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100 1 _ |a Marcos-Kovandzic, Laura
|0 0009-0002-6866-5300
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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
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336 7 _ |a ARTICLE
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336 7 _ |a Journal Article
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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
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700 1 _ |a Ben Khelil, Myriam
|0 0000-0003-4290-4262
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700 1 _ |a Srikanthan, Janesa
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700 1 _ |a Abdallah, Rim
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700 1 _ |a Petrocelli, Valentina
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700 1 _ |a Rengassamy, Jessica
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700 1 _ |a Alfaro, Alexia
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700 1 _ |a Bied, Mathilde
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700 1 _ |a Fidelle, Marine
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700 1 _ |a Ferrere, Gladys
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700 1 _ |a Daillère, Romain
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700 1 _ |a Arbab, Ahmadreza
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700 1 _ |a Amine-Hneineh, Roula
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700 1 _ |a Pages, Arnaud
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700 1 _ |a Dartigues, Peggy
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700 1 _ |a Ly, Pierre
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700 1 _ |a Simon, Sylvain
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700 1 _ |a Durand, Sylvère
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700 1 _ |a Gottschlich, Adrian
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700 1 _ |a Ginhoux, Florent
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700 1 _ |a Blériot, Camille
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700 1 _ |a Liu, Peng
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700 1 _ |a Zhao, Liwei
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700 1 _ |a Creusot, Laura
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700 1 _ |a Rolhion, Nathalie
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700 1 _ |a Derosa, Lisa
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700 1 _ |a Kroemer, Guido
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700 1 _ |a Menger, Laurie
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700 1 _ |a Kobold, Sebastian
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700 1 _ |a Castilla-Llorente, Cristina
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700 1 _ |a Sokol, Harry
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700 1 _ |a Casola, Stefano
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700 1 _ |a Pasolli, Edoardo
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700 1 _ |a Zitvogel, Laurence
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700 1 _ |a Bigenwald, Camille
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773 _ _ |a 10.1158/2159-8290.CD-24-1230
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