Evidence map›Paper›PMID 40659866›Full record

Observational studyScientific reports2025

Association of gut microbiota and immune gene expression with response to targeted therapy in BRAF mutated melanoma.

Mora Guardamagna, Miguel-Angel Berciano-Guerrero, Rocío Lavado-Valenzuela, Édouard Auclin, Juan Luis Onieva-Zafra, Isaac Plaza-Andrades, Javier Oliver, Alicia Garrido-Aranda, Elisabeth Perez-Ruiz, Martina Álvarez and 4 more

Abstract readObservational Study
In one paragraph

Observational study in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
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

14 authors.

Mora GuardamagnaVirgen de la Victoria University Hospital, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010, Málaga, Spain.
Miguel-Angel Berciano-GuerreroDepartment of Medicine and Dermatology, Medical School University of Málaga, Campus Teatinos, Blvr. Louis Pasteur, 32, 29010, Málaga, Spain. mangel.berciano.sspa@juntadeandalucia.es.
Rocío Lavado-ValenzuelaVirgen de la Victoria University Hospital, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010, Málaga, Spain.
Édouard AuclinInstitut Bergonié, Bordeaux, France.
Juan Luis Onieva-ZafraGroup of Translational Research in Cancer Immunotherapy and Epigenetics (B-05), Medical Oncology Unit of Virgen de la Victoria Hospital, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma Bionand, 29010, Málaga, Spain.
Isaac Plaza-AndradesVirgen de la Victoria University Hospital, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010, Málaga, Spain.
Javier OliverVirgen de la Victoria University Hospital, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010, Málaga, Spain.
Alicia Garrido-ArandaVirgen de la Victoria University Hospital, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010, Málaga, Spain.
Elisabeth Perez-RuizGroup of "New Horizons for Cancer Patients" (B-23). Regional University Hospital, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010, Málaga, Spain.
Martina ÁlvarezCancer Molecular Biology Laboratory, CIMES, Málaga, Spain.
María Carmen OcañaCancer Molecular Biology Laboratory, CIMES, Málaga, Spain.
María Isabel Queipo-OrtuñoVirgen de la Victoria University Hospital, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010, Málaga, Spain.
Isabel Barragán *Group of Pharmacoepigenetics, Department of Physiology and Pharmacology, Karolinska Institute, 171 65, Stockholm, Sweden.
Antonio Rueda-Dominguez *Virgen de la Victoria University Hospital, Instituto de Investigación Biomédica de Málaga y Plataforma en Nanomedicina-IBIMA Plataforma BIONAND, 29010, Málaga, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gut microbiota has been associated with carcinogenesis and immune regulation. While there is evidence supporting its influence on immunotherapy response in melanoma, its impact on BRAF/MEK-targeted therapy remains unexplored. This study assessed gut microbiota composition and immune-associated genes in melanoma, to generate hypothesis on prognostic and predictive biomarkers for BRAF/MEK inhibitor therapy. This prospective, observational study analyzed fecal and blood samples from 26 patients diagnosed with BRAF-mutated metastatic melanoma. Samples were collected at baseline (T0) and at first radiological evaluation (T1). Patients were stratified by treatment response and toxicity. Partial responders had baseline enrichment of Lachnospiraceae, Coriobacteriaceae, and Adlercreutzia. Complete responders showed abundance of Prevotellaceae, Cerasicoccaceae and Lawsonia. Oscillospira was associated with moderate-to-severe toxicity. Gene expression analysis revealed upregulation of TAP1 y PSMB8 during treatment in responders, with persistent downregulation of LAG3, CD36, SLAMF7, NOD1, SLAMF6, CX3CR1 and ICAM2. Overall, baseline microbiota composition differed by response depth, with abundance of Lachnospiraceae, Coriobacteriaceae, and Adlercreutzia in partial responders and Prevotellaceae, Cerasicoccaceae, and Lawsonia in complete responders. A gene signature of immune-suppresive genes was persistently downregulated in responders. Our findings suggest that specific gut microbial taxa and immune-related gene expression patterns may be associated with differential responses to BRAF/MEK-targeted therapy in metastatic melanoma.

Indexed as

Gastrointestinal MicrobiomeMelanomaMutationProto-Oncogene Proteins B-rafAdultAgedFemaleGene Expression Regulation, NeoplasticHumansMaleMiddle AgedMolecular Targeted TherapyProspective StudiesProtein Kinase InhibitorsBRAF protein, humanProtein Kinase InhibitorsProto-Oncogene Proteins B-rafBRAF mutated melanomaGut microbiotaImmune expression genesImmune systemMetastatic melanomaTranslational research

Identifiers

PMID40659866
PMCPMC12259845

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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.