NIH-funded research R01 grant

Gut bacteria and immune causes of colitis from CTLA-4 cancer therapy

Official title: Microbiota-Immune Interactions in CTLA-4 Antibody Blockade-Induced Colitis

Funded at University of Michigan at Ann Arbor · NIH-11331237 · Data updated 2026-11-12

This project looks at how gut bacteria and immune responses cause bowel inflammation in people getting CTLA-4 cancer antibodies so we can find ways to prevent or treat it.

More Microbiota research and trials

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionUniversity of Michigan at Ann Arbor
NIH-funded
Lab location1 site (Ann Arbor, United States)
Project startJuly 1, 2024
Project endApril 30, 2029
Funding year2026
Award (this year)$492,372
NIH project number5R01DK140094-03
Project IDNIH-11331237 on NIH RePORTER

Who could benefit from this research

Could help

People receiving CTLA-4 (with or without PD-1/PD-L1) cancer immunotherapy, especially those who develop colitis or who can donate stool or tissue samples, are the most relevant candidates for related participation or sample donation.

Less likely to help

People not treated with immune checkpoint antibodies or whose bowel problems are from infections, ischemia, or other non-immune causes are unlikely to benefit directly from this work.

What this research studies

If you or someone you know receives CTLA-4 cancer antibodies and develops bowel inflammation, this work aims to explain why that happens. Researchers use mice given a wild-type-like gut microbiome to recreate the colitis seen in patients and then study the immune cells (CD4+, CD8+ T cells and neutrophils) that accumulate in the colon. They compare the mouse findings with immune cells and samples from patients to find common bacterial and immune pathways. The team hopes to identify targets that could be blocked or modified to reduce immune-related colitis and help patients stay on cancer therapy.

Why it matters

Potential benefit: Could identify bacterial or immune targets to prevent or treat checkpoint-inhibitor colitis so patients can continue effective cancer immunotherapy.

How similar studies have gone: Prior human studies have linked gut bacteria to immunotherapy effects and toxicities, but robust animal models of CTLA-4–induced colitis have been limited, so this project builds on promising observations with a new preclinical model.

Where this research is happening

  • University of Michigan at Ann Arbor
    Ann Arbor, United States
    Active

Researchers

  • Principal investigator: Nunez, Gabriel — University of Michigan at Ann Arbor
  • Study coordinator: Nunez, Gabriel

Related research

Other NIH-funded projects on the same topics.

  • Gut bacteria that worsen colitis

    This research looks at whether common antibiotics and processed foods change gut bacteria so a sugar alcohol called sorbitol builds up and makes colitis worse, and whether probiotics or enzyme pills can help people with inflammatory bowel disease.

    NIH research University of California at Davis · Davis, United States · NIH-11319307

  • Gut bacteria and colorectal cancer risk in people with ulcerative colitis

    Researchers are looking at whether certain gut bacteria help protect against or promote colorectal cancer in people who have ulcerative colitis.

    NIH research Baylor College of Medicine · Houston, United States · NIH-11241980

  • Investigating how gut bacteria affect colitis caused by cancer treatments

    This study is looking at how the bacteria in your gut and your immune system work together when you're getting a specific cancer treatment, to see why some people develop colitis, which is a painful inflammation that can interrupt their therapy, and the goal is to find ways to prevent or manage this issue for patients

    NIH research University of Michigan at Ann Arbor · Ann Arbor, United States · NIH-11119028

  • Understanding how gut bacteria influence colorectal cancer in patients with ulcerative colitis

    This study is looking at how the bacteria in your gut might influence the risk of developing colorectal cancer if you have ulcerative colitis, and it aims to find out which types of bacteria could help protect you or possibly increase that risk.

    NIH research Baylor College of Medicine · Houston, United States · NIH-11007262

  • Diet, gut microbiome, and immune health in adults with type 2 diabetes

    A study at Stanford is exploring how fermented foods and their molecules, like lactate, influence gut bacteria and the body's immune and inflammatory responses in adults with adult-onset diabetes.

    NIH research Stanford University · Stanford, United States · NIH-11596288

  • How our genes and immune system affect C. difficile infections

    This project looks at how a common human gene variant and immune factors influence the severity of C. difficile infections and whether targeting inflammation could help patients.

    NIH research University of Arizona · Tucson, United States · NIH-11585001

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.