Evidence map›Paper›PMID 38365950›Full record

ArticleNature medicine2024

Longitudinal gut microbiome changes in immune checkpoint blockade-treated advanced melanoma.

Johannes R Björk, Laura A Bolte, Andrew Maltez Thomas, Karla A Lee, Niccolo Rossi, Thijs T Wind, Lotte M Smit, Federica Armanini, Francesco Asnicar, Aitor Blanco-Miguez and 30 more

Abstract read
In one paragraph

Article in Nature medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 93 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
93citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

93 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Gut microbiota associate with disease severity and survival in idiopathic pulmonary fibrosis.American journal of respiratory and critical care medicine · 2026
    Article
  7. Review
  8. Review
  9. Low-Dose Intestinal Irradiation Enhances the Efficacy and Prognosis of PD-1 Blockade in Metastatic Non-Small Cell Lung Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  10. Journal for immunotherapy of cancer · 2026
    Article
  11. Article
  12. Review
  13. Article
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  15. Article
  16. Review
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  19. Article
  20. Harnessing the microbiome for cancer therapy.Nature reviews. Microbiology · 2026
    Review

33 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

40 authors.

Johannes R Björk *Department of Gastroenterology and Hepatology, University of Groningen and University Medical Center Groningen, Groningen, the Netherlands. bjork.johannes@gmail.com.ORCID 0000-0001-9768-1946
Laura A Bolte *Department of Gastroenterology and Hepatology, University of Groningen and University Medical Center Groningen, Groningen, the Netherlands.ORCID 0000-0001-6036-0831
Andrew Maltez ThomasDepartment of CellularComputational and Integrative Biology, University of Trento, Trento, Italy.ORCID 0000-0001-5789-3354
Karla A LeeDepartment of Twin Research and Genetic Epidemiology, King's College London, London, UK.
Niccolo RossiDepartment of Twin Research and Genetic Epidemiology, King's College London, London, UK.
Thijs T WindDepartment of Medical Oncology, Groningen University of Groningen and University Medical Center Groningen, Groningent, the Netherlands.
Lotte M SmitDepartment of Medical Oncology, Groningen University of Groningen and University Medical Center Groningen, Groningent, the Netherlands.
Federica ArmaniniDepartment of CellularComputational and Integrative Biology, University of Trento, Trento, Italy.
Francesco AsnicarDepartment of CellularComputational and Integrative Biology, University of Trento, Trento, Italy.ORCID 0000-0003-3732-1468
Aitor Blanco-MiguezDepartment of CellularComputational and Integrative Biology, University of Trento, Trento, Italy.ORCID 0000-0001-7386-5572
Ruth BoardDepartment of Oncology, Lancashire Teaching Hospitals NHS Trust, Preston, UK.
Neus Calbet-LlopartDepartment of Dermatology, Melanoma Group, Hospital Clínic Barcelona, IDIBAPS, Universitat de Barcelona, Barcelona, Spain.
Lisa DerosaGustave Roussy Cancer Center, U1015 INSERM and Oncobiome Network, University Paris Saclay, Villejuif-Grand-Paris, France.ORCID 0000-0003-0527-2964
Nathalie DhomenDivision of Immunology, Immunity to Infection and Respiratory Medicine, University of Manchester, Manchester, UK.ORCID 0000-0003-1961-2173
Kelly BrooksDivision of Immunology, Immunity to Infection and Respiratory Medicine, University of Manchester, Manchester, UK.
Mark HarlandDivision of Haematology and Immunology, Institute of Medical Research at St. James's, University of Leeds, Leeds, UK.
Mark HarriesDepartment of Medical Oncology, Guys Cancer Centre, Guy's and St Thomas' NHS Trust, London, UK.
Paul LoriganThe Christie NHS Foundation Trust, Manchester, UK.
Paolo ManghiDepartment of CellularComputational and Integrative Biology, University of Trento, Trento, Italy.
Richard MaraisMolecular Oncology Group, Cancer Research UK Manchester Institute, University of Manchester, Manchester, UK.
Julia Newton-BishopDivision of Haematology and Immunology, Institute of Medical Research at St. James's, University of Leeds, Leeds, UK.
Luigi NeziEuropean Institute of Oncology (Istituto Europeo di Oncologia), Milan, Italy.ORCID 0000-0002-4670-7656
Federica PintoDepartment of CellularComputational and Integrative Biology, University of Trento, Trento, Italy.ORCID 0000-0002-4539-4811
Miriam PotronyCentro de Investigación Biomédica en Red en Enfermedades Raras, Instituto de Salud Carlos III, Barcelona, Spain.
Susana PuigDepartment of Dermatology, Melanoma Group, Hospital Clínic Barcelona, IDIBAPS, Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0003-1337-9745
Patricio Serra-BellverThe Christie NHS Foundation Trust, Manchester, UK.
Heather M ShawDepartment of Medical Oncology, Mount Vernon Cancer Centre, East and North Herts NHS Trust, Northwood, UK.
Sabrina TamburiniEuropean Institute of Oncology (Istituto Europeo di Oncologia), Milan, Italy.
Sara ValpioneDivision of Immunology, Immunity to Infection and Respiratory Medicine, University of Manchester, Manchester, UK.
Levi WaldronDepartment of CellularComputational and Integrative Biology, University of Trento, Trento, Italy.ORCID 0000-0003-2725-0694
Laurence ZitvogelGustave Roussy Cancer Center, U1015 INSERM and Oncobiome Network, University Paris Saclay, Villejuif-Grand-Paris, France.ORCID 0000-0003-1596-0998
Moreno ZolfoDepartment of CellularComputational and Integrative Biology, University of Trento, Trento, Italy.
Elisabeth G E de VriesDepartment of Medical Oncology, Groningen University of Groningen and University Medical Center Groningen, Groningent, the Netherlands.ORCID 0000-0002-8949-7425
Paul NathanBiochemical and Molecular Genetics Department, Hospital Clínic de Barcelona and IDIBAPS, University of Barcelona, Barcelona, Spain.
Rudolf S N FehrmannDepartment of Medical Oncology, Groningen University of Groningen and University Medical Center Groningen, Groningent, the Netherlands.ORCID 0000-0002-7516-315X
Tim D SpectorDepartment of Twin Research and Genetic Epidemiology, King's College London, London, UK.
Véronique BatailleDepartment of Twin Research and Genetic Epidemiology, King's College London, London, UK.
Nicola SegataDepartment of CellularComputational and Integrative Biology, University of Trento, Trento, Italy.
Geke A P HospersDepartment of Medical Oncology, Groningen University of Groningen and University Medical Center Groningen, Groningent, the Netherlands.ORCID 0000-0002-3047-7892
Rinse K WeersmaDepartment of Gastroenterology and Hepatology, University of Groningen and University Medical Center Groningen, Groningen, the Netherlands. r.k.weersma@umcg.nl.ORCID 0000-0001-7928-7371

