Microbiota and their metabolites potentiate cancer immunotherapy: Therapeutic target or resource for small molecule drug discovery?

Microbiota and their metabolites potentiate cancer immunotherapy: Therapeutic target or resource for small molecule drug discovery?
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微生物群及其代谢物增强癌症免疫治疗:小分子药物发现的治疗靶点或资源?

DOI:
10.3389/fphar.2022.1091124
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发表时间:
2022
影响因子:
5.6
通讯作者:
--
中科院分区:
医学2区
文献类型:
--
作者:

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越来越多的证据证明,微生物区系不仅是小分子药物的靶标,也是开发小分子药物的未被充分开发的资源。同时,微生物区系作为免疫系统的重要调节因子,影响着肿瘤免疫治疗的疗效和毒性。利用微生物区系或开发微生物区系衍生药物提供了新的治疗策略,以克服对癌症免疫治疗和免疫相关不良事件(IrAEs)的耐药性。在这篇综述中,我们阐述了微生物区系及其代谢物如何影响抗肿瘤免疫和免疫治疗效果,并强调了微生物区系及其代谢物作为小分子药物发现资源的潜力。我们进一步综述了评估微生物区系及其代谢物对免疫治疗结果的潜在影响的临床试验的现状,提出了基于微生物区系的治疗领域的未来趋势。基于微生物区系的治疗是一种很有前途的治疗选择,可以提高治疗效果,减少免疫治疗的毒性。
Increasing evidence has proved that microbiota is not only the target of small molecule drugs but also an underexplored resource for developing small molecule drugs. Meanwhile, microbiota as a critical modulator of the immune system impacts the efficacy and toxicity of cancer immunotherapy. Harnessing microbiota or developing microbiota-derived medications provide novel therapeutic strategies to overcome resistance to cancer immunotherapy and immune-related adverse events (irAEs). In this review, we elucidate how microbiota and their metabolites impact anti-tumor immunity and immunotherapy efficacy and highlight the potential of microbiota and their metabolites as a resource for small molecule drug discovery. We further overview the current landscape of clinical trials evaluating the potential effect of microbiota and their metabolites on immunotherapy outcomes, presenting future trends in the field of microbiota-based therapies. Microbiota-based therapies are promising therapeutic options to promote therapeutic efficacy and diminish the toxicity of immunotherapy.
人参多糖改变了肠道菌群和kynurenine/色氨酸的比例,增强了抗编程细胞死亡1/程序性细胞死亡配体1(抗PD-1/PD-1/PD-L1)免疫疗法的抗肿瘤效应。
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