2022
DOI: 10.1007/s10555-022-10039-1
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The gut microbiome, immune check point inhibition and immune-related adverse events in non-small cell lung cancer

Abstract: Systemic treatment options for patients with lung cancer have expanded in recent years, with a number of immunotherapeutic strategies now in our treatment armamentarium. Toxicity of and resistance to treatment hold a major stake in lung cancer morbidity and mortality. Herein, we summarise the background, current evidence and potential mechanisms underlying the role of the commensal gut microbiota in immunotherapy outcomes such as response and toxicity in patients with non-small cell lung cancer (NSCLC).

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Cited by 14 publications
(11 citation statements)
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“…It is known that the microbiome plays an important role in human health and disease by modulating a host's innate and adaptive immune system, immune responses, and metabolism, and by protecting from invading pathogens [235][236][237]. The tumor microenvironment (TME) influences cancer progression and therapy responses [238] and many recent studies have demonstrated associations between the TME and microbiota composition and responses to immune checkpoint inhibitors in cancer patients, including NSCLC patients, suggesting that modulation of the microbiota through diet, probiotics, and fecal microbiota transplantations (FMT) could improve treatment efficacy [238][239][240][241][242][243][244]. There is also a possibility that the lung microbiome change could be used as a biomarker for detecting clinical phenotypes [245].…”
Section: Microbiomementioning
confidence: 99%
“…It is known that the microbiome plays an important role in human health and disease by modulating a host's innate and adaptive immune system, immune responses, and metabolism, and by protecting from invading pathogens [235][236][237]. The tumor microenvironment (TME) influences cancer progression and therapy responses [238] and many recent studies have demonstrated associations between the TME and microbiota composition and responses to immune checkpoint inhibitors in cancer patients, including NSCLC patients, suggesting that modulation of the microbiota through diet, probiotics, and fecal microbiota transplantations (FMT) could improve treatment efficacy [238][239][240][241][242][243][244]. There is also a possibility that the lung microbiome change could be used as a biomarker for detecting clinical phenotypes [245].…”
Section: Microbiomementioning
confidence: 99%
“…There are many current related clinical studies on this subject. 23,[46][47][48] A Phase I clinical trial on pembrolizumab combined with anti-LAG-3 antibody favezelimab in 89 previously treated MSS mCRC patients showed four patients with partial remission and one patient achieving complete remission. The median remission duration was 10.6 months and the toxicity was controllable, suggesting that combined immunotherapy may have survival benefits in patients with MSS type cancer.…”
Section: Other Immune Checkpoint Moleculesmentioning
confidence: 99%
“…Moreover, adaptive immune resistance is observed in lung cancer patients and attenuated the immunotherapeutic benefits ( Gkountakos et al, 2021 ; Gemelli et al, 2022 ). Furthermore, immunotherapy often causes side-effects, such as endocrinopathy, colitis, pneumonitis, nephritis in lung cancer patients ( Bredin and Naidoo, 2022 ; Hao et al, 2022 ).…”
Section: Introductionmentioning
confidence: 99%