The role of the symbiotic microecosystem in cancer: gut microbiota, metabolome, and host immunome

Front Immunol. 2023 Aug 24:14:1235827. doi: 10.3389/fimmu.2023.1235827. eCollection 2023.

Abstract

The gut microbiota is not just a simple nutritional symbiosis that parasitizes the host; it is a complex and dynamic ecosystem that coevolves actively with the host and is involved in a variety of biological activities such as circadian rhythm regulation, energy metabolism, and immune response. The development of the immune system and immunological functions are significantly influenced by the interaction between the host and the microbiota. The interactions between gut microbiota and cancer are of a complex nature. The critical role that the gut microbiota plays in tumor occurrence, progression, and treatment is not clear despite the already done research. The development of precision medicine and cancer immunotherapy further emphasizes the importance and significance of the question of how the microbiota takes part in cancer development, progression, and treatment. This review summarizes recent literature on the relationship between the gut microbiome and cancer immunology. The findings suggest the existence of a "symbiotic microecosystem" formed by gut microbiota, metabolome, and host immunome that is fundamental for the pathogenesis analysis and the development of therapeutic strategies for cancer.

Keywords: cancer immunology; gut microbiome; immunomodulation; immunotherapy; tumor microenvironment.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Gastrointestinal Microbiome*
  • Humans
  • Metabolome
  • Microbiota*
  • Neoplasms*
  • Symbiosis

Grants and funding

This research was supported by the Oncology Medical-Industrial Innovation Fund Project of University of Electronic Science and Technology, Sichuan Cancer Hospital (Grant No. ZYGX2021YGCX020), the Sichuan Cancer Hospital Youth Fund Project (Grant No. YB2021035, YB2021040), the National Natural Science Foundation of China (Grant No. 82204695, Grant No. 82104215), the Sichuan Provincial Research Institutes Basic Research Operations Fund Project (Grant No. A-2022N-Z-2), the Research Projects granted by Sichuan Administration of TCM (2021ZD004), and the Sichuan Academy of Traditional Chinese Medicine Research Project (Grant No. QNCJRSC2022-9).