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Consumption of β-glucans to spice up T cell treatment of tumors: a review.

Expert opinion on biological therapy
October 1, 2018
Priscilla de Graaff et al. (4 authors)
Journal ArticleReviewHuman StudyAnimal Study
Study Details

Study Goal

The researchers aimed to evaluate the immune-stimulatory effects of β-glucans, particularly their ability to enhance adoptive T-cell treatments in cancer by modulating the tumor microenvironment.

Results Summary

The study found that β-glucans stimulate immune cells in gut-associated lymphoid tissue, promote pro-inflammatory pathways, improve tumor control in mouse models, and shift the tumor microenvironment to be more T cell-sensitive. Oral administration of β-glucans also showed immune-potentiating effects in healthy subjects and cancer patients.

Population

Healthy subjects, cancer patients, and mouse cancer models.

Effective Dosage

Not specified

Duration

Not specified

Interactions

None mentioned

Extracted Claims (8)
InterventionDirectionEndpointPopulationDosageImpactClaim #
naturally occurring β-glucans
decrease
T cell suppression
-
-
can enable reversion of such T cell suppression
#1
naturally occurring β-glucans
increase
numbers and function of lymphocyte effectors
-
-
engaging innate immune cells and enhancing numbers and function of lymphocyte effectors
#2
orally administered β-glucans
increase
well-being and immune functions
healthy subjects
-
effects toward well-being and immune functions
#3
orally administered β-glucans
increase
well-being and immune functions
cancer patients
-
effects toward well-being and immune functions
#4
β-glucan treatments
decrease
tumor growth
mouse cancer models
better control
effects
#5
β-glucan treatments
increase
TME
mouse cancer models
-
shift the TME toward a T cell-sensitive environment
#6
Beta-glucans
increase
immune cells present in gut-associated lymphoid tissue
-
-
stimulate immune cells present in gut-associated lymphoid tissue and initiate highly conserved pro-inflammatory pathways
#7
intake of β-glucans
increase
immune-potentiating adjuvant
-
-
provides an accessible and immune-potentiating adjuvant
#8
Abstract

INTRODUCTION: Adoptive T-cell treatments of solid cancers have evolved into a robust therapy with objective response rates surpassing those of standardized treatments. Unfortunately, only a limited fraction of patients shows durable responses, which is considered to be due to a T cell-suppressive tumor microenvironment (TME). Here we argue that naturally occurring β-glucans can enable reversion of such T cell suppression by engaging innate immune cells and enhancing numbers and function of lymphocyte effectors. AREAS COVERED: This review summarizes timely reports with respect to absorption, trafficking and immune stimulatory effects of β-glucans, particularly in relation to innate immune cells. Furthermore, we list effects toward well-being and immune functions in healthy subjects as well as cancer patients treated with orally administered β-glucans, extended with effects of β-glucan treatments in mouse cancer models. EXPERT OPINION: Beta-glucans, when present in food and following uptake in the proximal gut, stimulate immune cells present in gut-associated lymphoid tissue and initiate highly conserved pro-inflammatory pathways. When tested in mouse cancer models, β-glucans result in better control of tumor growth and shift the TME toward a T cell-sensitive environment. Along these lines, we advocate that intake of β-glucans provides an accessible and immune-potentiating adjuvant when combined with adoptive T-cell treatments of cancer.

Medical Subject Headings (MeSH)
Adjuvants, ImmunologicAdministration, OralAnimalsCombined Modality TherapyHumansImmunotherapy, AdoptiveMiceNeoplasmsT-LymphocytesTumor Microenvironmentbeta-Glucans
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations33
Citations/Year4.7
Relative Citation Ratio1.73
NIH Percentile69.9%
Research Impact Scores
APT Score0.25
Weight Score1.06
Normalized Score0.69
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