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| Evidence type | What the paper reports | Why it matters | Main skepticism lever |
|---|---|---|---|
| Human association | YB328 abundance correlates with PD-1 response/PFS and immune infiltration signatures in tumors | Supports translation-relevant relevance | Non-randomized cohorts; residual confounding; baseline microbiome/diet/medication differences |
| Causal microbiome perturbation | FMT into germ-free/ATB-SPF mice restores anti–PD-1 efficacy depending on donor responder vs non-responder feces | Moves from correlation to causation in mice | FMT includes whole communities; YB328 alone shows specificity but broader community effects remain possible |
| Mechanistic pathway tests | Interference with MyD88, Tlr7/9, and Batf3 abrogates YB328-driven DC phenotypes and anti–PD-1 enhancement | Supports pathway causality | Compensatory immune programs; cell-state heterogeneity; marker-based subset definitions |
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