Fecal microbiota transplant promotes response in immunotherapy-refractory melanoma patients

2020 Science 1,367 citations

Abstract

New fecal microbiota for cancer patients The composition of the gut microbiome influences the response of cancer patients to immunotherapies. Baruch et al. and Davar et al. report first-in-human clinical trials to test whether fecal microbiota transplantation (FMT) can affect how metastatic melanoma patients respond to anti–PD-1 immunotherapy (see the Perspective by Woelk and Snyder). Both studies observed evidence of clinical benefit in a subset of treated patients. This included increased abundance of taxa previously shown to be associated with response to anti–PD-1, increased CD8 + T cell activation, and decreased frequency of interleukin-8–expressing myeloid cells, which are involved in immunosuppression. These studies provide proof-of-concept evidence for the ability of FMT to affect immunotherapy response in cancer patients. Science , this issue p. 602 , p. 595 ; see also p. 573

Keywords

Fecal bacteriotherapyRefractory (planetary science)ImmunotherapyMelanomaFecesMedicineImmunologyCancer researchImmune systemBiologyMicrobiologyAntibiotics

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Publication Info

Year
2020
Type
article
Volume
371
Issue
6529
Pages
602-609
Citations
1367
Access
Closed

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Erez N. Baruch, Ilan Youngster, Guy Ben‐Betzalel et al. (2020). Fecal microbiota transplant promotes response in immunotherapy-refractory melanoma patients. Science , 371 (6529) , 602-609. https://doi.org/10.1126/science.abb5920

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DOI
10.1126/science.abb5920