Findings from a small, proof-of-concept clinical trial have suggested that fecal microbiota transplants (FMTs) can boost the effectiveness of immunotherapy in a range of gastrointestinal cancers. In the study, published July 25 in the journal Cell Host & Microbe , six of 13 patients who had previously shown resistance to immune checkpoint inhibitors benefited from receiving FMTs from donors who had previously responded to treatment. The investigators also identified specific strains of bacteria associated with better or worse responses to FMT and immune checkpoint drugs.

This research highlights the complex interplay between beneficial and detrimental bacteria within the gut microbiota in determining treatment outcomes. While the connection between gut microbiota and immune response to cancer therapy has been a growing area of interest, our study provides concrete evidence and new avenues for improving treatment outcomes in a broader range of cancers." Hansoo Park, co-corresponding author of Gwangju Institute of Science and Technology, in Gwangju, South Korea Immune checkpoint inhibitors have revolutionized cancer treatment, but many patients never respond or develop resistance after an initial response.

The researchers decided to study FMT in patients receiving immune checkpoint inhibitors because emerging evidence suggests that the gut microbiota plays a crucial role in modulating the immune system and can significantly impact the efficacy of these therapies. Previous small.