Gut microbiota composition in responders vs. non-responders with hepatocellular carcinoma under ICI therapy: a systematic review and meta-analysis - Scorecard - MDSpire
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Comparative Analysis of Gut Microbiome Profiles in Hepatocellular Carcinoma Patients Responding and Not Responding to Immune Checkpoint Inhibitor Therapy: A Systematic Review and Meta-Analysis

  • By

  • Guo Lin

  • Bowei Huang

  • Shun Chen

  • Hangbin Zheng

  • Wenxin Huang

  • Juan Hu

  • Liangyi Zhou

  • Liwu Chen

  • September 9, 2026

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Clinical Scorecard: Comparative Analysis of Gut Microbiome Profiles in Hepatocellular Carcinoma Patients Responding and Not Responding to Immune Checkpoint Inhibitor Therapy: A Systematic Review and Meta-Analysis

At a Glance

CategoryDetail
ConditionHepatocellular Carcinoma (HCC)
Key MechanismsGut microbiota dysbiosis and its association with immune checkpoint inhibitor therapy response.
Target PopulationPatients with intermediate-to-advanced HCC receiving immune checkpoint inhibitors.
Care SettingOncology and hepatology clinics.

Key Highlights

  • Beta diversity significantly differed in over 68% of studies.
  • Actinobacteriota enriched in responders; Bacteroides depleted in non-responders.
  • Protective taxa correlated with lower mortality risk include Collinsella and Ruminococcus.
  • Detrimental taxa associated with worse overall survival include Bacteroides.AF20_13LB and Veillonella atypica.
  • Distinct gut microbiome profiles may indicate disease status and treatment response.

Guideline-Based Recommendations

Diagnosis

  • Utilize gut microbiome profiles to assess treatment response in HCC patients.

Management

  • Consider gut microbiota composition when evaluating therapeutic strategies for HCC.

Monitoring & Follow-up

  • Monitor changes in gut microbiome as potential biomarkers for treatment efficacy.

Risks

  • Identify high-risk taxa that may predict poor outcomes in HCC patients undergoing ICI therapy.

Patient & Prescribing Data

Adults with intermediate and advanced hepatocellular carcinoma.

Immune checkpoint inhibitors may yield variable responses influenced by gut microbiome composition.

Clinical Best Practices

  • Incorporate gut microbiome analysis in clinical decision-making for HCC treatment.
  • Evaluate the role of gut microbiota in predicting patient outcomes during ICI therapy.

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