Ruminococcaceae

BacteriaBacillotaClostridiaEubacterialesRuminococcaceae
MCA-BAC-000003
TaxID: 541000 | Rank: family
Biology & Ecology
Biology
Gram Statusgram-positive
Oxygen Toleranceobligate anaerobe
Ecology
Primary Nichesgut
Reservoirhuman
Metabolites

No metabolite relationships documented for this taxon.

Clinical Profile
Pathobiont
yes no context dependent unknown
Clinical Rolesprotective commensal
Typical Specimenstool
Risk Contextsmelanoma patients receiving immune checkpoint inhibitor therapy (ICB)
Clinical Associations:
E2
E3 — Strong human clinical evidence E2 — Moderate human evidence E1 — Limited / preliminary
Ruminococcaceae relative abundance was significantly reduced in critically ill ICU patients compared to healthy controls (ANCOM-II p-adj<0.1), representing a key anaerobic fermenter family lost during critical illness-associated gut dysbiosis in a prospective cohort of 51 patients.
PMID: 36894652
D016638 Critical Illness D064806 Dysbiosis
E2
E3 — Strong human clinical evidence E2 — Moderate human evidence E1 — Limited / preliminary
Ruminococcaceae depletion preceded Enterobacteriaceae expansion in critically ill ICU patients, consistent with its role in colonization resistance against pathobiont expansion during critical illness-associated gut dysbiosis.
PMID: 36894652
D016638 Critical Illness D064806 Dysbiosis
E2
E3 — Strong human clinical evidence E2 — Moderate human evidence E1 — Limited / preliminary
In an independent newly recruited cohort of 132 anti-PD-1–treated metastatic melanoma patients (n=87 responders, n=45 non-responders), Ruminococcaceae relative abundance was significantly higher in responders versus non-responders (p=0.036 by Wilcoxon rank sum test), replicating the response-associated enrichment pattern identified in a prior cohort.
PMID: 34941392
D000082082 Immune Checkpoint Inhibitors D008545 Melanoma H00038 Melanoma
E2
E3 — Strong human clinical evidence E2 — Moderate human evidence E1 — Limited / preliminary
Across an expanded cohort of 293 metastatic melanoma patients treated with anti-PD-1 or other systemic therapies, Ruminococcaceae was the most significantly enriched taxon in gut microbiota of responders versus non-responders (FDR q<0.1 by Wilcoxon rank sum test), with enrichment persisting after multivariable adjustment for age, sex, BMI, prior treatment, and antibiotic use.
PMID: 34941392
D000082082 Immune Checkpoint Inhibitors D008545 Melanoma D000077982 Progression-Free Survival H00038 Melanoma
E2
E3 — Strong human clinical evidence E2 — Moderate human evidence E1 — Limited / preliminary
Ruminococcaceae relative abundance was significantly higher in anti-PD-1 responders versus non-responders in a prospective cohort of 43 metastatic melanoma patients (30R, 13NR; p<0.01 by LEfSe and FDR-adjusted pairwise comparisons), establishing the original human evidence for Ruminococcaceae enrichment as a gut microbiome marker of immunotherapy response.
PMID: 29097493
D000082082 Immune Checkpoint Inhibitors D008545 Melanoma H00038 Melanoma
E1
E3 — Strong human clinical evidence E2 — Moderate human evidence E1 — Limited / preliminary
In a phase 1 FMT trial (n=10 anti-PD-1-refractory metastatic melanoma patients), FMT Donor 2 (a melanoma complete responder) was characterized by high Ruminococcaceae relative abundance in stool microbiota; the paper explicitly characterizes this as a previously reported 'immunotherapy-favorable feature' associated with anti-PD-1 response, though Donor 2 recipients produced no clinical responses in this trial.
PMID: 33303685
D000069467 Fecal Microbiota Transplantation D000069196 Gastrointestinal Microbiome D000082082 Immune Checkpoint Inhibitors D008545 Melanoma H00038 Melanoma
Last reviewed: 2026-04-03
Evidence Timeline
Related Taxa Shared Niche = same body site   Shared Risk = same vulnerable population