Gut microbiota mediated the individualized efficacy of Temozolomide via immunomodulation in glioma

Abstract Background Temozolomide (TMZ) is the preferred chemotherapy strategy for glioma therapy. As a second-generation alkylating agent, TMZ provides superior oral bio-availability. However, limited response rate (less than 50%) and high incidence of drug resistance seriously restricts TMZ’s appli...

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Main Authors: Xiaoying Hou, Hongzhi Du, Yufei Deng, Haiping Wang, Jinmi Liu, Jialu Qiao, Wei Liu, Xiji Shu, Binlian Sun, Yuchen Liu
Format: Article
Language:English
Published: BMC 2023-03-01
Series:Journal of Translational Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12967-023-04042-5
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author Xiaoying Hou
Hongzhi Du
Yufei Deng
Haiping Wang
Jinmi Liu
Jialu Qiao
Wei Liu
Xiji Shu
Binlian Sun
Yuchen Liu
author_facet Xiaoying Hou
Hongzhi Du
Yufei Deng
Haiping Wang
Jinmi Liu
Jialu Qiao
Wei Liu
Xiji Shu
Binlian Sun
Yuchen Liu
author_sort Xiaoying Hou
collection DOAJ
description Abstract Background Temozolomide (TMZ) is the preferred chemotherapy strategy for glioma therapy. As a second-generation alkylating agent, TMZ provides superior oral bio-availability. However, limited response rate (less than 50%) and high incidence of drug resistance seriously restricts TMZ’s application, there still lack of strategies to increase the chemotherapy sensitivity. Methods Luci-GL261 glioma orthotopic xenograft model combined bioluminescence imaging was utilized to evaluate the anti-tumor effect of TMZ and differentiate TMZ sensitive (S)/non-sensitive (NS) individuals. Integrated microbiomics and metabolomics analysis was applied to disentangle the involvement of gut bacteria in TMZ sensitivity. Spearman’s correlation analysis was applied to test the association between fecal bacteria levels and pharmacodynamics indices. Antibiotics treatment combined TMZ treatment was used to confirm the involvement of gut microbiota in TMZ response. Flow cytometry analysis, ELISA and histopathology were used to explore the potential role of immunoregulation in gut microbiota mediated TMZ response. Results Firstly, gut bacteria composition was significantly altered during glioma development and TMZ treatment. Meanwhile, in vivo anti-cancer evaluation suggested a remarkable difference in chemotherapy efficacy after TMZ administration. Moreover, 16s rRNA gene sequencing and non-targeted metabolomics analysis revealed distinct different gut microbiota and immune infiltrating state between TMZ sensitive and non-sensitive mice, while abundance of differential gut bacteria and related metabolites was significantly correlated with TMZ pharmacodynamics indices. Further verification suggested that gut microbiota deletion by antibiotics treatment could accelerate glioma development, attenuate TMZ efficacy and inhibit immune cells (macrophage and CD8α+ T cell) recruitment. Conclusions The current study confirmed the involvement of gut microbiota in glioma development and individualized TMZ efficacy via immunomodulation, hence gut bacteria may serve as a predictive biomarker as well as a therapeutic target for clinical TMZ application.
