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A Microbiota-Induced Switch to Immune Checkpoint Inhibitor Responsiveness in Colon Cancer

Research Grant Start Date:

09/01/2022

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Research Summary

In a newly described murine model of BRAF-mutated colorectal cancer (CRC), we report the striking finding that addition of a single bacterium, enterotoxigenic Bacteroides fragilis (EBTF), to the complex microbiota in mice that combine the mutation of the common CRC tumor suppression gene, Apc, with the common V600E-activating mutation of BRAF, drives enhanced colon tumorigenesis but the resulting MSS tumors are now responsive to programmed cell death ligand-1 (PD-L1) blockade. In contrast, ETBF-induced MSS tumors in the setting of Apc mutation along are ICI non-responsive. We propose to dissect both tumor-cell intrinsic and immunologic mechanisms underlying the microbiota-linked switch to ICI responsiveness that could have profound significance for guiding immunotherapy of MSS CRC patients.