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Gut microbiota-associated nutritional-immune status predicts prognosis in postoperative NSCLC patients - PubMed

21 hours ago
  • #gut microbiota
  • #NSCLC
  • #prognostic nutritional index
  • High prognostic nutritional index (PNI ≥46.2) predicts improved 5-year survival in postoperative NSCLC patients.
  • High PNI associates with enrichment of SCFA-producing gut bacteria (e.g., Akkermansia, Eubacterium hallii) and higher butyrate/isovalerate levels.
  • SCFA levels correlate with increased CD8+ T cell infiltration in tumors.
  • Fecal microbiota transplantation from high-PNI patients reduces lung tumor growth in mice.
  • Oral administration of A. muciniphila, E. hallii, or butyrate suppresses tumor growth and enhances CD8+ tumor-infiltrating lymphocytes.
  • PNI and gut microbiota-SCFA axis are prognostic biomarkers and potential immunomodulatory targets for early-stage NSCLC.