Funding

Exploiting Public Metagenomic Data to Uncover Cancer-Microbiome RelationshipsR01CA230551 · NCI · GRADUATE SCHOOL OF PUBLIC HEALTH AND HEALTH POLICY · PI Levi Waldron · 2020 to 2026
$3.9M
Exploiting public metagenomic data to uncover cancer-microbiome relationshipsU01CA230551 · NCI · GRADUATE SCHOOL OF PUBLIC HEALTH AND HEALTH POLICY · PI WALDRON, LEVI · 2019 to 2019
$464k
European Research CouncilNCI NIH HHS R01 CA230551NCI NIH HHS U01 CA230551Wellcome Trust
6 · The paper itself

Abstract

Multiple clinical trials targeting the gut microbiome are being conducted to optimize treatment outcomes for immune checkpoint blockade (ICB). To improve the success of these interventions, understanding gut microbiome changes during ICB is urgently needed. Here through longitudinal microbiome profiling of 175 patients treated with ICB for advanced melanoma, we show that several microbial species-level genome bins (SGBs) and pathways exhibit distinct patterns from baseline in patients achieving progression-free survival (PFS) of 12 months or longer (PFS ≥12) versus patients with PFS shorter than 12 months (PFS <12). Out of 99 SGBs that could discriminate between these two groups, 20 were differentially abundant only at baseline, while 42 were differentially abundant only after treatment initiation. We identify five and four SGBs that had consistently higher abundances in patients with PFS ≥12 and <12 months, respectively. Constructing a log ratio of these SGBs, we find an association with overall survival. Finally, we find different microbial dynamics in different clinical contexts including the type of ICB regimen, development of immune-related adverse events and concomitant medication use. Insights into the longitudinal dynamics of the gut microbiome in association with host factors and treatment regimens will be critical for guiding rational microbiome-targeted therapies aimed at enhancing ICB efficacy.

Indexed as

Gastrointestinal MicrobiomeMelanomaMicrobiotaCognitionHumansImmune Checkpoint InhibitorsImmune Checkpoint Inhibitors

Identifiers

PMID38365950
PMCPMC10957474

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.