Commensal Clostridiales strains mediate effective anti-cancer immune response against solid tumors

A Montalban-Arques, E Katkeviciute, P Busenhart… - Cell host & …, 2021 - cell.com
A Montalban-Arques, E Katkeviciute, P Busenhart, A Bircher, J Wirbel, G Zeller, Y Morsy
Cell host & microbe, 2021cell.com
Despite overall success, T cell checkpoint inhibitors for cancer treatment are still only
efficient in a minority of patients. Recently, intestinal microbiota was found to critically
modulate anti-cancer immunity and therapy response. Here, we identify Clostridiales
members of the gut microbiota associated with a lower tumor burden in mouse models of
colorectal cancer (CRC). Interestingly, these commensal species are also significantly
reduced in CRC patients compared with healthy controls. Oral application of a mix of four …
Summary
Despite overall success, T cell checkpoint inhibitors for cancer treatment are still only efficient in a minority of patients. Recently, intestinal microbiota was found to critically modulate anti-cancer immunity and therapy response. Here, we identify Clostridiales members of the gut microbiota associated with a lower tumor burden in mouse models of colorectal cancer (CRC). Interestingly, these commensal species are also significantly reduced in CRC patients compared with healthy controls. Oral application of a mix of four Clostridiales strains (CC4) in mice prevented and even successfully treated CRC as stand-alone therapy. This effect depended on intratumoral infiltration and activation of CD8+ T cells. Single application of Roseburia intestinalis or Anaerostipes caccae was even more effective than CC4. In a direct comparison, the CC4 mix supplementation outperformed anti-PD-1 therapy in mouse models of CRC and melanoma. Our findings provide a strong preclinical foundation for exploring gut bacteria as novel stand-alone therapy against solid tumors.
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