Impact of antibiotics, corticosteroids, and microbiota on immunotherapy efficacy in patients with non-small cell lung cancer.

Airway microbiota Antibiotics Corticosteroids Immunotherapy Lung cancer

Journal

Heliyon
ISSN: 2405-8440
Titre abrégé: Heliyon
Pays: England
ID NLM: 101672560

Informations de publication

Date de publication:
15 Jul 2024
Historique:
received: 18 02 2024
revised: 10 06 2024
accepted: 25 06 2024
medline: 26 7 2024
pubmed: 26 7 2024
entrez: 25 7 2024
Statut: epublish

Résumé

Lung cancer is a leading cause of morbidity and mortality globally, with its high mortality rate attributed mainly to non-small cell lung cancer (NSCLC). Although immunotherapy with immune checkpoint inhibitors (ICI) has revolutionized its treatment, patient response is highly variable and lacking predictive markers. We conducted a prospective study on 55 patients with NSCLC undergoing ICI therapy to identify predictive markers of both response and immune-related adverse events (IrAEs) in the airway microbiota. We also analyzed the clinical evolution and overall survival (OS) with respect to treatments that affect the integrity of the microbiota, such as antibiotics and corticosteroids. Our results demonstrated that respiratory microbiota differ significantly in ICI responders: they have higher alpha diversity values and lower abundance of the Firmicutes phylum and the

Identifiants

pubmed: 39050456
doi: 10.1016/j.heliyon.2024.e33684
pii: S2405-8440(24)09715-9
pmc: PMC11268177
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e33684

Informations de copyright

© 2024 The Authors.

Déclaration de conflit d'intérêts

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Auteurs

María Zapata-García (M)

Medical Oncology Department, Lozano Blesa University Hospital Clinic, 50009, Zaragoza, Spain.
Health Research Institute of Aragón (IIS Aragón), 50009, Zaragoza, Spain.

Alba Moratiel-Pellitero (A)

Medical Oncology Department, Lozano Blesa University Hospital Clinic, 50009, Zaragoza, Spain.

Dolores Isla (D)

Medical Oncology Department, Lozano Blesa University Hospital Clinic, 50009, Zaragoza, Spain.
Health Research Institute of Aragón (IIS Aragón), 50009, Zaragoza, Spain.

Eva Gálvez (E)

Institute of Carbochemistry (ICB-CSIC), Zaragoza, Spain.
Center for Biomedical Research in the Network of Infectious Diseases (CIBERINFEC), Carlos III Health Institute (ISCIII), Madrid, Spain.

Marta Gascón-Ruiz (M)

Health Research Institute of Aragón (IIS Aragón), 50009, Zaragoza, Spain.
Medical Oncology Department, Miguel Servet University Hospital, 50009, Zaragoza, Spain.

Andrea Sesma (A)

Health Research Institute of Aragón (IIS Aragón), 50009, Zaragoza, Spain.
Medical Oncology Department, Miguel Servet University Hospital, 50009, Zaragoza, Spain.

Raquel Barbero (R)

Microbiology Department, Ramón y Cajal University Hospital and IRYCIS, Madrid, Spain.

Javier Galeano (J)

Complex Systems Group, Universidad Politécnica de Madrid, Madrid, Spain.

Rosa Del Campo (R)

Center for Biomedical Research in the Network of Infectious Diseases (CIBERINFEC), Carlos III Health Institute (ISCIII), Madrid, Spain.
Microbiology Department, Ramón y Cajal University Hospital and IRYCIS, Madrid, Spain.

Maitane Ocáriz (M)

Medical Oncology Department, Lozano Blesa University Hospital Clinic, 50009, Zaragoza, Spain.

Elisa Quílez (E)

Medical Oncology Department, Lozano Blesa University Hospital Clinic, 50009, Zaragoza, Spain.
Health Research Institute of Aragón (IIS Aragón), 50009, Zaragoza, Spain.

Mara Cruellas (M)

Medical Oncology Department, Vall d'Hebrón University Hospital, 08035, Barcelona, Spain.

Ariel Remírez-Labrada (A)

Health Research Institute of Aragón (IIS Aragón), 50009, Zaragoza, Spain.

Julián Pardo (J)

Health Research Institute of Aragón (IIS Aragón), 50009, Zaragoza, Spain.
Center for Biomedical Research in the Network of Infectious Diseases (CIBERINFEC), Carlos III Health Institute (ISCIII), Madrid, Spain.
Microbiology Department, Preventive Medicine and Public Health, University of Zaragoza, 50009, Zaragoza, Spain.

Luis Martínez-Lostao (L)

Microbiology Department, Preventive Medicine and Public Health, University of Zaragoza, 50009, Zaragoza, Spain.

María Pilar Domingo (MP)

Institute of Carbochemistry (ICB-CSIC), Zaragoza, Spain.

Patricia Esteban (P)

Health Research Institute of Aragón (IIS Aragón), 50009, Zaragoza, Spain.

Irene Torres-Ramón (I)

Medical Oncology Department, Lozano Blesa University Hospital Clinic, 50009, Zaragoza, Spain.
Health Research Institute of Aragón (IIS Aragón), 50009, Zaragoza, Spain.

Alfonso Yubero (A)

Medical Oncology Department, Lozano Blesa University Hospital Clinic, 50009, Zaragoza, Spain.
Health Research Institute of Aragón (IIS Aragón), 50009, Zaragoza, Spain.

José Ramón Paño (JR)

Health Research Institute of Aragón (IIS Aragón), 50009, Zaragoza, Spain.
ESCMID Fellow, Infectious Diseases Department, Lozano Blesa University Hospital Clinic, Zaragoza, Spain and University of Zaragoza, 50009, Zaragoza, Spain.

Rodrigo Lastra (R)

Medical Oncology Department, Lozano Blesa University Hospital Clinic, 50009, Zaragoza, Spain.
Health Research Institute of Aragón (IIS Aragón), 50009, Zaragoza, Spain.

Classifications MeSH