysfunction, changes composition are central this process. progressive identification these has led development concept ‘leaky syndrome’ ‘gut dysbiosis’, which underlie relationship between impairment, metabolic diseases autoimmunity. Understanding mechanisms underlying process is an intriguing subject research diagnosis treatment various extraintestinal diseases.

Language: Английский

Citations

324

gutMDisorder: a comprehensive database for dysbiosis of the gut microbiota in disorders and interventions DOI Creative Commons
Liang Cheng,

Changlu Qi,

He Zhuang

et al.

Nucleic Acids Research, Journal Year: 2019, Volume and Issue: 48(D1), P. D554 - D560

Published: Oct. 2, 2019

Abstract gutMDisorder (http://bio-annotation.cn/gutMDisorder), a manually curated database, aims at providing comprehensive resource of dysbiosis the gut microbiota in disorders and interventions. Alterations composition microbial community play crucial roles development chronic disorders. And beneficial effects drugs, foods other intervention measures on could be microbially mediated. The current version documents 2263 associations between 579 microbes 123 or 77 Human, 930 273 33 151 Mouse. Each entry contains detailed information an association, including intestinal microbe, disorder name, measures, experimental technology platform, characteristic samples, web sites for downloading sequencing data, brief description literature reference, so on. provides user-friendly interface to browse, retrieve each using microbes, disorders, measures. It also offers pages all entries submitting new experimentally validated associations.

Language: Английский

Citations

180

Exploring the Emerging Role of the Gut Microbiota and Tumor Microenvironment in Cancer Immunotherapy DOI Creative Commons
Qin Qiu, Yuqi Lin,

Yucui Ma

et al.

Frontiers in Immunology, Journal Year: 2021, Volume and Issue: 11

Published: Jan. 7, 2021

The tumor microenvironment (TME) is a complex ecosystem, which includes many different types of cells, abnormal vascular systems, and immunosuppressive cytokines. TME serves an important function in tolerance escapes from immune surveillance leading to progression. Indeed, there increasing evidence that gut microbiome associated with cancer variety ways, as specific microbial signatures are known promote development influence safety, tolerability, efficacy therapies. Studies over the past five years have shown composition intestinal microbiota has significant impact on anticancer immunosurveillance, contribute therapeutic activity immunotherapies based targeting cytotoxic T lymphocyte protein 4 (CTLA-4) or programmed cell death 1 (PD-1)–programmed ligand (PD-L1) axis. In this review, we mainly discuss immunotherapy through immune-related mechanisms. We subsequently its metabolites host system formation TME. addition, review also summarizes latest research role immunotherapy.

Language: Английский

Citations

107

Role of Akkermansia in Human Diseases: From Causation to Therapeutic Properties DOI Open Access
Antonio Pellegrino,

Gaetano Coppola,

Francesco Santopaolo

et al.

Nutrients, Journal Year: 2023, Volume and Issue: 15(8), P. 1815 - 1815

Published: April 8, 2023

The gut microbiota plays a critical role in the modulation of host metabolism and immune response, its impairment has been implicated many gastrointestinal extraintestinal diseases. Current evidence shows well-documented A. muciniphila maintaining integrity intestinal barrier, modulating improving several metabolic pathways, making it key element pathogenesis human In this scenario, is most promising next-generation probiotic one first microbial species suitable for specific clinical use when compared with traditional probiotics. Further studies are needed to provide more accurate insight into mechanisms action better elucidate properties major areas, paving way integrated personalized therapeutic approach that finally makes our knowledge microbiota.

Language: Английский

Citations

43

gutMDisorder: a comprehensive database for dysbiosis of the gut microbiota in disorders and interventions DOI Creative Commons
Liang Cheng,

Changlu Qi,

He Zhuang

et al.

Nucleic Acids Research, Journal Year: 2020, Volume and Issue: unknown

Published: June 9, 2020

gutMDisorder (http://bio-annotation.cn/gutMDisorder), a manually curated database, aims at providing comprehensive resource of dysbiosis the gut microbiota in disorders and interventions. Alterations composition microbial community play crucial roles development chronic disorders. And beneficial effects drugs, foods other intervention measures on could be microbially mediated. The current version documents 2263 associations between 579 microbes 123 or 77 Human, 930 273 33 151 Mouse. Each entry contains detailed information an association, including intestinal microbe, disorder name, measures, experimental technology platform, characteristic samples, web sites for downloading sequencing data, brief description literature reference, so on. provides user-friendly interface to browse, retrieve each using microbes, disorders, measures. It also offers pages all entries submitting new experimentally validated associations.

Language: Английский

Citations

118

Predictive Factors for Response to PD-1/PD-L1 Checkpoint Inhibition in the Field of Hepatocellular Carcinoma: Current Status and Challenges DOI Open Access
Zuzana Macek Jílková, Caroline Aspord, Thomas Decaens

et al.

