“…For example, inflammation is an important hallmark of cancer, and the presence of immune cells known as tumor associated macrophages (TAM) is often conducive of tumor growth, metastases and poor outcomes (Gharib et al, 2019;Laoui et al, 2011). TAMs are broadly M2 polarized, and IL-10, IL-12p40 and G-CSF all have been shown to play important roles in impacting the tumor microenvironment through regulation of TAMs (Biswas et al, 2006;Kanemaru et al, 2017;Karagiannidis et al, 2020;Laoui et al, 2011) which could be targeted by the EES in cancer bacteriotherapy (Sawant et al, 2020;Yaghoubi et al, 2019Yaghoubi et al, , 2020bYaghoubi et al, , 2020aZhang et al, 2020). Arthritis represents the other side of immune polarization where homeostasis is driven to a proinflammatory condition (Georgopoulos et al, 1996;Henderson and Pettipher, 1989).…”