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Metformin facilitates anti-PD-L1 efficacy through the regulation of intestinal microbiota

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机构: [1]Department of Thoracic Surgery, the Fourth Hospital of Hebei Medical University, Shijiazhuang City, 050011, China. [2]Department of Thoracic Surgery, the Fourth Central Hospital of Baoding City, Baoding, China.
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Metformin is a synthetic biguanide proven to have beneficial effects against various human diseases. Research has confirmed that metformin exerts its effects by regulating the composition of intestinal microbiota. The composition of intestinal microbiota influences the efficacy of anti-PD-L1 immunotherapy. We assume that the regulation of metformin on intestinal microbiota could enhance the therapeutic efficiency of anti-PD-L1 antibodies. In Lewis lung cancer-bearing C57BL/6J mice, we find that metformin enhances PD-L1 antibody efficacy mainly depending on the existence of gut microbiota, and metformin increases the anti-tumor immunity through modulation of intestinal microbiota and affects the integrity of the intestinal mucosa. Antibiotic depletion of gut microbiota abolished the combination efficacy of PD-L1 antibody and metformin, implying the significance of intestinal microbiota in metformin's antitumor action. Combining anti-PD-L1 antibody with metformin provoked tumor necrosis by causing increased CD8 T-cell infiltration and IFN-γ expression. In conclusion, metformin could be employed as a microecological controller to prompt antitumor immunity and increase the efficacy of anti-PD-L1 antibodies. Our study provided reliable evidence that metformin could be synergistically used with anti-PD-L1 antibody to enhance the anti-cancer effect.© 2023. The Author(s), under exclusive licence to Springer Nature Limited.

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出版当年[2025]版:
大类 | 3 区 医学
小类 | 3 区 遗传学 3 区 免疫学
最新[2025]版:
大类 | 3 区 医学
小类 | 3 区 遗传学 3 区 免疫学
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最新[2023]版:
Q1 GENETICS & HEREDITY Q2 IMMUNOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2024版] 出版当年五年平均 出版前一年[2023版]

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第一作者机构: [1]Department of Thoracic Surgery, the Fourth Hospital of Hebei Medical University, Shijiazhuang City, 050011, China.
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通讯机构: [1]Department of Thoracic Surgery, the Fourth Hospital of Hebei Medical University, Shijiazhuang City, 050011, China.
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