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September 5, 2026npj Precision OncologyOpen Access

Gut microbiota and the immune battlefield of cancer

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Authors

XWXinlin WangKZKui ZhongXHXiao Huang

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Overview

Narrative review uncovers gut microbiota mechanisms regulating cancer immunity and therapy response, highlighting microbial interventions to improve immunotherapy outcomes.

Key Points

  • To review the mechanisms by which gut microbiota influences cancer development, immune evasion, and response to immune checkpoint inhibitor therapies, alongside potential microbiome-modulating interventions.
  • Synthesized evidence detailing microbial interactions with innate and adaptive immunity across cancer initiation and progression.
  • Evaluated molecular mechanisms including microbial metabolites, pattern-recognition receptor signaling, epigenetic reprogramming, and extracellular vesicles.
  • Examined therapeutic microbiome-targeted approaches, including fecal microbiota transplantation, probiotics, and dietary interventions.
  • Dysbiosis alters the tumor microenvironment through metabolic and epigenetic reprogramming, pattern-recognition receptor signaling, and intratumoral bacterial colonization.
  • Specific gut microbiota profiles dictate responsiveness and resistance patterns during immune checkpoint inhibitor treatment.
  • Interventions such as fecal microbiota transplantation, probiotic supplementation, and targeted dietary regimens can favorably remodel the microbiome to enhance anti-tumor therapeutic efficacy.

Cite This Study

Wang et al. (2026) studied this question.

synapsesocial.com/papers/6a9bd3a66b95aff0620eadd9https://doi.org/10.1038/s41698-026-01684-8
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Also Consider

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  1. 1The gut microbiota in cancer immunity and immunotherapy2025 · 97 citations
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  4. 4Gut microbiota and cancer immunotherapy: mechanisms and modifications2024
  5. 5The mechanisms and therapeutic potential of the microbiome-immune interface in cancer2025