Translational Research in Immuno-oncology and Microbiome (TRIM)
Dr. Maria Paula Roberti
Significant progress in cancer treatment has been achieved by stimulating the immune system to eliminate tumors. The microorganisms residing in our bodies are vital for immune function, and disruptions in this microbiota balance (dysbiosis) can weaken immune surveillance and reduce therapy efficacy. Targeting the microbiome, its functions, or related immunosuppressive mechanisms is a key strategy to better treat cancer.
Our Reserach
Immunotherapy led to a paradigm change of systemic tumor therapy. Many patients now benefit from improved survival and sometimes cure. However, there is urgent need to further improve immunotherapy, as a majority of patients will progress despite treatment. Recent preclinical translational and clinical studies demonstrate that the patient's (gut) microbiome is a major determinant of response to immunotherapy and highlight the potential of microbiome intervention in immuno-oncology.
In our team, we actively integrate translational data, functional assays and preclinical models, to understand and overcome mechanisms of resistance to immunotherapy and chemotherapy, with a focus in gut-related subversion of anti-tumor immunity. By leveraging this knowledge, we aim to find biomarkers, patient stratification and innovative treatment combinations.
Our research group, is embedded in a multidisciplinary team with close connection to the clinic and a bioinformatics team.
Future outlook: We will continue our efforts to improve the understanding of tumor-microbiome-host interactions with a focus on T cell- and tumor-intrinsic mechanisms of resistance in Immuno-Oncology. Our ultimate goal is to bring microbiome-based personalized I-O to patients.
Projects
Mucosome
To bring Fecal Microbiota Transfer (FMT) therapy to the standard of care, the open challenge is to identify cancer patients at risk of gut-related therapy failure who are amenable to FMT. We are currently collaborating with clinicians and scientists at UKHD and NCT (Dr. C. Rauber) to conduct the "Mucosome" study (S-633/2021) with the aim of identifying biomarkers in patients with extraintestinal cancers that can be used for the selection of patients who will potentially benefit from FMT and to identify stool donors that can be used pharmacologically in a tailored donor-recipient approach in cancer therapy.
DFG Individual Research Grant. Project no. 537739196. (2024-2027)
FLORA trial
In multifocal hepatocellular carcinoma, the recently introduced first-line therapy Atezolizumab/Bevacizumab leads to an objective response rate of only 27%, which is superior to previous first-line therapies but highlights the urgent need for further therapeutic improvement. Together with Dr. C. Rauber (UKHD) and Dr. M. Dill (UKHD/DKFZ), who clinically conduct "The FLORA trial: Fecal Microbiota Transfer in Liver Cancer to Overcome Resistance to Atezolizumab/Bevacizumab" our team will perform the accompanying translational research program. Part of the "NCT Proof-of-Concept Trial Program" within the framework of Liver Cancer Center Heidelberg (LCCH), FLORA is a multicentric randomized, double-blind, placebo-controlled phase II clinical trial, which aims to assess immunogenicity and safety of FMT in combination with standard of care immunotherapy in advanced hepatocellular carcinoma. The trial involves clinical partners at Mannheim and six additional NCT centers within the frame of the NCT Bridging IIT concept.
EU-CT-Nummer 2023-506887-15-00.
Dysbiosis-associated immunosuppression and immune escape
Microbes can modulate cancer outcomes by many mechanisms: direct interaction with cancer cells, or indirect interaction via the modulation of the immune system or metabolites. We are currently exploring several of these mechanisms with a focus on the effect on immune modulation and tumor recognition by immune cells. By integrating patients' data and relevant preclinical models, we aim to find novel biomarkers and therapeutic targets related to dysbiosis-associated immunosuppression.
Team
6 Employees
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Dr. Maria Paula Roberti
Group head
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Dr. Andrea Leufgen
Postdoctoral researcher
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Jasmin Zech
PhD candidate
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Annika Steitz
MD candidate
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Güner Can
MD candidate (with AG Rauber, UKHD)
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Claudia Luckner-Minden
Technical assistant
Selected Publications
Fidelle M, Rauber C, Alves Costa Silva C, Tian AL, Lahmar I, de La Varende AM, Zhao L, Thelemaque C, Lebhar I, Messaoudene M, Pizzato E, Birebent R, Mbogning Fonkou MD, Zoppi S, Reni A, Dalban C, Leduc M, Ferrere G, Durand S, Ly P, Silvin A, Mulder K, Dutertre CA, Ginhoux F, Yonekura S, Roberti MP, Tidjani-Alou M, Terrisse S, Chen J, Kepp O, Schippers A, Wagner N, Suárez-Gosálvez J, Kobold S, Fahrner JE, Richard C, Bosq J, Lordello L, Vitali G, Galleron N, Quinquis B, Le Chatelier E, Blanchard L, Girard JP, Jarry A, Gervois N, Godefroy E, Labarrière N, Koschny R, Daillère R, Besse B, Truntzer C, Ghiringhelli F, Coatnoan N, Mhanna V, Klatzmann D, Drubay D, Albiges L, Thomas AM, Segata N, Danlos FX, Marabelle A, Routy B, Derosa L, Kroemer G, Zitvogel L. A
Roberti MP, Yonekura S, Duong CPM, Picard M, Ferrere G, Tidjani Alou M, Rauber C, Iebba V, Lehmann CHK, Amon L, Dudziak D, Derosa L, Routy B, Flament C, Richard C, Daillère R, Fluckiger A, Van Seuningen I, Chamaillard M, Vincent A, Kourula S, Opolon P, Ly P, Pizzato E, Becharef S, Paillet J, Klein C, Marliot F, Pietrantonio F, Benoist S, Scoazec JY, Dartigues P, Hollebecque A, Malka D, Pagès F, Galon J, Gomperts Boneca I, Lepage P, Ryffel B, Raoult D, Eggermont A, Vanden Berghe T, Ghiringhelli F, Vandenabeele P, Kroemer G, Zitvogel L.
Jacquelot N, Yamazaki T, Roberti MP, Duong CPM, Andrews MC, Verlingue L, Ferrere G, Becharef S, Vétizou M, Daillère R, Messaoudene M, Enot DP, Stoll G, Ugel S, Marigo I, Foong Ngiow S, Marabelle A, Prevost-Blondel A, Gaudreau PO, Gopalakrishnan V, Eggermont AM, Opolon P, Klein C, Madonna G, Ascierto PA, Sucker A, Schadendorf D, Smyth MJ, Soria JC, Kroemer G, Bronte V, Wargo J, Zitvogel L.
Routy B, Le Chatelier E, Derosa L, Duong CPM, Alou MT, Daillère R, Fluckiger A, Messaoudene M, Rauber C, Roberti MP, Fidelle M, Flament C, Poirier-Colame V, Opolon P, Klein C, Iribarren K, Mondragón L, Jacquelot N, Qu B, Ferrere G, Clémenson C, Mezquita L, Masip JR, Naltet C, Brosseau S, Kaderbhai C, Richard C, Rizvi H, Levenez F, Galleron N, Quinquis B, Pons N, Ryffel B, Minard-Colin V, Gonin P, Soria JC, Deutsch E, Loriot Y, Ghiringhelli F, Zalcman G, Goldwasser F, Escudier B, Hellmann MD, Eggermont A, Raoult D, Albiges L, Kroemer G, Zitvogel L.