Evidence map›Paper›PMID 41006325›Full record

SynthesisNPJ biofilms and microbiomes2025

Intestinal fungal signatures and their impact on immune checkpoint inhibitor efficacy: a multi-cohort meta-analysis.

Lei Zhang, Ding-Ding Zhou, Jia Feng, Zhi-Jun Liao, Xian-Long Shu, Rui-Meng Yang, Yong-Chao Gao, Hong-Hao Zhou, Wei Zhang, You Zou and 1 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in NPJ biofilms and microbiomes, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. 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

11 authors.

Lei ZhangDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, PR China.
Ding-Ding ZhouDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, PR China.
Jia FengDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, PR China.
Zhi-Jun LiaoDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, PR China.
Xian-Long ShuDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, PR China.
Rui-Meng YangDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, PR China.
Yong-Chao GaoDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, PR China.
Hong-Hao ZhouDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, PR China.
Wei ZhangDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, PR China.
You ZouInformation and Network center, Central South University, Changsha, PR China. zouyou@csu.edu.cn.
Rong LiuDepartment of Clinical Pharmacology, Xiangya Hospital, Central South University, Changsha, PR China. liuronghyw@csu.edu.cn.

Funding

the Hunan Provincial Science and Technology Innovation Plan Project 2022RC1022the National Key Research and Development Program 2021YFA1301200the National Scientific Foundation of China No. 82474022, 31801121, 82373961
6 · The paper itself

Abstract

Gut microbiota influence on the effectiveness of immune checkpoint inhibitors (ICIs), but research on fungi-an essential component of the microbiome-has been limited. This multi-cohort meta-analysis of 976 fecal metagenomes across 8 cohorts, representing melanoma, non-small cell lung cancer (NSCLC), and renal cell carcinoma (RCC), identified fungal species associated with ICI efficacy. In melanoma, Rhizophagus irregularis and Debaryomyces hansenii were correlated with poor responses, whereas Aspergillus avenaceus was associated with great efficacy. In NSCLC, an increased abundance of Aspergillus pseudonomiae was associated with a favorable prognosis. Stronger bacterial-fungal interactions were observed in responders. The presence of certain fungi in fungal enterotypes, like Aspergillus or Saccharomyces, was linked to better efficacy to ICIs. Mouse models revealed Debaryomyces hansenii impaired ICI efficacy by reducing CD8+ T cells. Our findings highlight specific fungal signatures that may inform strategies to enhance ICI efficacy and encourage further research on microbial impacts on treatment outcomes.

Indexed as

FungiGastrointestinal MicrobiomeImmune Checkpoint InhibitorsNeoplasmsAnimalsCohort StudiesFecesHumansMiceImmune Checkpoint Inhibitors

Identifiers

PMID41006325
PMCPMC12475161

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.