Evidence map›Paper›PMID 40715695›Full record

ArticleBritish journal of cancer2025

Impact of gut microbiome on radiotherapy and immunotherapy efficacy in microsatellite-stable colorectal cancer: role of propionic acid and B. fragilis.

Lu Yu, Qiqing Guo, Xinyi Gu, Zihuan Wang, Jiaying Li, Xusheng Wang, Zi Xu, Yafang Wang, Yuqin Zhang, Yaowei Zhang and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in British journal of cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07615907 (Sodium Propionate Combined With Anti-PD-1 Immunotherapy on Tumor Efficacy in Gastric Cancer Patients), which is not on this map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT07615907 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Sodium Propionate Combined With Anti-PD-1 Immunotherapy on Tumor Efficacy in Gastric Cancer Patients

TypeinterventionalSponsorJinling Hospital, ChinaRan2026 to 2027Enrolled20ConditionsGastric Cancer (GC)ArmsSodium propionate
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Review
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.

Lu Yu *Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China.ORCID http://orcid.org/0000-0003-4073-3842
Qiqing Guo *Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Xinyi Gu *Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Zihuan Wang *Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Jiaying LiDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Xusheng WangDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Zi XuDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yafang WangDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yuqin ZhangDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yaowei ZhangDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China.ORCID http://orcid.org/0000-0001-7756-6756
Yanqing DingGuangdong Province Key Laboratory of Molecular Tumor Pathology, Guangzhou, China.ORCID http://orcid.org/0000-0003-1775-6923
Zhenhui ChenDepartment of Microbiology, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, China. chenzhenhui@smu.edu.cn.ORCID http://orcid.org/0000-0001-7680-533X
Keli ChenHuiQiao Medical Center, Nanfang Hospital, Southern Medical University, Guangzhou, China. 16474801@qq.com.ORCID http://orcid.org/0009-0007-8587-6317
Yi DingDepartment of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China. dy512@smu.edu.cn.ORCID http://orcid.org/0000-0001-5035-9255

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer (CRC) is the third most common cancer and the second leading cause of cancer-related deaths worldwide. While immunotherapy is effective in microsatellite instability-high (MSI-H) CRC, its benefits in microsatellite-stable (MSS) CRC are limited. Radiotherapy may modify the immune microenvironment in MSS-CRC, enhancing immunotherapy efficacy, but individual responses vary.

methodsWe employed MSS-CRC mouse models to examine the effects of combined radiotherapy and immunotherapy, with and without antibiotics (ABX). Various analyses, including metagenomic, nontargeted metabolomic, and gas chromatography-mass spectrometry (GC-MS), were performed to identify factors influencing treatment outcomes. Flow cytometry, immunohistochemistry and in vivo antibody blockade experiments assessed the role of metabolites and bacteria on CD8

resultsOur analyses identified propionic acid and Bacteroides fragilis (B. fragilis) as crucial factors enhancing the efficacy of combined therapies in MSS-CRC. Both propionic acid and B. fragilis improved CD8

conclusionsThis study highlights the pivotal role of the gut microbiome, specifically propionic acid and B. fragilis, in modulating the efficacy of combined radiotherapy and immunotherapy in MSS-CRC.

Indexed as

Bacteroides fragilisColorectal NeoplasmsGastrointestinal MicrobiomeImmunotherapyPropionatesAnimalsCD8-Positive T-LymphocytesCombined Modality TherapyFemaleHumansMiceMicrosatellite InstabilityTumor MicroenvironmentPropionatespropionic acid

Identifiers

PMID40715695
PMCPMC12480696

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Registered trials

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.