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Metabolic activity of gut bacteria can either promote or inhibit function of CAR T cells in cancer therapy (opens in a new tab)
medicalxpress.com · 2026-09-28
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Metabolic activity of gut bacteria can either promote or inhibit function of CAR T cells in cancer therapy
medicalxpress.com · 2026-09-28
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Opposing functions of gut immunomodulatory metabolites on CAR-T therapy
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Claim 1 of 6Not checkedA new multicenter study reports that the metabolic products of gut bacteria, not only the composition of the gut microbiota, help determine the success of CAR T-cell therapy.View evidenceHide evidence
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Claim 2 of 6Not checkedThe study involved an observational cohort of 129 patients from three German university hospitals in Munich, Heidelberg, and Regensburg, and used microbiome and metabolome analyses to identify metabolites associated with response to or failure of CAR T-cell therapy.View evidenceHide evidence
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Claim 3 of 6Not checkedThe researchers say certain microbial metabolites can enhance or inhibit CAR T-cell function, with valerate linked to better function and indole metabolites linked to worse outcomes in human and mouse models.View evidenceHide evidence
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Claim 4 of 6Not checkedLow pre-treatment valerate levels were associated with a higher risk of disease progression, while therapeutic administration improved CAR T-cell function in human and mouse models.View evidenceHide evidence
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Claim 5 of 6Not checkedElevated indole metabolites such as indole-3-carboxaldehyde and indole-3-acetic acid were linked to unfavorable outcomes and reduced CAR T-cell efficacy in human and mouse models.View evidenceHide evidence
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Claim 6 of 6Not checkedThe paper says a metabolite-based risk score predicted clinical response to CAR T-cell therapy, and the team is preparing a CARBiome clinical trial of microbiota transfer in multiple myeloma patients previously treated with antibiotics and scheduled for CAR T-cell therapy.View evidenceHide evidence
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Opposing functions of gut immunomodulatory metabolites on CAR-T therapy
Cell · 2026
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