Lower respiratory tract microbiome dysbiosis impairs clinical responses to immune checkpoint blockade in advanced non-small-cell lung cancer

Yong Zhang , Xiang-Xiang Chen , Ruo Chen , Ling Li , Qing Ju , Dan Qiu , Yuan Wang , Peng-Yu Jing , Ning Chang , Min Wang , Jian Zhang , Zhi-Nan Chen , Ke Wang

Clinical and Translational Medicine ›› 2025, Vol. 15 ›› Issue (1) : e70170

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Clinical and Translational Medicine ›› 2025, Vol. 15 ›› Issue (1) : e70170 DOI: 10.1002/ctm2.70170
RESEARCH ARTICLE

Lower respiratory tract microbiome dysbiosis impairs clinical responses to immune checkpoint blockade in advanced non-small-cell lung cancer

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Abstract

•Alterations of the lower respiratory tract microbiome indicate different clinical responses to ICB within advanced NSCLC.

•Reduced microbial diversity of lower respiratory tracts impairs anti-tumoral performances.

•Microbe-derived metabolites perform as a dominant regulator to remodify the microecological environment in lower respiratory tracts.

•Multi-omics sequencings of the lower respiratory tract possess the potential to predict the long-term clinical responses to ICB among advanced NSCLC.

Keywords

advanced non-small-cell lung cancer / clinical outcomes / immune checkpoint blockade therapy / lower respiratory tract microbiome / multi-omics analysis

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Yong Zhang,Xiang-Xiang Chen,Ruo Chen,Ling Li,Qing Ju,Dan Qiu,Yuan Wang,Peng-Yu Jing,Ning Chang,Min Wang,Jian Zhang,Zhi-Nan Chen,Ke Wang. Lower respiratory tract microbiome dysbiosis impairs clinical responses to immune checkpoint blockade in advanced non-small-cell lung cancer. Clinical and Translational Medicine, 2025, 15(1): e70170 DOI:10.1002/ctm2.70170

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2025 The Author(s). Clinical and Translational Medicine published by John Wiley & Sons Australia, Ltd on behalf of Shanghai Institute of Clinical Bioinformatics.

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