Home > Publications database > Gut Microbiota Modulation through Akkermansia spp. Supplementation Increases CAR T-cell Potency. > print |
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100 | 1 | _ | |a Marcos-Kovandzic, Laura |0 0009-0002-6866-5300 |b 0 |
245 | _ | _ | |a Gut Microbiota Modulation through Akkermansia spp. Supplementation Increases CAR T-cell Potency. |
260 | _ | _ | |a Philadelphia, Pa. |c 2025 |b [Verlag nicht ermittelbar] |
336 | 7 | _ | |a article |2 DRIVER |
336 | 7 | _ | |a Output Types/Journal article |2 DataCite |
336 | 7 | _ | |a Journal Article |b journal |m journal |0 PUB:(DE-HGF)16 |s 1757078043_959 |2 PUB:(DE-HGF) |
336 | 7 | _ | |a ARTICLE |2 BibTeX |
336 | 7 | _ | |a JOURNAL_ARTICLE |2 ORCID |
336 | 7 | _ | |a Journal Article |0 0 |2 EndNote |
520 | _ | _ | |a This study investigates the clinical relevance of the gut microbiome at taxonomic and metabolic levels in anti-CD19 chimeric antigen receptor (CAR) T-cell therapy, both in patients and in a preclinical syngeneic tumor model. Patients with B-cell lymphoma treated with CD19 CAR T cells exhibited profound intestinal dysbiosis, exacerbated after CAR T-cell infusion. This dysbiosis was characterized by low bacterial richness, low soluble MAdCAM-1, and loss of Akkermansia species, associated with resistance to therapy. Mechanistically, oral Akkermansia massiliensis supplementation increased CAR T-cell infiltration into the bone marrow, inverted the CD4/CD8 CAR T-cell ratio, favored Tc1 CD8+ T-cell polarization, and promoted the release of tryptophan-derived indole metabolites, leading to better tumor control. The clinical benefit of Akkermansia spp. supplementation was abolished when CAR T cells were genetically deficient in the indole receptor, aryl hydrocarbon receptor (AhR). AhR-agonistic indoles alone failed to replicate the bacterium's anticancer effects. These findings suggest that Akkermansia supplementation could improve CAR T-cell potency in patients with intestinal Akkermansia deficiency.B-cell lymphoma patients treated with CAR T cells harbor major gut microbiota perturbations and related metabolism that restrain CAR T-cell therapy. Reprogramming the gut microbiota ecosystem by oral A. massiliensis supplementation induces CAR T-cell niching and Tc1 differentiation in the bone marrow, promoting tumor control in an AhR-dependent manner. |
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650 | _ | 7 | |a Receptors, Aryl Hydrocarbon |2 NLM Chemicals |
650 | _ | 7 | |a Receptors, Chimeric Antigen |2 NLM Chemicals |
650 | _ | 7 | |a Antigens, CD19 |2 NLM Chemicals |
650 | _ | 2 | |a Gastrointestinal Microbiome: immunology |2 MeSH |
650 | _ | 2 | |a Humans |2 MeSH |
650 | _ | 2 | |a Mice |2 MeSH |
650 | _ | 2 | |a Animals |2 MeSH |
650 | _ | 2 | |a Akkermansia: immunology |2 MeSH |
650 | _ | 2 | |a Immunotherapy, Adoptive: methods |2 MeSH |
650 | _ | 2 | |a Receptors, Aryl Hydrocarbon: metabolism |2 MeSH |
650 | _ | 2 | |a Receptors, Chimeric Antigen: immunology |2 MeSH |
650 | _ | 2 | |a Receptors, Chimeric Antigen: metabolism |2 MeSH |
650 | _ | 2 | |a Female |2 MeSH |
650 | _ | 2 | |a Lymphoma, B-Cell: therapy |2 MeSH |
650 | _ | 2 | |a Lymphoma, B-Cell: immunology |2 MeSH |
650 | _ | 2 | |a Lymphoma, B-Cell: microbiology |2 MeSH |
650 | _ | 2 | |a Dysbiosis |2 MeSH |
650 | _ | 2 | |a Male |2 MeSH |
650 | _ | 2 | |a Antigens, CD19: immunology |2 MeSH |
700 | 1 | _ | |a Avagliano, Michele |0 0009-0000-1272-4119 |b 1 |
700 | 1 | _ | |a Ben Khelil, Myriam |0 0000-0003-4290-4262 |b 2 |
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