Gut microbiota composition in responders vs. non-responders with hepatocellular carcinoma under ICI therapy: a systematic review and meta-analysis - Takeaways - 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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  • 1

    Beta diversity significantly differed in over 68% of studies, while alpha diversity indices showed no significant difference between responders and non-responders.

  • 2

    Actinobacteriota was enriched in responders, whereas Bacteroides was depleted in non-responders at the genus level.

  • 3

    Protective taxa correlated with lower mortality included Collinsella and Ruminococcus, while risky taxa associated with worse outcomes included Bacteroides.AF20_13LB.

  • 4

    Progression-free survival was positively correlated with taxa like Collinsella and negatively with taxa such as Prevotella 9 and Veillonella atypica.

  • 5

    Responder-associated genera were linked to beneficial metabolic pathways, while non-responder taxa were associated with detrimental metabolic processes.

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