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PRJEB22863 ERP104577

Gut microbiota and anti-PD-1 response in NSCLC/RCC, France

Gut mictobiota composition correlation with the clinical outcome of NSCLC and RCC patients treated with anti-PD-1 mAB

219 fecal samples from adult and elderly cancer (NSCLC/RCC) patients in France, studying gut microbiota composition relative to clinical response to anti-PD-1 therapy, antibiotics, and Akkermansia muciniphila supplementation; case-control design. machine-written summary

219 samples · 219 runs · FR · Adult · 2017 · 2.99 Gbp / sample

Sources
✓Sequence archive 2,961○Abstract / description○Full text○Supplementary tables–External resources–User contribution–Human verified

Checked this project's papers and archive records yourself? Mark it human-verified.

what each source gave
✓ Sequence archive2,961 sample values (age, antibiotic exposure, collection date, country, health condition, health condition detail, intervention, intervention detail)
○ Abstract / descriptionread; no usable statement
○ Full textread; no usable statement or table · PMC11916936, PMC12439585, PMC7176420, PMC9069064
○ Supplementary tablesfiles read; no table could be matched to the samples
– External resourcesnot covered by the external resources we ingest
– User contributionnothing uploaded yet
– Human verifiednot yet checked by a person · I checked this project — verify it
Interventions

intervention · arms resolved

ENon-antibiotic pharmaceutical given as the study intervention (metformin: 42 people · 92 samplesdrug 42 people · 92 samplesControl / pre-intervention baseline (sample level only): 73 people · 127 samplesno intervention 73 people · 127 samples
exposed vs. not exposed (observational)

31 people have samples in more than one arm.

Non-antibiotic pharmaceutical given as the study intervention (metformin Faecal microbiota transplantation Probiotic (live microorganisms; single strain or mixture) design observational_with_procedure · population other_cancer · Anti-PD-1 therapy; FMT and A. muciniphila supplementation in mouse models

“Fecal microbiota transplantation (FMT) from cancer patients who responded to ICI” — bioproject.description (study level; per-sample arms are in the intervention column below)

Samples at a glance
1 sampling locations · 1 country
Age
adult125
elderly94
Condition
other_cancer219
Sex
male127
female47
Country
FR219
Body site
primary219
Sequencing depth per sample · this project all projects
all projects, 0–0.03 Gbp: 25,080 samples (4 %)all projects, 0.03–0.1 Gbp: 17,066 samples (3 %)all projects, 0.1–0.3 Gbp: 29,179 samples (5 %)all projects, 0.3–1 Gbp: 47,044 samples (8 %)all projects, 1–3 Gbp: 124,983 samples (22 %)this project, 1–3 Gbp: 118 samplesall projects, 3–10 Gbp: 253,728 samples (44 %)this project, 3–10 Gbp: 101 samplesall projects, 10–30 Gbp: 72,533 samples (13 %)all projects, 30–100 Gbp: 3,024 samples (1 %)all projects, 100–300 Gbp: 106 samples (0 %)all projects, ≥ 300 Gbp: 9 samples (0 %)project median 2.99 Gbp per sample0130Gbp
! Self-contradictory metadata

sex differs between samples of the same subject id (19 subjects, 45 samples) — sex withheld; subject ids shared by samples of both sexes (22 ids, 60 samples) — ids withheld.

The sources disagree on 64 samples. Where two incompatible values exist for one sample (or one person's samples disagree on sex), neither value is published: the field is left empty here, in the sample sheet and in the downloads. Both sides, with their sources, are in gut_metadata_contradictions.parquet of the data package (what counts as a contradiction).

