Evidence map›Paper›PMID 40742298›Full record

ArticleCancer discovery2025

Sucralose Consumption Ablates Cancer Immunotherapy Response through Microbiome Disruption.

Kristin M Morder, Madison Nguyen, Drew N Wilfahrt, Zakaria Larbi Dahmani, Ansen B P Burr, Bingxian Xie, Michael Morikone, Hector Nieves-Rosado, William G Gunn, Drew E Hurd and 10 more

Abstract read
In one paragraph

Article in Cancer discovery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

20 authors.

Kristin M Morder *UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0000-0001-6085-2924
Madison Nguyen *UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0009-0008-8341-8694
Drew N Wilfahrt *UPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0000-0001-7364-1931
Zakaria Larbi DahmaniDepartment of Immunology, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0009-0005-8002-3169
Ansen B P BurrUPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0000-0003-2524-897X
Bingxian XieUPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0000-0001-9816-2670
Michael MorikoneBioinformatics Core, Department of Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0009-0004-7413-6020
Hector Nieves-RosadoDepartment of Immunology, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0001-8084-0728
William G GunnUPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0009-0007-9070-7550
Drew E HurdUPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0009-0001-3790-0358
Hong WangUPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0000-0003-0477-2908
Steven J MullettDepartment of Pharmacology and Chemical Biology, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0009-0005-6971-9288
Kaitlin BossongUPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0009-0006-9619-6969
Stacy L GelhausDepartment of Pharmacology and Chemical Biology, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0001-9083-6933
Dhivyaa RajasundaramBioinformatics Core, Department of Pediatrics, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0001-7417-8002
Lawrence P KaneDepartment of Immunology, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0001-5198-516X
Greg M DelgoffeUPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0000-0002-2957-8135
Jishnu DasDepartment of Immunology, University of Pittsburgh, Pittsburgh, Pennsylvania.ORCID 0000-0002-5747-064X
Diwakar DavarUPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0000-0002-7846-8055
Abigail E Overacre-DelgoffeUPMC Hillman Cancer Center, Pittsburgh, Pennsylvania.ORCID 0000-0003-4027-3487

Funding

VECTOR CORE FACILITYP30CA047904 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JOHN C. BYRD · 1988 to 2026
$158.0M
TRAINING PROGRAM FOR MD/PHD STUDENTST32GM008208 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI STEINMAN, RICHARD A · 1987 to 2021
$15.4M
Project 5: Microenvironment manipulation using anti-angiogenics to improve immunotherapy in melanomaP50CA254865 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DELGOFFE, GREG M., KIRKWOOD, JOHN MUNN · 2021 to 2025
$10.4M
Proteogenomic studies to understand mechanisms and drivers of resistance to immunotherapiesU01CA271407 · NCI · FRED HUTCHINSON CANCER CENTER · PI Diwakar Davar, AMANDA G PAULOVICH · 2022 to 2026
$5.6M
Mechanisms of PD-1 and Tim-3 crosstalk in tumor-infiltrating lymphocytesR01CA206517 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Robert L. Ferris, Lawrence P. Kane · 2016 to 2026
$4.6M
Uncovering the metabolic underpinnings of T cell exhaustionR01AI166598 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DELGOFFE, GREG M. · 2022 to 2025
$3.2M
Neoadjuvant Immunotherapy with Intratumoral CPG and PD-1 Blockade in MelanomaR01CA257265 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI DAVAR, DIWAKAR, ZAROUR, HASSANE M · 2021 to 2025
$2.6M
Therapy with fecal microbiota transplantation and immune checkpoint blockade for solid tumorsU01CA268806 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HASSANE M ZAROUR · 2022 to 2026
$2.4M
Dissecting microbiota-driven lymphangiogenesis in immune health and diseaseDP2AI177967 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI Abigail E Overacre-Delgoffe · 2023 to 2026
$1.9M
Regulation of T cell activation and exhaustion by Tim-3R01AI138504 · NIAID · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KANE, LAWRENCE P. · 2018 to 2021
$1.7M
An Exploris 240 for MetabolomicsS10OD032141 · OD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GELHAUS, STACY LYNN · 2022 to 2022
$600k
Bringing Untargeted Metabolomics to PittS10OD023402 · OD · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI GELHAUS, STACY LYNN · 2018 to 2018
$594k
Damon Runyon Cancer Research Foundation (DRCRF) Dale F. Frey Breakthrough Scientist AwardGateway Foundation (Gateway) G-22-800National Institutes of Health (NIH) DP2AI177967National Institutes of Health (NIH) P30CA047904National Institutes of Health (NIH) R01CA206517National Institutes of Health (NIH) S10OD023402National Institutes of Health (NIH) S10OD032141National Institutes of Health (NIH) T32GM008208NCI NIH HHS P30 CA047904NCI NIH HHS P50 CA254865NCI NIH HHS R01 CA206517NCI NIH HHS R01 CA257265NCI NIH HHS U01 CA268806NCI NIH HHS U01 CA271407NIAID NIH HHS DP2 AI177967NIAID NIH HHS R01 AI138504NIAID NIH HHS R01 AI166598NIGMS NIH HHS T32 GM008208NIH HHS S10 OD023402NIH HHS S10 OD032141
6 · The paper itself

Abstract

Gut microbiota composition is directly associated with response to immunotherapies in cancer. The impact of diet on the gut microbiota and downstream immune responses to cancer remains unclear. In this study, we show that consumption of a common nonnutritive sweetener, sucralose, modifies microbiome composition, restricts T-cell metabolism and function, and limits immunotherapy response in preclinical models of cancer and patients with advanced cancer treated with anti-PD-1-based immune checkpoint inhibitors. Sucralose consumption is associated with a reduction in microbiota-accessible arginine, and amino acid supplementation or fecal microbiome transfer from anti-PD-1 responder mice completely restores T-cell function and immunotherapy response. Overall, sucralose consumption destabilizes the gut microbiota, resulting in compromised T-cell function and ablated immune checkpoint inhibitor response in cancer. SIGNIFICANCE: This study highlights an unappreciated role of sucralose in reducing immunotherapy efficacy in both mouse models and samples from patients with cancer through shifts in the microbiome and arginine degradation that lead to T-cell exhaustion. T-cell function and immunotherapy responses are restored through amino acid supplementation. See related commentary by Chandra et al., p. 2196.

Indexed as

Gastrointestinal MicrobiomeImmunotherapyNeoplasmsSucroseAnimalsFemaleHumansImmune Checkpoint InhibitorsMiceMice, Inbred C57BLSweetening AgentsImmune Checkpoint InhibitorsSucroseSweetening Agentstrichlorosucrose

Identifiers

PMID40742298
PMCPMC12580791

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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.