Community characteristics and relationship between gut microbiota and intratumoral microbiota in hepatocellular carcinoma

BackgroundThe combination of local therapy with lenvatinib and programmed cell death protein-1 (PD-1) inhibitors represents an emerging treatment paradigm for unresectable hepatocellular carcinoma (uHCC). Our study sought to investigate the interrelationship between gut microbiota and intratumoral m...

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Main Authors: Huangpeng Lin, Zexian Ma, Jin Li, Heping Zhu, Xuefeng Huang, Huimin Chen, Liang Tu, Yifan Lian, Yongjie Su
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Immunology
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Online Access:https://www.frontiersin.org/articles/10.3389/fimmu.2024.1500863/full
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author Huangpeng Lin
Zexian Ma
Jin Li
Heping Zhu
Xuefeng Huang
Huimin Chen
Liang Tu
Yifan Lian
Yongjie Su
author_facet Huangpeng Lin
Zexian Ma
Jin Li
Heping Zhu
Xuefeng Huang
Huimin Chen
Liang Tu
Yifan Lian
Yongjie Su
author_sort Huangpeng Lin
collection DOAJ
description BackgroundThe combination of local therapy with lenvatinib and programmed cell death protein-1 (PD-1) inhibitors represents an emerging treatment paradigm for unresectable hepatocellular carcinoma (uHCC). Our study sought to investigate the interrelationship between gut microbiota and intratumoral microbiota in the context of triple therapy, with a view to identifying potential biological markers.MethodsThe gut microbial community profiles of patients with primary untreated hepatocellular carcinoma (HCC) and those treated with local therapy combined with lenvatinib and PD-1 inhibitors were analyzed by 16S rRNA gene amplicon sequencing. Additionally, microbial community profiles of tumor tissues of patients with HCC and normal liver tissues were analyzed.ResultsIn our investigation, we observed that patients with HCC who received triple therapy exhibited a notable enhancement in the abundance of Actinobacteriota and a considerable decrease in Escherichia Shigella. Patients who received hepatic artery infusion chemotherapy (HAIC) in combination with levatinib and PD-1 inhibitors exhibited significantly elevated levels of Faecalibacterium prausnitzii and Bacteroides stercoris in comparison to those who received transarterial chemoembolization (TACE) in combination with levatinib and PD-1 inhibitors. Furthermore, a notable decline in microbial diversity was observed within HCC tumors in comparison to normal liver tissues. The gut and intratumoral microbiota in HCC patients exhibited a high degree of similarity to the microbes present at the phylum level.ConclusionsGut microbiota is connected to triple therapy with local therapy combined with lenvatinib and PD-1 inhibitors for HCC. These discoveries underscore the potential of utilizing gut microbiota and intratumoral microbiota as biomarkers, as well as the possibility of triple therapy in the management of HCC.
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spelling doaj-art-2cac64e5ae10483abb65882fca9ee1c12025-08-20T02:45:07ZengFrontiers Media S.A.Frontiers in Immunology1664-32242025-01-011510.3389/fimmu.2024.15008631500863Community characteristics and relationship between gut microbiota and intratumoral microbiota in hepatocellular carcinomaHuangpeng Lin0Zexian Ma1Jin Li2Heping Zhu3Xuefeng Huang4Huimin Chen5Liang Tu6Yifan Lian7Yongjie Su8The School of Clinical Medicine, Fujian Medical University, Fuzhou, ChinaThe School of Clinical Medicine, Fujian Medical University, Fuzhou, ChinaDepartment of Health Management Center, Xiang’an Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Xiamen Traditional Chinese Medicine Hospital, Xiamen, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Hepatobiliary and Pancreatic Surgery, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, ChinaDepartment of Gastroenterology, The National Key Clinical Specialty, Zhongshan Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, ChinaThe School of Clinical Medicine, Fujian Medical University, Fuzhou, ChinaBackgroundThe combination of local therapy with lenvatinib and programmed cell death protein-1 (PD-1) inhibitors represents an emerging treatment paradigm for unresectable hepatocellular carcinoma (uHCC). Our study sought to investigate the interrelationship between gut microbiota and intratumoral microbiota in the context of triple therapy, with a view to identifying potential biological markers.MethodsThe gut microbial community profiles of patients with primary untreated hepatocellular carcinoma (HCC) and those treated with local therapy combined with lenvatinib and PD-1 inhibitors were analyzed by 16S rRNA gene amplicon sequencing. Additionally, microbial community profiles of tumor tissues of patients with HCC and normal liver tissues were analyzed.ResultsIn our investigation, we observed that patients with HCC who received triple therapy exhibited a notable enhancement in the abundance of Actinobacteriota and a considerable decrease in Escherichia Shigella. Patients who received hepatic artery infusion chemotherapy (HAIC) in combination with levatinib and PD-1 inhibitors exhibited significantly elevated levels of Faecalibacterium prausnitzii and Bacteroides stercoris in comparison to those who received transarterial chemoembolization (TACE) in combination with levatinib and PD-1 inhibitors. Furthermore, a notable decline in microbial diversity was observed within HCC tumors in comparison to normal liver tissues. The gut and intratumoral microbiota in HCC patients exhibited a high degree of similarity to the microbes present at the phylum level.ConclusionsGut microbiota is connected to triple therapy with local therapy combined with lenvatinib and PD-1 inhibitors for HCC. These discoveries underscore the potential of utilizing gut microbiota and intratumoral microbiota as biomarkers, as well as the possibility of triple therapy in the management of HCC.https://www.frontiersin.org/articles/10.3389/fimmu.2024.1500863/fullhepatocellular carcinomatransarterial chemoembolizationhepatic artery infusion chemotherapyprogrammed cell death protein-1 inhibitorslenvatinibgut microbiota
spellingShingle Huangpeng Lin
Zexian Ma
Jin Li
Heping Zhu
Xuefeng Huang
Huimin Chen
Liang Tu
Yifan Lian
Yongjie Su
Community characteristics and relationship between gut microbiota and intratumoral microbiota in hepatocellular carcinoma
Frontiers in Immunology
hepatocellular carcinoma
transarterial chemoembolization
hepatic artery infusion chemotherapy
programmed cell death protein-1 inhibitors
lenvatinib
gut microbiota
title Community characteristics and relationship between gut microbiota and intratumoral microbiota in hepatocellular carcinoma
title_full Community characteristics and relationship between gut microbiota and intratumoral microbiota in hepatocellular carcinoma
title_fullStr Community characteristics and relationship between gut microbiota and intratumoral microbiota in hepatocellular carcinoma
title_full_unstemmed Community characteristics and relationship between gut microbiota and intratumoral microbiota in hepatocellular carcinoma
title_short Community characteristics and relationship between gut microbiota and intratumoral microbiota in hepatocellular carcinoma
title_sort community characteristics and relationship between gut microbiota and intratumoral microbiota in hepatocellular carcinoma
topic hepatocellular carcinoma
transarterial chemoembolization
hepatic artery infusion chemotherapy
programmed cell death protein-1 inhibitors
lenvatinib
gut microbiota
url https://www.frontiersin.org/articles/10.3389/fimmu.2024.1500863/full
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