Lung and Gut Microbiota As Potential Hidden Driver of Immunotherapy Efficacy in Lung Cancer
Overview
Pathology
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Lung cancer is one of the deadliest and most common malignancies in the world, representing one of the greatest challenges in cancer treatment. Immunotherapy is rapidly changing standard treatment schedule and outcomes for patients with advanced malignancies. However, several ongoing studies are still attempting to elucidate the biomarkers that could predict treatment response as well as the new strategies to improve antitumor immune system response ameliorating immunotherapy efficacy. The complex of bacteria, fungi, and other microorganisms, termed microbiota, that live on the epithelial barriers of the host, are involved in the initiation, progression, and dissemination of cancer. The functional role of microbiota has attracted an accumulating attention recently. Indeed, it has been demonstrated that commensal microorganisms are required for the maturation, education, and function of the immune system regulating the efficacy of immunotherapy in the anticancer response. In this review, we discuss some of the major findings depicting bacteria as crucial gatekeeper for the immune response against tumor and their role as driver of immunotherapy efficacy in lung cancer with a special focus on the distinctive role of gut and lung microbiota in the efficacy of immunotherapy treatment.
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Teng Y, Luo C, Qiu X, Mu J, Sriwastva M, Xu Q Nat Commun. 2025; 16(1):1295.
PMID: 39900923 PMC: 11790884. DOI: 10.1038/s41467-025-56498-2.
Alswat A Life (Basel). 2024; 14(10).
PMID: 39459579 PMC: 11509314. DOI: 10.3390/life14101279.
Microbiome bacterial influencers of host immunity and response to immunotherapy.
Yousefi Y, Baines K, Maleki Vareki S Cell Rep Med. 2024; 5(4):101487.
PMID: 38547865 PMC: 11031383. DOI: 10.1016/j.xcrm.2024.101487.
Lung cancer, comorbidities, and medication: the infernal trio.
Pluchart H, Chanoine S, Moro-Sibilot D, Chouaid C, Frey G, Villa J Front Pharmacol. 2024; 14:1016976.
PMID: 38450055 PMC: 10916800. DOI: 10.3389/fphar.2023.1016976.
Otalora-Otalora B, Lopez-Rivera J, Aristizabal-Guzman C, Isaza-Ruget M, Alvarez-Moreno C Int J Mol Sci. 2023; 24(23).
PMID: 38068961 PMC: 10706695. DOI: 10.3390/ijms242316638.