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Table 3 Microbiota that increases the efficiency of immunotherapy in various tumors

From: The human microbiome: redefining cancer pathogenesis and therapy

Cancer

Microbe

Effect on immunotherapy

Mode of action

Model organism/cell line

References

Melanoma

Bifidobacterium spp

Enhance the efficacy of PD-L1 inhibitors

Activation of dendritic cells and enhancement of tumor-specific CD8 + T cells

C57BL/6 mice with B16.SIY melanoma

[196]

Colorectal cancer

Lactobacillus rhamnosus

Synergized the efficacy of PD-L1 inhibitors and increased tumor inhibition

Increased the relative abundance of beneficial bacteria

Specific pathogen-free (SPF) BALB/c mice

[239]

Non-small cell lung cancer (NSCLC)

Probiotics

Enhance the efficacy of PD-L1 inhibitors

Enhanced progression-free survival and favorable clinical outcomes

Patients

[240]

Epithelial tumors (Sarcoma, Melanoma, NSCLC, Renal cell carcinoma)

Akkermansia muciniphila

Restored the efficacy of PD-1 blockade

Promote the recruitment of CCR9 + CXCR3 + CD4 + T lymphocytes

C57BL/6 and BALB/c Mice model, Patients

[241]

Melanoma, Sarcoma, NSCLC

Bacteroides fragilis

Reestablished the reduced antitumor effects of CTLA-4 blockade

Modulates IL-12–dependent TH1 immune response

Patients and mice model

[242]

Renal cell carcinoma

Clostridium butyricum(CBM 588)

Enhance the clinical outcome of nivolumab-ipilimumab treatment

Enhance the abundance of Bifidobacterium, Lactobacillus, and Lactococcus spp, increase the levels of IL-1β, G-CSF, IL-10, IL-12, GM-CSF, CCL4, TNF-α, and increase the number of IL-17A-producing cells (including γδT cells and CD4 cells)

Patients and mice model

[243, 244]

Subcutaneous tumour

Consortium of 7 Bacteroidales and 4 non-Bacteroidales species

Enhances therapeutic efficacy of anti-PD-1 antibody

Increases interferon-γ-producing CD8 + T cells and expression of MHC class I

germ-free mice

[87]

Melanoma

Bifidobacterium longum

Increased efficacy of anti-PD-L1 therapy

Increased frequency of dendritic cells, activated T cell’s response, induced number of SIY-specific CD8 + T cells,

Patients and mice model

[245]

Melanoma

Clostridiales/Ruminococcaceae, Faecalibacterium spp

Enhances the efficacy of anti-PD-L1 therapy and augment progression free survival

Enhanced systemic and antitumor immunity by inducingamino acid biosynthesis

Patients and germ-free recipient mice

[129]