Contradicted values (40 of 105)
samplefieldvalueother valuehandling
SAMEA104416141sexfemale (sequence archive)subject I_018: male in 2 samples, female in 1 samplewithheld: neither value published
SAMEA104416146sexfemale (sequence archive)subject I_038: male in 2 samples, female in 1 samplewithheld: neither value published
SAMEA104416147sexfemale (sequence archive)subject I_040: male in 2 samples, female in 1 samplewithheld: neither value published
SAMEA104416188sexfemale (sequence archive)subject I_045: female in 1 sample, male in 1 samplewithheld: neither value published
SAMEA104416189sexfemale (sequence archive)subject I_047: female in 1 sample, male in 1 samplewithheld: neither value published
SAMEA104416195sexmale (sequence archive)subject I_049: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416196sexmale (sequence archive)subject I_051: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416198sexmale (sequence archive)subject I_054: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416204sexmale (sequence archive)subject I_068: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416206sexmale (sequence archive)subject I_070: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416209sexmale (sequence archive)subject I_076: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416216sexfemale (sequence archive)subject I_009: male in 3 samples, female in 1 samplewithheld: neither value published
SAMEA104416218sexfemale (sequence archive)subject I_015: female in 2 samples, male in 1 samplewithheld: neither value published
SAMEA104416219sexfemale (sequence archive)subject I_015: female in 2 samples, male in 1 samplewithheld: neither value published
SAMEA104416223sexmale (sequence archive)subject I_056: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416224sexmale (sequence archive)subject I_061: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416226sexfemale (sequence archive)subject I_006: female in 1 sample, male in 1 samplewithheld: neither value published
SAMEA104416228sexfemale (sequence archive)subject I_036: male in 2 samples, female in 1 samplewithheld: neither value published
SAMEA104416239sexmale (sequence archive)subject I_005: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416242sexmale (sequence archive)subject I_022: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416250sexfemale (sequence archive)subject I_005: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416254sexfemale (sequence archive)subject I_022: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416261sexfemale (sequence archive)subject I_049: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416262sexfemale (sequence archive)subject I_051: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416263sexfemale (sequence archive)subject I_054: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416264sexfemale (sequence archive)subject I_056: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416265sexfemale (sequence archive)subject I_061: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416268sexfemale (sequence archive)subject I_068: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416269sexfemale (sequence archive)subject I_070: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416272sexfemale (sequence archive)subject I_076: male in 1 sample, female in 1 samplewithheld: neither value published
SAMEA104416279sexmale (sequence archive)subject I_006: female in 1 sample, male in 1 samplewithheld: neither value published
SAMEA104416283sexmale (sequence archive)subject I_009: male in 3 samples, female in 1 samplewithheld: neither value published
SAMEA104416284sexmale (sequence archive)subject I_009: male in 3 samples, female in 1 samplewithheld: neither value published
SAMEA104416285sexmale (sequence archive)subject I_009: male in 3 samples, female in 1 samplewithheld: neither value published
SAMEA104416294sexmale (sequence archive)subject I_015: female in 2 samples, male in 1 samplewithheld: neither value published
SAMEA104416298sexmale (sequence archive)subject I_018: male in 2 samples, female in 1 samplewithheld: neither value published
SAMEA104416299sexmale (sequence archive)subject I_018: male in 2 samples, female in 1 samplewithheld: neither value published
SAMEA104416320sexmale (sequence archive)subject I_036: male in 2 samples, female in 1 samplewithheld: neither value published
SAMEA104416321sexmale (sequence archive)subject I_036: male in 2 samples, female in 1 samplewithheld: neither value published
SAMEA104416322sexmale (sequence archive)subject I_038: male in 2 samples, female in 1 samplewithheld: neither value published
Sampling design and relatedness

longitudinal

43 of 84 people sampled more than once (118 samples; median 3, up to 5 per person) · follow-up median 9.0 y (max 27.0 y) · median interval between samples 9.0 y (time from age at collection). Schedule stated by the source: “Samples at T0 (baseline), T1 (after one month), T2 (after two months)” (time origin: treatment start); stated follow-up 2 mo.

I_002I_002: day 0I_002: day 0I_002: day 0I_002: day 4383I_003I_003: day 0I_003: day 760I_003: day 760I_004I_004: day 0I_004: day 2922I_004: day 2922I_009I_009: day 0I_009: day 4373I_009: day 4373I_009: day 4373I_012I_012: day 0I_012: day 0I_012: day 0I_012: day 3634I_014I_014: day 0I_014: day 0I_014: day 0I_014: day 4028I_016I_016: day 0I_016: day 0I_016: day 4748I_017I_017: day 0I_017: day 4018I_020I_020: day 0I_020: day 0I_020: day 1066I_021I_021: day 0I_021: day 0I_021: day 0I_021: day 2922I_034I_034: day 0I_034: day 0I_034: day 4364I_035I_035: day 0I_035: day 1804I_039I_039: day 0I_039: day 0I_039: day 4383I_041I_041: day 0I_041: day 2175I_044I_044: day 0I_044: day 347I_052I_052: day 0I_052: day 9853I_057I_057: day 0I_057: day 8016I_058I_058: day 0I_058: day 2569I_060I_060: day 0I_060: day 1461I_065I_065: day 0I_065: day 1480I_066I_066: day 0I_066: day 6574I_069I_069: day 0I_069: day 749I_072I_072: day 0I_072: day 4017I_075I_075: day 0I_075: day 7010 d6.7 y13.5 y20.2 y27.0 y

Each row is one person (24 shown of 43); dots are samples at days since that person's first sample.