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spelling doaj.art-1b5663a4788244b697639334664472d42023-03-22T12:14:33ZengBMCJournal of Translational Medicine1479-58762023-03-0121111510.1186/s12967-023-04042-5Gut microbiota mediated the individualized efficacy of Temozolomide via immunomodulation in gliomaXiaoying Hou0Hongzhi Du1Yufei Deng2Haiping Wang3Jinmi Liu4Jialu Qiao5Wei Liu6Xiji Shu7Binlian Sun8Yuchen Liu9Wuhan Institute of Biomedical Sciences, School of Medicine, Jianghan UniversitySchool of Pharmacy, Hubei University of Chinese MedicineWuhan Institute of Biomedical Sciences, School of Medicine, Jianghan UniversityWuhan Institute of Biomedical Sciences, School of Medicine, Jianghan UniversityWuhan Institute of Biomedical Sciences, School of Medicine, Jianghan UniversityWuhan Institute of Biomedical Sciences, School of Medicine, Jianghan UniversityWuhan Institute of Biomedical Sciences, School of Medicine, Jianghan UniversityWuhan Institute of Biomedical Sciences, School of Medicine, Jianghan UniversityWuhan Institute of Biomedical Sciences, School of Medicine, Jianghan UniversityWuhan Institute of Biomedical Sciences, School of Medicine, Jianghan UniversityAbstract Background Temozolomide (TMZ) is the preferred chemotherapy strategy for glioma therapy. As a second-generation alkylating agent, TMZ provides superior oral bio-availability. However, limited response rate (less than 50%) and high incidence of drug resistance seriously restricts TMZ’s application, there still lack of strategies to increase the chemotherapy sensitivity. Methods Luci-GL261 glioma orthotopic xenograft model combined bioluminescence imaging was utilized to evaluate the anti-tumor effect of TMZ and differentiate TMZ sensitive (S)/non-sensitive (NS) individuals. Integrated microbiomics and metabolomics analysis was applied to disentangle the involvement of gut bacteria in TMZ sensitivity. Spearman’s correlation analysis was applied to test the association between fecal bacteria levels and pharmacodynamics indices. Antibiotics treatment combined TMZ treatment was used to confirm the involvement of gut microbiota in TMZ response. Flow cytometry analysis, ELISA and histopathology were used to explore the potential role of immunoregulation in gut microbiota mediated TMZ response. Results Firstly, gut bacteria composition was significantly altered during glioma development and TMZ treatment. Meanwhile, in vivo anti-cancer evaluation suggested a remarkable difference in chemotherapy efficacy after TMZ administration. Moreover, 16s rRNA gene sequencing and non-targeted metabolomics analysis revealed distinct different gut microbiota and immune infiltrating state between TMZ sensitive and non-sensitive mice, while abundance of differential gut bacteria and related metabolites was significantly correlated with TMZ pharmacodynamics indices. Further verification suggested that gut microbiota deletion by antibiotics treatment could accelerate glioma development, attenuate TMZ efficacy and inhibit immune cells (macrophage and CD8α+ T cell) recruitment. Conclusions The current study confirmed the involvement of gut microbiota in glioma development and individualized TMZ efficacy via immunomodulation, hence gut bacteria may serve as a predictive biomarker as well as a therapeutic target for clinical TMZ application.https://doi.org/10.1186/s12967-023-04042-5TemozolomideFecal microbiomeFunctional MetabolomicsIndividualized efficacyGlioma
spellingShingle Xiaoying Hou
Hongzhi Du
Yufei Deng
Haiping Wang
Jinmi Liu
Jialu Qiao
Wei Liu
Xiji Shu
Binlian Sun
Yuchen Liu
Gut microbiota mediated the individualized efficacy of Temozolomide via immunomodulation in glioma
Journal of Translational Medicine
Temozolomide
Fecal microbiome
Functional Metabolomics
Individualized efficacy
Glioma
title Gut microbiota mediated the individualized efficacy of Temozolomide via immunomodulation in glioma
title_full Gut microbiota mediated the individualized efficacy of Temozolomide via immunomodulation in glioma
title_fullStr Gut microbiota mediated the individualized efficacy of Temozolomide via immunomodulation in glioma
title_full_unstemmed Gut microbiota mediated the individualized efficacy of Temozolomide via immunomodulation in glioma
title_short Gut microbiota mediated the individualized efficacy of Temozolomide via immunomodulation in glioma
title_sort gut microbiota mediated the individualized efficacy of temozolomide via immunomodulation in glioma
topic Temozolomide
Fecal microbiome
Functional Metabolomics
Individualized efficacy
Glioma
url https://doi.org/10.1186/s12967-023-04042-5
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