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Table 1 Studies on gut microbiota target innate and adaptive immune cells to promote ICI efficacy

From: Gut microbiota influence immunotherapy responses: mechanisms and therapeutic strategies

Year

Cancer types

ICI

Beneficial gut microbiota

Interventions factors and/or biological effects

References

2015

Melanoma

PD-L1 inhibitor

Bifidobacterium

DCs and CD8 + T cells

[16]

2015

Melanoma

CTLA4 inhibitor

Bacteroides fragilis

Tumor draining lymph nodes: Th1; TME: DCs

[17]

2018

NSCLC, RCC, Urothelial carcinoma

PD-1 inhibitor, CTLA4 inhibitor

Akkermansia muciniphila

TME: IL-12 and CCR9 + CXCR3 + CD4 + T lymphocytes

[31]

2018

Melanoma

PD-1 inhibitor

Faecalibacterium, Ruminococcaceae, Clostridiales

Mice receiving R-FMT: Increased innate effector cells and decreased suppressive myeloid cells; Mice receiving NR-FMT: Increased RORγT+ T helper 17 cells

[32]

2018

Melanoma

PD-L1 inhibitor

Bifidobacterium longum, Collinsella aerofaciens, Enterococcus faecium

Mice receiving R-FMT: Augmented T cell responses

[33]

2017

Melanoma

CTLA4 inhibitor

Faecalibacterium

CD4 + T cells and CD25

[49]

2019

Adenocarcinoma, melanoma

PD-1 inhibitor

Eleven strains

IFNγ + CD8 T cell, CD103 + DC, and MHC Ia

[50]

2020

CRC, Intestinal cancer, Bladder cancer, melanoma

PD-L1 inhibitor, CTLA4 inhibitor

Bifidobacterium pseudolongum, Akkermansia muciniphila, Lactobacillus johnsonii, Olsenella species

DCs and Th1; Inosine: A2AR on Th1

[51]

2020

Colon cancer, T cell lymphoma

CD47 inhibitor

Bifidobacterium

STING signaling and DCs

[52]

2021

Melanoma

PD-1 inhibitor

Enterococcaceae, Enterococcus, Streptococcus australis

FMT-R patients: TME: CD8 + T cell; Gut: APC

[15]

2021

Melanoma

PD-1 inhibitor

Lachnospiraceae, Ruminococcaceae families, Bifidobacteriaceae, Coriobacteriaceae families

FMT-R patients: PBMCs: CD8 + T cells and MAIT cells; TME: CD8 + T cells, HLA II, CD74 and GZMK

FMT-NR patients: Increased myeloid cells and CD4 + regulatory T cells

[14]

2021

Lymphoma, Colon carcinoma, Melanoma, Breast carcinoma

ICI

A high-fiber diet, Akkermansia muciniphila

Monocytes, Macrophages, NK cells, DCs, Type I IFN, and STING

[53]

  1. APC: antigen presenting cell; A2AR: adenosine 2A receptor; CRC: colorectal cancer; CTLA4: cytotoxic T lymphocyte-associated antigen 4; DC: dendritic cell; FMT: fecal microbiota transplant; FMT-R: responders to fecal microbiota transplant treatment; FMT-NR: non-responders to fecal microbiota transplant treatment; GZMK: granzyme K; ICI: immune checkpoint inhibitor; IFN: interferon; MAIT: mucosal-associated invariant T; MHC: major histocompatibility; NK: natural killer; NSCLC: non-small cell lung cancer; NR-FMT: fecal microbiota transplants from non-responders to immune checkpoint inhibitor; PBMCs: peripheral blood mononuclear cells; PD-1: programmed cell death 1; PD-L1: programmed cell death ligand 1; RCC: renal cell carcinoma; R-FMT: fecal microbiota transplants from responders to immune checkpoint inhibitor; STING: stimulator of interferon gene; Th1: T helper 1; and TME: tumor microenvironment