REVIEW article

Front. Immunol.

Sec. Cancer Immunity and Immunotherapy

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1575963

This article is part of the Research TopicThe Role of Gut Microbiota in Preventing OncogenesisView all articles

The Multifaceted Role of Microbiota in Liver Cancer: Pathogenesis, Therapy, Prognosis, and Immunotherapy

Provisionally accepted
  • Liaoning Cancer Hospital, China Medical University, Shenyang, China

The final, formatted version of the article will be published soon.

Accumulating evidence suggests that the progression of hepatocellular carcinoma (HCC) is intricately associated with dynamic alterations in microbiota composition.Disruption of gut microbial homeostasis enables pathogenic gut bacteria to translocate to the liver via the gut-liver axis, where they modulate the tumor microenvironment to promote HCC development. Also, they are associated with anti-tumor immune responses. Studies have confirmed that the microbiota exhibits potential as a biomarker for predicting immunotherapy responses, and its can improve clinical efficacy in the treatment of HCC.This review systematically evaluates current evidence elucidating the regulatory mechanisms by which the microbiota governs the progression of HCC, and explores its synergistic interactions with therapeutic strategies for HCC.

Keywords: Carcinogenesis, Hepatocellular Carcinoma, microbiota, therapy, prognosis, Immunotherapy

Received: 13 Feb 2025; Accepted: 29 May 2025.

Copyright: © 2025 Feng, Han, Zhou, Wang, Wang, Sun and Xu. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Tao Sun, Liaoning Cancer Hospital, China Medical University, Shenyang, China
Junnan Xu, Liaoning Cancer Hospital, China Medical University, Shenyang, China

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