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Anticancer immunotherapy by CTLA-4 blockade relies on the gut microbiota.


ABSTRACT: Antibodies targeting CTLA-4 have been successfully used as cancer immunotherapy. We find that the antitumor effects of CTLA-4 blockade depend on distinct Bacteroides species. In mice and patients, T cell responses specific for B. thetaiotaomicron or B. fragilis were associated with the efficacy of CTLA-4 blockade. Tumors in antibiotic-treated or germ-free mice did not respond to CTLA blockade. This defect was overcome by gavage with B. fragilis, by immunization with B. fragilis polysaccharides, or by adoptive transfer of B. fragilis-specific T cells. Fecal microbial transplantation from humans to mice confirmed that treatment of melanoma patients with antibodies against CTLA-4 favored the outgrowth of B. fragilis with anticancer properties. This study reveals a key role for Bacteroidales in the immunostimulatory effects of CTLA-4 blockade.

SUBMITTER: Vetizou M 

PROVIDER: S-EPMC4721659 | biostudies-literature | 2015 Nov

REPOSITORIES: biostudies-literature

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Anticancer immunotherapy by CTLA-4 blockade relies on the gut microbiota.

Vétizou Marie M   Pitt Jonathan M JM   Daillère Romain R   Lepage Patricia P   Waldschmitt Nadine N   Flament Caroline C   Rusakiewicz Sylvie S   Routy Bertrand B   Roberti Maria P MP   Duong Connie P M CP   Poirier-Colame Vichnou V   Roux Antoine A   Becharef Sonia S   Formenti Silvia S   Golden Encouse E   Cording Sascha S   Eberl Gerard G   Schlitzer Andreas A   Ginhoux Florent F   Mani Sridhar S   Yamazaki Takahiro T   Jacquelot Nicolas N   Enot David P DP   Bérard Marion M   Nigou Jérôme J   Opolon Paule P   Eggermont Alexander A   Woerther Paul-Louis PL   Chachaty Elisabeth E   Chaput Nathalie N   Robert Caroline C   Mateus Christina C   Kroemer Guido G   Raoult Didier D   Boneca Ivo Gomperts IG   Carbonnel Franck F   Chamaillard Mathias M   Zitvogel Laurence L  

Science (New York, N.Y.) 20151105 6264


Antibodies targeting CTLA-4 have been successfully used as cancer immunotherapy. We find that the antitumor effects of CTLA-4 blockade depend on distinct Bacteroides species. In mice and patients, T cell responses specific for B. thetaiotaomicron or B. fragilis were associated with the efficacy of CTLA-4 blockade. Tumors in antibiotic-treated or germ-free mice did not respond to CTLA blockade. This defect was overcome by gavage with B. fragilis, by immunization with B. fragilis polysaccharides,  ...[more]

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