Chemotherapy Modulation

Himanshu Mishra: Chemotherapy Modulation by a Cancer-Associated Microbiota Metabolite

Himanshu Mishra, Microbiologist at Zydus Lifescience, shared a post on LinkedIn:

“Chemotherapy modulation by a cancer-associated microbiota metabolite

Understanding how the microbiota produces regulatory metabolites is of significance for cancer and cancer therapy.

Using a host-microbe-drug-nutrient 4-way screening approach, we evaluated the role of nutrition at the molecular level in the context of 5-fluorouracil toxicity. Notably, our screens identified the metabolite 2-methylisocitrate, which was found to be produced and enriched in human tumor-associated microbiota. 2-methylisocitrate exhibits anti-proliferative properties across genetically and tissue-diverse cancer cell lines, three-dimensional (3D) spheroids, and an in vivo Drosophila gut tumor model, where it reduced tumor dissemination and increased survival.

Chemical landscape interaction screens identified drug-metabolite signatures and highlighted the synergy between 5-fluorouracil and 2-methylisocitrate. Multi-omic analyses revealed that 2-methylisocitrate acts via multiple cellular pathways linking metabolism and DNA damage to regulate chemotherapy.

Finally, we converted 2-methylisocitrate into its trimethyl ester, thereby enhancing its potency. This work highlights the great impact of microbiome-derived metabolites on tumor proliferation and their potential as promising co-adjuvants for cancer treatment.

Highlights:
  • Host-microbe-drug-nutrient 4-way screen identifies 2-methylisocitrate regulating 5-FU.
  • 2-methylisocitrate inhibits mitochondrial IDH and causes nucleotide imbalance and DNA damage.
  • Cancer-microbiome metabolites have double-edged sword effects in chemotherapy.
  • Natural microbial metabolites can be modified into enhanced therapeutic agents.”

Himanshu Mishra: Chemotherapy Modulation by a Cancer-Associated Microbiota Metabolite

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