Core Viewpoint - Exercise is recognized as a significant factor in reducing cancer risk, enhancing the survival of cancer patients, and improving treatment outcomes, particularly through its effects on the gut microbiome and immune response [2][4][6]. Group 1: Research Findings - A study published in the journal Cell indicates that exercise induces the production of the gut microbiota metabolite formate, which enhances CD8 T cell antitumor immunity and improves the efficacy of cancer immunotherapy [3][4]. - The research highlights that the gut microbiome's metabolic products, rather than the microbiome itself, are crucial for the antitumor effects of exercise [9][10]. - The study identifies Nrf2 as a key mediator in the enhancement of Tc1 cell function driven by formate, both in vitro and in vivo [11]. Group 2: Implications for Cancer Treatment - The findings suggest that high-producing formate gut microbiota in humans can enhance tumor suppression and promote robust antitumor Tc1 immune responses, indicating formate as a potential biomarker for enhancing Tc1-mediated antitumor immunity [12][15]. - The research opens avenues for developing treatment strategies that combine exercise with microbiota-derived metabolites, particularly focusing on Nrf2 agonists like formate for patients resistant to immune checkpoint inhibitors [16][17].