Dietary fiber and probiotics influence the gut microbiome and melanoma immunotherapy response

Author:

Spencer Christine N.1ORCID,McQuade Jennifer L.2ORCID,Gopalakrishnan Vancheswaran1ORCID,McCulloch John A.3ORCID,Vetizou Marie3ORCID,Cogdill Alexandria P.14ORCID,Khan Md A. Wadud1ORCID,Zhang Xiaotao5ORCID,White Michael G.1ORCID,Peterson Christine B.6ORCID,Wong Matthew C.1,Morad Golnaz1ORCID,Rodgers Theresa2ORCID,Badger Jonathan H.3ORCID,Helmink Beth A.1,Andrews Miles C.17ORCID,Rodrigues Richard R.8ORCID,Morgun Andrey9ORCID,Kim Young S.10,Roszik Jason2ORCID,Hoffman Kristi L.11ORCID,Zheng Jiali5,Zhou Yifan4ORCID,Medik Yusra B.4ORCID,Kahn Laura M.412ORCID,Johnson Sarah1ORCID,Hudgens Courtney W.13ORCID,Wani Khalida13,Gaudreau Pierre-Olivier14,Harris Angela L.15ORCID,Jamal Mohamed A.16ORCID,Baruch Erez N.17ORCID,Perez-Guijarro Eva18ORCID,Day Chi-Ping18ORCID,Merlino Glenn18ORCID,Pazdrak Barbara2ORCID,Lochmann Brooke S.2ORCID,Szczepaniak-Sloane Robert A.1,Arora Reetakshi1,Anderson Jaime2ORCID,Zobniw Chrystia M.2ORCID,Posada Eliza2,Sirmans Elizabeth2,Simon Julie1ORCID,Haydu Lauren E.1ORCID,Burton Elizabeth M.1ORCID,Wang Linghua16ORCID,Dang Minghao16,Clise-Dwyer Karen1920,Schneider Sarah19ORCID,Chapman Thomas1,Anang Nana-Ama A. S.4ORCID,Duncan Sheila1,Toker Joseph2122,Malke Jared C.1ORCID,Glitza Isabella C.2ORCID,Amaria Rodabe N.2,Tawbi Hussein A.2ORCID,Diab Adi2ORCID,Wong Michael K.2ORCID,Patel Sapna P.2ORCID,Woodman Scott E.2,Davies Michael A.2ORCID,Ross Merrick I.1,Gershenwald Jeffrey E.1ORCID,Lee Jeffrey E.1ORCID,Hwu Patrick2,Jensen Vanessa23ORCID,Samuels Yardena24ORCID,Straussman Ravid24ORCID,Ajami Nadim J.16ORCID,Nelson Kelly C.25ORCID,Nezi Luigi26ORCID,Petrosino Joseph F.11,Futreal P. Andrew16ORCID,Lazar Alexander J.121627ORCID,Hu Jianhua28ORCID,Jenq Robert R.1629ORCID,Tetzlaff Michael T.30,Yan Yan31,Garrett Wendy S.32ORCID,Huttenhower Curtis31333435ORCID,Sharma Padmanee43637ORCID,Watowich Stephanie S.4ORCID,Allison James P.437ORCID,Cohen Lorenzo38,Trinchieri Giorgio3ORCID,Daniel Carrie R.5ORCID,Wargo Jennifer A.116ORCID

Affiliation:

1. Department of Surgical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

2. Department of Melanoma Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

3. Laboratory of Integrative Cancer Immunology, Center for Cancer Research (CCR), National Cancer Institute (NCI), National Institutes of Health (NIH), Bethesda, MD 20892, USA.

4. Department of Immunology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

5. Department of Epidemiology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

6. Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

7. Department of Medicine, Monash University, Melbourne, VIC 3004, Australia.

8. Frederick National Laboratory for Cancer Research, and Microbiome and Genetics Core, Laboratory of Integrative Cancer Immunology, CCR, NCI, NIH, Bethesda, MD 20852, USA.

9. Department of Pharmaceutical Science, Oregon State University, Corvallis, OR 97331, USA.

10. Nutritional Science Research Group, Division of Cancer Prevention, NCI, NIH, Rockville, MD 20850, USA.

11. Department of Molecular Virology and Microbiology, Baylor College of Medicine, Houston, TX 77030, USA.

12. MD Anderson University of Texas Health Graduate School, Houston, TX 77030, USA.

13. Department of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

14. Canadian Cancer Trials Group and Department of Oncology, Queen’s University, Kingston, ON K7L 3N6, Canada.

15. Center for Co-Clinical Trials, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

16. Department of Genomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

17. Department of Internal Medicine, The University of Texas Health Science Center, Houston, TX 77030, USA.

18. Laboratory of Cancer Biology and Genetics, CCR, NCI, NIH, Bethesda, MD 20892, USA.

19. Advanced Cytometry and Sorting Facility at South Campus, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

20. Department of Hematopoietic Biology and Malignancy, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

21. Department of Neurosurgery, Harvard University, Cambridge, MA 02138, USA.

22. Department of Oncology, University of Cambridge, Cambridge CB2 1TN, UK.

23. Department of Veterinary Medicine and Surgery, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

24. Department of Molecular Cell Biology, Weizmann Institute of Science, Rehovot, 76100, Israel.

25. Department of Dermatology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

26. Dipartimento di Oncologia Sperimentale, Instituto Europeo di Oncologia, Milan, P.I. 08691440153, Italy.

27. Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

28. Department of Biostatistics, Columbia University, New York, NY 10032, USA.

29. Department of Stem Cell Transplant, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

30. Departments of Pathology and Dermatology, Dermatopathology and Oral Pathology Unit, University of California San Francisco, San Francisco, CA 94115, USA.

31. Department of Biostatistics and the Harvard T.H. Chan Microbiome in Public Health Center, Harvard T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA.

32. Department of Molecular Metabolism, T.H. Chan School of Public Health, Harvard University, Boston, MA 02115, USA.

33. Department of Immunology and Infectious Diseases, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.

34. Broad Institute of MIT and Harvard, Cambridge, MA 02142, USA.

35. Harvard Chan Microbiome in Public Health Center, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.

36. Department of Genitourinary Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

37. Parker Institute for Cancer Immunotherapy, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

38. Department of Palliative, Rehabilitation, and Integrative Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, USA.

Abstract

Another benefit of dietary fiber The gut microbiome can modulate the immune system and influence the therapeutic response of cancer patients, yet the mechanisms underlying the effects of microbiota are presently unclear. Spencer et al . add to our understanding of how dietary habits affect microbiota and clinical outcomes to immunotherapy. In an observational study, the researchers found that melanoma patients reporting high fiber (prebiotic) consumption had a better response to checkpoint inhibitor immunotherapy compared with those patients reporting a low-fiber diet. The most marked benefit was observed for those patients reporting a combination of high fiber consumption and no use of over-the-counter probiotic supplements. These findings provide early insights as to how diet-related factors may influence the immune response. —PNK

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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