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Liver Supplement UDCA Shows Promise in Boosting Cancer Immunotherapy

Liver Supplement UDCA Shows Promise in Boosting Cancer Immunotherapy

Salk Institute researchers found that ursodeoxycholic acid (UDCA), an existing liver supplement, can reverse immune suppression in liver cancer and improve immunotherapy response. UDCA restored T cell function and reduced tumors in mice, setting the stage for swift clinical trials.

Illustration of a scientist examining liver supplements, symbolizing research on liver health and treatment applications.

Source:

SciTechDaily

Breakthrough in Liver Cancer Research

Researchers at the Salk Institute have identified a major reason why immunotherapy often fails in liver cancer patients. Their study, published in Science on January 9, 2025, reveals that certain bile acids in the liver suppress T cell immune responses, undermining the effects of immunotherapy.

Bile Acids and Immune Suppression

Analysis of human liver cancer samples showed high levels of conjugated bile acids. These substances weaken T cell function, which is critical for attacking tumors during immunotherapy (ScienceDaily, Salk Institute).

  • Most primary bile acids had minimal impact on T cells.

  • Certain secondary bile acids, such as LCA, damaged T cells.

  • UDCA, however, increased T cell activity and helped control tumors.

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High-resolution anatomical visual of the human liver, depicting internal organ structure relevant to medical studies and treatments.

Source:

Science Daily

UDCA as a Potential New Therapy

The team found that ursodeoxycholic acid (UDCA) supplementation reversed the suppression of T cells. In mouse models, UDCA not only restored immune activity but also shrank liver tumors (Pharmacy Times).

Genetic Insights and Fast-Tracked Potential

By genetically removing the enzyme BAAT, which produces these harmful bile acid forms, tumor growth slowed in mice. As UDCA is already an approved treatment for liver diseases like primary biliary cholangitis, it offers a rapid route to clinical cancer trials.

  • UDCA’s safety as a supplement could speed up human testing.

  • The findings may explain why immunotherapy works for other cancers, but not liver cancer.

Colorful medical illustration showing liver cells and bile acids, reflecting research in liver cancer and the impact of supplements.

Source:

Technology Networks

Next Steps and Broader Impact

This research opens new avenues for liver cancer treatment by targeting bile acids and the liver microenvironment. Clinical trials testing UDCA as an immunotherapy booster are expected soon (Salk Institute press release).

Broader Context

  • The gut microbiome may also influence bile acid production and immune response.

  • Other strategies, such as microbiome manipulation, could become part of combined treatments.

Key insight: Rapid translation from laboratory to clinic is possible due to UDCA’s established safety record (ScienceDaily).

Next Steps and Broader Impact

This research opens new avenues for liver cancer treatment by targeting bile acids and the liver microenvironment. Clinical trials testing UDCA as an immunotherapy booster are expected soon (Salk Institute press release).

Broader Context

  • The gut microbiome may also influence bile acid production and immune response.

  • Other strategies, such as microbiome manipulation, could become part of combined treatments.

Key insight: Rapid translation from laboratory to clinic is possible due to UDCA’s established safety record (ScienceDaily).

How does UDCA specifically enhance T cell function in the liver?

UDCA reverses the immune-suppressive effects of harmful bile acids, restores T cell activity, and recruits more immune cells to the liver.

How does UDCA specifically enhance T cell function in the liver?

UDCA reverses the immune-suppressive effects of harmful bile acids, restores T cell activity, and recruits more immune cells to the liver.

How does UDCA specifically enhance T cell function in the liver?

UDCA reverses the immune-suppressive effects of harmful bile acids, restores T cell activity, and recruits more immune cells to the liver.

What are the potential side effects of using UDCA for liver cancer treatment?

What are the potential side effects of using UDCA for liver cancer treatment?

What are the potential side effects of using UDCA for liver cancer treatment?

How does the gut microbiome influence bile acid levels in the liver?

How does the gut microbiome influence bile acid levels in the liver?

How does the gut microbiome influence bile acid levels in the liver?

Can UDCA supplementation be combined with other cancer treatments?

Can UDCA supplementation be combined with other cancer treatments?

Can UDCA supplementation be combined with other cancer treatments?

What are the next steps for clinical trials involving UDCA for liver cancer?

What are the next steps for clinical trials involving UDCA for liver cancer?

What are the next steps for clinical trials involving UDCA for liver cancer?

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