How longitudinal and relatedness information is derived

Community composition

No Sandpiper profile for this project's samples yet.

Field coverage
fieldsamplescoverageR1R2R3R4
age_category219 100%
country219 100%219
health_condition219 100%219
subject_id159 73%159
age_at_collection_days219 100%219
antibiotic_exposure219 100%219
collection_date219 100%219
detailed_location219 100%
health_condition_detail219 100%219
intervention219 100%219
intervention_detail219 100%219
latitude219 100%219
location_region219 100%219
longitude219 100%219
timepoint_label219 100%219
sex174 79%174
Papers (18)
  • Gut microbiome influences efficacy of PD-1-based immunotherapy against epithelial tumors. 2018 PMID 29097494 own_data
  • Distinct Functional Metagenomic Markers Predict the Responsiveness to Anti-PD-1 Therapy in Chinese Non-Small Cell Lung Cancer Patients. 2022 PMID 35530307 PMC9069064 own_data
  • Prioritizing gut microbial SNPs linked to immunotherapy outcomes in NSCLC patients by integrative bioinformatics analysis. 2025 PMID 40098172 PMC11916936 own_data
  • Metagenomic growth rate inferences of strains in situ. 2020 PMID 32494636 PMC7176420 unsure
  • Gut microbiome stability and dynamics in healthy donors and patients with non-gastrointestinal cancers. 2021 PMID 33175106 PMC7664509 unsure
13 more
  • Meta-analysis of the gut microbiota in predicting response to cancer immunotherapy in metastatic melanoma. 2020 PMID 33268597 PMC7714408
  • A Uniform Computational Approach Improved on Existing Pipelines to Reveal Microbiome Biomarkers of Nonresponse to Immune Checkpoint Inhibitors. 2021 PMID 33593881 PMC9053858
  • Gut microbial structural variation associates with immune checkpoint inhibitor response. 2023 PMID 37973916 PMC10654443
  • Is There an Interplay between Environmental Factors, Microbiota Imbalance, and Cancer Chemotherapy-Associated Intestinal Mucositis? 2024 PMID 39204125 PMC11357004
  • MiCML: a causal machine learning cloud platform for the analysis of treatment effects using microbiome profiles. 2025 PMID 39885552 PMC11783787
  • Gut microbiota-derived hexa-acylated lipopolysaccharides enhance cancer immunotherapy responses. 2025 PMID 39929976 PMC11879847
  • Enriched pathways in gut microbiome predict response to immune checkpoint inhibitor treatment across demographic regions and various cancer types. 2025 PMID 40151642 PMC11937697
  • Exploring fecal microbiota signatures associated with immune response and antibiotic impact in NSCLC: insights from metagenomic and machine learning approaches. 2025 PMID 40792105 PMC12336193
  • Live biotherapeutic <i>enterococcus lactis</i> MNC-168 promotes the efficacy of immune checkpoint blockade in cancer therapy by activating STING pathway via bacterial membrane vesicles. 2025 PMID 40937720 PMC12439585
  • Intestinal fungal signatures and their impact on immune checkpoint inhibitor efficacy: a multi-cohort meta-analysis. 2025 PMID 41006325 PMC12475161
  • Multi-Kingdom Gut Microbiome Interaction Characteristics Predict Immune Checkpoint Inhibitor Efficacy Across Pan-Cancer Cohorts. 2025 PMID 41304278 PMC12654497
  • Enterotype-specific microbial biomarkers of immune checkpoint inhibitor response revealed by large-scale integrated metagenomic analysis. 2026 PMID 42189287 PMC13388844
  • Decoding the cancer microbiome: multi-omics, AI, and translational opportunities. 2026 PMID 42750046 PMC13584529
Details
Archive description

Immune checkpoint inhibitors (ICI) targeting the PD-1/PD-L1 axis induce sustained clinical responses in a sizeable minority of cancer patients. Here, we show that primary resistance to ICI can be due to an abnormal gut microbiota. Antibiotics (ATB) inhibited the clinical benefit of ICI in advanced cancer patients. Fecal microbiota transplantation (FMT) from cancer patients who responded to ICI (but not from non-responding patients) into germ-free or ATB-treated mice ameliorated the antitumor effects of PD-1 blockade. Metagenomics of patient stools at diagnosis revealed correlations between clinical responses to ICI and the relative abundance of Akkermansia muciniphila. Oral supplementation with A. muciniphila post-FMT with non-responder feces restored the efficacy of PD-1 blockade in an IL-12-dependent manner, by increasing the recruitment of CCR9+CXCR3+CD4+ T lymphocytes into tumor beds.