Cancers, Journal Year: 2019, Volume and Issue: 11(10), P. 1554 - 1554

Published: Oct. 14, 2019

Immunotherapies targeting immune checkpoints are fast-developing therapeutic approaches adopted for several tumor types that trigger unprecedented rates of durable clinical responses. Immune checkpoint programmed cell death protein 1 (PD-1), expressed primarily by T cells, and ligand (PD-L1), mainly macrophages, dendritic molecules impede function, thereby allowing cells to proliferate, grow spread. PD-1/PD-L1 inhibitors have emerged as a promising treatment strategy hepatocellular carcinoma (HCC). However, only minority HCC patients benefit from this therapy. To find niche inhibition in patients, future strategies might require predictive factor-based patient selection, identify who likely respond the said therapy combination order enhance anti-tumor efficacy success. This review provides an overview most recent data pertaining factors response field HCC.

Language: Английский

Citations

93

Gut Dysbiosis and Fecal Calprotectin Predict Response to Immune Checkpoint Inhibitors in Patients With Hepatocellular Carcinoma DOI Creative Commons
Francesca Romana Ponziani, Angela De Luca, Anna Picca

et al.

Hepatology Communications, Journal Year: 2022, Volume and Issue: 6(6), P. 1492 - 1501

Published: March 9, 2022

The gut microbiota is a well-known prognostic factor and modulator of treatment sensitivity in patients with cancers treated immune checkpoint inhibitors. However, data on hepatocellular carcinoma (HCC) are lacking. This study aimed to evaluate the role changes produced by immunotherapy intestinal environment cirrhosis HCC. Eleven Tremelimumab and/or Durvalumab were included analysis. All participants underwent profiling, quantification fecal calprotectin, serum levels zonulin-1, lipopolysaccharide binding protein (LBP), programmed death-ligand 1 (PD-L1) at baseline each cycle until third cycle, then every three cycles discontinuation or last visit. 6 who achieved disease control (DC) showed lower pretreatment calprotectin (median, 12.5; interquartile range [IQR], 5-29 vs. median, 116; IQR, 59-129 µg/g; P = 0.047) PD-L1 0.08; 0.07-0.09 1.04; 0.17-1.95 ng/mL; 0.02) than nonresponders. relative abundance Akkermansia (log2 fold change [FC], 2.72; adjusted [Padj] 0.012) was increased, whereas that Enterobacteriaceae FC, -2.34; Padj 0.04) reduced DC group. During treatment, temporal evolution opposite ratio alpha diversity, but similar zonulin-1 LBP. Bifidobacterium had stable behavior long follow-up, while more variable. patterns causative relationships Prevotella, Veillonella, Ruminococcus, Roseburia, Lachnospira, Faecalibacterium, Clostridium. Conclusion: A favorable composition low inflammation associated achieving DC. dynamically during therapy.

Language: Английский

Citations

45

Mesenchymal Stem Cell–Derived Exosomes in Various Chronic Liver Diseases: Hype or Hope? DOI Creative Commons
Lujian Zhu, Qing K. Wang, Maodong Guo

et al.

Journal of Inflammation Research, Journal Year: 2024, Volume and Issue: Volume 17, P. 171 - 189

Published: Jan. 1, 2024

Abstract: Chronic liver conditions are associated with high mortality rates and have a large adverse effect on human well-being as well significant financial burden. Currently, the only effective treatment available for effects of failure cirrhosis resulting from progression several chronic diseases is transplantation carried out at original location. This implies that developing novel treatments imperative. Regenerative medicine has long been stem cell therapy. Mesenchymal cells (MSCs), type great differentiation potential, become preferred source According to recent studies, MSCs' paracrine products—rather than their capacity differentiation—play therapeutic effect. MSC exosomes, extracellular vesicle (MSC-EV), came into view substances MSCs. research, exosomes can maintain tissue homeostasis, which necessary healthy function. All tissues contain them, they take part in variety biological activities support cellular activity regeneration order preserve homeostasis. The outcomes use MSCs produce option range diseases. review provides brief overview MSC-EVs outlines physiological roles biochemical capabilities. elucidation role recovery repair hepatic tissues, contribution maintaining discussed relation different aims provide new insights unique play Keywords: mesenchymal cells, disease, immunomodulation, homeostasis

Language: Английский

Citations

10

Long-term Bisphenol S exposure induced gut microbiota dysbiosis, obesity, hepatic lipid accumulation, intestinal lesions and dyslipidemia in mice DOI
Yulang Chi, Lin Zhu, Yihui Wang

et al.

Toxicology, Journal Year: 2024, Volume and Issue: 504, P. 153798 - 153798

Published: April 6, 2024

Language: Английский

Citations

8