Research progress on gut microbiota in colorectal cancer immunotherapy

Oct 23, 2025Biochimica et biophysica acta. Reviews on cancer

Advances in Understanding Gut Bacteria's Role in Colorectal Cancer Immunotherapy

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Abstract

Immune checkpoint inhibitors (ICIs) have shown variable efficacy in treating colorectal cancer (CRC), influenced by gut microbiota.

  • Interindividual variability in ICI responses has been observed in CRC patients.
  • Certain bacterial species, like Lactobacillus paracasei and Fusobacterium nucleatum, may affect ICI efficacy through their impact on immune responses.
  • Microbial metabolites, such as short-chain fatty acids, could enhance immune function and improve outcomes with ICIs.
  • Potential interventions targeting the microbiome include combinations of probiotics and prebiotics, optimized antibiotic use, and refined fecal microbiota transplantation protocols.
  • This review synthesizes current evidence to support the development of personalized immunotherapy strategies focused on microbiome modulation.

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