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Preclinically, FMT from ICI-responding patients reprograms the gut microbiota of germ-free or ATB-treated mice not only by expanding beneficial taxa (e.g., Bacteroides thetaiotaomicron , Faecalibacterium prausnitzii ) but also by restoring critical metabolites: SCFAs (butyrate, acetate) that enhance CD8 + T cell infiltration into the TME and suppress Treg differentiation, and Trp derivatives (IPA) that activate the AhR to boost DC maturation (261, 290, 291)

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This work was supported by the Program of Science and Technology Department of Sichuan Province (grant nos

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