How this project entered the registry

Classified as human gut / stool shotgun DNA metagenome of adult and elderly by sonnet_x2 with confidence 0.72. Assay shotgun_dna.

  • host run.scientific_name · “human gut metagenome”
  • body site study.title · “Gut mictobiota composition correlation”
  • life stage study.title · “NSCLC and RCC patients”
  • life stage sample.attr.host_age · “68 (n=85/219)”
Evidence examples (one per field × route)
samplefieldvaluerouteconf.sourcequote
SAMEA104416127age_at_collection_days28124.2R10.70sample.attr.host_age77
SAMEA104416127antibiotic_exposurenoR10.90biosample_attrno
SAMEA104416127collection_date2016R10.90biosample.attribute:collection_date2016
SAMEA104416127countryFRR10.90sample.attr.geographic_location_country_and_or_seaFrance
SAMEA104416127health_conditionother_cancerR10.85biosample_attrNSCLC
SAMEA104416127health_condition_detailNSCLCR10.90sample.attr.host_disease_statusNSCLC
SAMEA104416127interventionno_interventionR10.80biosample.attribute:TimepointTimepoint: T0
SAMEA104416127intervention_detailbaseline before anti-PD-1 therapyR10.80biosample.attribute:TimepointTimepoint: T0
SAMEA104416127latitude48.7955R10.90biosample.attribute:geographic_location_latitude+geographic_location_longitude48.795496 2.347477
SAMEA104416127location_regionIle-de-FranceR10.60biosample.attribute:geographic_location_latitude+geographic_location_longitude48.795496 2.347477
SAMEA104416127longitude2.3475R10.90biosample.attribute:geographic_location_latitude+geographic_location_longitude48.795496 2.347477
SAMEA104416127sexfemaleR10.90sample.attr.host_sexfemale
SAMEA104416127subject_idC_008R10.85sample.attr.patient_idC_008
SAMEA104416127timepoint_labelT0R10.85sample.attr.timepointT0
Sequencing

219 runs over 219 samples · mean 2.97 Gbp per run (median 2.99 Gbp, total 651.18 Gbp; 219 runs with a base count) · layout SINGLE 219 · platform ION_TORRENT 219 · models Ion Torrent Proton (219) · 0% of runs with a Sandpiper profile · first public 2017-12-05 – 2018-01-07

Authors (80)

Routy B first · Le Chatelier E · Derosa L · Duong CPM · Alou MT · Daillère R · Fluckiger A · Messaoudene M · Rauber C · Roberti MP · Fidelle M · Flament C · Poirier-Colame V · Opolon P · Klein C · Iribarren K · Mondragón L · Jacquelot N · Qu B · Ferrere G · Clémenson C · Mezquita L · Masip JR · Naltet C · Brosseau S · Kaderbhai C · Richard C · Rizvi H · Levenez F · Galleron N · Quinquis B · Pons N · Ryffel B · Minard-Colin V · Gonin P · Soria JC · Deutsch E · Loriot Y · Ghiringhelli F · Zalcman G · Goldwasser F · Escudier B · Hellmann MD · Eggermont A · Raoult D · Albiges L · Kroemer G · Zitvogel L last · Koh H first · Kim J · Jang H last · Zhang L first · Zhou DD · Feng J · Liao ZJ · Shu XL · Yang RM · Gao YC · Zhou HH · Zhang W · Zou Y · Liu R last · Qiao T first · Zhu Z last · Candeliere F first · Busi E · Cerri S · Sola L · Lombardi M · Greco S · Pedroni S · Amaretti A · Raimondi S · Chiavelli C · Vitale MG · Bertolini F · Depenni R · Franchini G · Dominici M · Rossi M last

Downloads

PRJEB22863.csv.gz (7.6 KB) · parquet (80.6 KB) — all 219 samples, every field with route and confidence · PRJEB22863_determinations.csv.gz (17.5 KB) — 2,961 evidence rows

Samples (219 · every field this project has values for · hover a cell for its source)
Loading the sample table…