Evidence map›Paper›PMID 40399923›Full record

ReviewMolecular cancer2025

Biofilm formation by the host microbiota: a protective shield against immunity and its implication in cancer.

Elena Montanari, Giancarla Bernardo, Valentino Le Noci, Martina Anselmi, Serenella M Pupa, Elda Tagliabue, Michele Sommariva, Lucia Sfondrini

Abstract readReview
In one paragraph

Review in Molecular cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing 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

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

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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

8 authors.

Elena Montanari *Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy.
Giancarla Bernardo *Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy.
Valentino Le NociDepartment of Experimental Oncology, Microenvironment and Biomarkers of Solid Tumors Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
Martina AnselmiDepartment of Experimental Oncology, Microenvironment and Biomarkers of Solid Tumors Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
Serenella M PupaDepartment of Experimental Oncology, Microenvironment and Biomarkers of Solid Tumors Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
Elda TagliabueDepartment of Experimental Oncology, Microenvironment and Biomarkers of Solid Tumors Unit, Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy.
Michele Sommariva *Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy.
Lucia Sfondrini *Dipartimento di Scienze Biomediche per la Salute, Università degli Studi di Milano, Milan, Italy. lucia.sfondrini@unimi.it.

Funding

AIRC IG 24718PRIN, PROGETTI DI RICERCA DI RILEVANTE INTERESSE NAZIONALE P2022R5TCA
6 · The paper itself

Abstract

Human-resident microbes typically cluster into biofilms - structurally organized communities embedded within a matrix of self-produced extracellular polymeric substance (EPS) that serves as a protective shield. These biofilms enhance microbial survival and functional adaptability, favoring a symbiotic relationship with the host under physiological conditions. However, biofilms exhibit a dual role in modulating the immune response. If their ability to promote tolerance is key to safeguarding homeostasis, by contrast, their persistence can overcome the cutting-edge balance resulting in immune evasion, chronic inflammation and development of numerous diseases such as cancer. Recent evidence highlights the significance of cancer-associated microbiota in shaping the tumor microenvironment (TME). These microbial inhabitants often exhibit biofilm-like structures, which may protect them from host immune responses and therapeutic interventions. The presence of biofilm-forming microbiota within the TME may promote chronic inflammation, and release of bioactive molecules that interfere with immune surveillance mechanisms, thereby enabling cancer cells to evade immune destruction. This review delves into the complex interplay between biofilms and cancer, with particular focus on the tumor-associated microbiota and the implications of biofilm involvement in modulating the immune landscape of the TME. Addressing this intricate relationship holds promises for innovative therapeutic approaches aimed at reprogramming the microbiota-cancer axis for better clinical outcomes.

Indexed as

BiofilmsMicrobiotaNeoplasmsAnimalsHumansTumor MicroenvironmentBiofilmCancerImmune modulationMicrobiota

Identifiers

PMID40399923
PMCPMC12093748

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.