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Peer-reviewedCC BY-NC-ND 4.0Cell Reports Methods

Modeling microbiome modulation of tumor metabolic networks to predict synergistic therapies

7 affiliations
  1. 1Gilbert S. Omenn Department of Computational Medicine and Bioinformatics, University of Michigan, Ann Arbor, MI, USA
  2. 2Department of Biomedical Engineering, University of Michigan, Ann Arbor, MI 48109, USA
  3. 3Center for Chemical Genomics, University of Michigan, Ann Arbor, MI 48109, USA
  4. 4Department of Molecular and Cellular Pathology, University of Michigan, Ann Arbor, MI 48103, USA
  5. 5Department of Computer Science and Engineering, University of Michigan, Ann Arbor, MI 48109, USA
  6. 6Rogel Cancer Center, University of Michigan, Ann Arbor, MI 48109, USA
  7. 7Institute for Data and AI in Society, University of Michigan, Ann Arbor, MI 48109, USA

Abstract

Differences in microbiome composition profoundly influence drug response, yet methods to model the metabolic impact of microbes on host cells and therapeutics remain limited. We present a microbiome-aware computational framework combining machine learning and genome-scale metabolic models to predict combination therapies for colorectal cancer (CRC) in the presence of Fusobacterium nucleatum (Fn) and other pathogenic, probiotic, and commensal microbes. The model learned predictive metabolic flux signatures from 6,514 drug combination profiles in CRC cell lines and predicted synergistic drug combinations across both microbe-free and microbe-associated contexts. Model performance was supported through prospective comparison with newly reported drug combinations, in vitro drug synergy assays, microbiome co-culture experiments, and targeted metabolic perturbations of predicted pathway dependencies. Pharmacological perturbations in asymmetric co-cultures revealed phosphoinositol metabolism and cysteine transport as key determinants of Fn-dependent drug synergy. Together, this work introduces a scalable strategy for discovering microbiome-dependent combination therapies, including chemotherapies, immunotherapy, and probiotics.

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BibTeX
@article{badenoch2026modeling,
  title = {{Modeling microbiome modulation of tumor metabolic networks to predict synergistic therapies}},
  author = {Annie J. Badenoch and Zeyang Pang and Carolina H. Chung and Aaron Robida and Bretton Badenoch and Ritish Natesan and Layth Kakish and Jiahe Li and Sriram Chandrasekaran},
  journal = {Cell Reports Methods},
  year = {2026},
  month = aug,
  doi = {10.1016/j.crmeth.2026.101549},
  url = {https://doi.org/10.1016/j.crmeth.2026.101549},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Modeling microbiome modulation of tumor metabolic networks to predict synergistic therapies
AU  - Annie J. Badenoch
AU  - Zeyang Pang
AU  - Carolina H. Chung
AU  - Aaron Robida
AU  - Bretton Badenoch
AU  - Ritish Natesan
AU  - Layth Kakish
AU  - Jiahe Li
AU  - Sriram Chandrasekaran
PY  - 2026
DA  - 2026/08/13
JO  - Cell Reports Methods
DO  - 10.1016/j.crmeth.2026.101549
UR  - https://doi.org/10.1016/j.crmeth.2026.101549
AB  - Differences in microbiome composition profoundly influence drug response, yet methods to model the metabolic impact of microbes on host cells and therapeutics remain limited. We present a microbiome-aware computational framework combining machine learning and genome-scale metabolic models to predict combination therapies for colorectal cancer (CRC) in the presence of Fusobacterium nucleatum (Fn) and other pathogenic, probiotic, and commensal microbes. The model learned predictive metabolic flux signatures from 6,514 drug combination profiles in CRC cell lines and predicted synergistic drug combinations across both microbe-free and microbe-associated contexts. Model performance was supported through prospective comparison with newly reported drug combinations, in vitro drug synergy assays, microbiome co-culture experiments, and targeted metabolic perturbations of predicted pathway dependencies. Pharmacological perturbations in asymmetric co-cultures revealed phosphoinositol metabolism and cysteine transport as key determinants of Fn-dependent drug synergy. Together, this work introduces a scalable strategy for discovering microbiome-dependent combination therapies, including chemotherapies, immunotherapy, and probiotics.
SN  - 2667-2375
ER  -