The Prospect of Harnessing the Microbiome to Improve Immunotherapeutic Response in Pancreatic Cancer

Pancreatic ductal adenocarcinoma cancer (PDAC) is projected to become the second leading cause of cancer-related death in the United States by 2030. Patients are often diagnosed with advanced disease, which explains the dismal 5-year median overall survival rate of ~12%. Immunotherapy has been succe...

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Main Authors: Sherise Rogers, Angel Charles, Ryan M. Thomas
Format: Article
Language:English
Published: MDPI AG 2023-12-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/24/5708
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author Sherise Rogers
Angel Charles
Ryan M. Thomas
author_facet Sherise Rogers
Angel Charles
Ryan M. Thomas
author_sort Sherise Rogers
collection DOAJ
description Pancreatic ductal adenocarcinoma cancer (PDAC) is projected to become the second leading cause of cancer-related death in the United States by 2030. Patients are often diagnosed with advanced disease, which explains the dismal 5-year median overall survival rate of ~12%. Immunotherapy has been successful in improving outcomes in the past decade for a variety of malignancies, including gastrointestinal cancers. However, PDAC is historically an immunologically “cold” tumor, one with an immunosuppressive environment and with restricted entry of immune cells that have limited the success of immunotherapy in these tumors. The microbiome, the intricate community of microorganisms present on and within humans, has been shown to contribute to many cancers, including PDAC. Recently, its role in tumor immunology and response to immunotherapy has generated much interest. Herein, the current state of the interaction of the microbiome and immunotherapy in PDAC is discussed with a focus on needed areas of study in order to harness the immune system to combat pancreatic cancer.
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spelling doaj.art-e3b9e694a5fa4252a11e603524d8495a2023-12-22T13:58:37ZengMDPI AGCancers2072-66942023-12-011524570810.3390/cancers15245708The Prospect of Harnessing the Microbiome to Improve Immunotherapeutic Response in Pancreatic CancerSherise Rogers0Angel Charles1Ryan M. Thomas2Department of Medicine, Division of Hematology and Oncology, University of Florida College of Medicine, Gainesville, FL 32610, USADepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610, USADepartment of Surgery, University of Florida College of Medicine, Gainesville, FL 32610, USAPancreatic ductal adenocarcinoma cancer (PDAC) is projected to become the second leading cause of cancer-related death in the United States by 2030. Patients are often diagnosed with advanced disease, which explains the dismal 5-year median overall survival rate of ~12%. Immunotherapy has been successful in improving outcomes in the past decade for a variety of malignancies, including gastrointestinal cancers. However, PDAC is historically an immunologically “cold” tumor, one with an immunosuppressive environment and with restricted entry of immune cells that have limited the success of immunotherapy in these tumors. The microbiome, the intricate community of microorganisms present on and within humans, has been shown to contribute to many cancers, including PDAC. Recently, its role in tumor immunology and response to immunotherapy has generated much interest. Herein, the current state of the interaction of the microbiome and immunotherapy in PDAC is discussed with a focus on needed areas of study in order to harness the immune system to combat pancreatic cancer.https://www.mdpi.com/2072-6694/15/24/5708pancreatic cancerpancreatic ductal adenocarcinomamicrobiomemicrobiotaimmunotherapy
spellingShingle Sherise Rogers
Angel Charles
Ryan M. Thomas
The Prospect of Harnessing the Microbiome to Improve Immunotherapeutic Response in Pancreatic Cancer
Cancers
pancreatic cancer
pancreatic ductal adenocarcinoma
microbiome
microbiota
immunotherapy
title The Prospect of Harnessing the Microbiome to Improve Immunotherapeutic Response in Pancreatic Cancer
title_full The Prospect of Harnessing the Microbiome to Improve Immunotherapeutic Response in Pancreatic Cancer
title_fullStr The Prospect of Harnessing the Microbiome to Improve Immunotherapeutic Response in Pancreatic Cancer
title_full_unstemmed The Prospect of Harnessing the Microbiome to Improve Immunotherapeutic Response in Pancreatic Cancer
title_short The Prospect of Harnessing the Microbiome to Improve Immunotherapeutic Response in Pancreatic Cancer
title_sort prospect of harnessing the microbiome to improve immunotherapeutic response in pancreatic cancer
topic pancreatic cancer
pancreatic ductal adenocarcinoma
microbiome
microbiota
immunotherapy
url https://www.mdpi.com/2072-6694/15/24/5708
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