Evidence map›Paper›PMID 41225628›Full record

ArticleJournal of translational medicine2025

Impact of oral anaerobic bacteria on the tumor immune microenvironment and prognosis of oral cancer.

Kana Kashima, Takuro Saito, Hitomi Kajikawa, Atsunari Kawashima, Azumi Ueyama, Narikazu Uzawa, Hisashi Wada

Abstract read
In one paragraph

Article in Journal of translational medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Kana KashimaDepartment of Oral and Maxillofacial Oncology and Surgery, Graduate School of Dentistry, The University of Osaka, Osaka, Japan.
Takuro SaitoDepartment of Clinical Research in Tumor Immunology, Graduate School of Medicine, The University of Osaka, 2-2 Yamada-Oka, Suita, Osaka, 565-0871, Japan. tsaito@gesurg.med.osaka-u.ac.jp.
Hitomi KajikawaDepartment of Oral and Maxillofacial Oncology and Surgery, Graduate School of Dentistry, The University of Osaka, Osaka, Japan.
Atsunari KawashimaDepartment of Clinical Research in Tumor Immunology, Graduate School of Medicine, The University of Osaka, 2-2 Yamada-Oka, Suita, Osaka, 565-0871, Japan.
Azumi UeyamaDepartment of Clinical Research in Tumor Immunology, Graduate School of Medicine, The University of Osaka, 2-2 Yamada-Oka, Suita, Osaka, 565-0871, Japan.
Narikazu UzawaDepartment of Oral and Maxillofacial Oncology and Surgery, Graduate School of Dentistry, The University of Osaka, Osaka, Japan.
Hisashi WadaDepartment of Clinical Research in Tumor Immunology, Graduate School of Medicine, The University of Osaka, 2-2 Yamada-Oka, Suita, Osaka, 565-0871, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral squamous cell carcinoma (OSCC) accounts for > 90% of oral cancers and has a poor prognosis. The microbiota affects the tumor microenvironment and tumor immune responses; however, the relationship between specific bacterial compositions and tumor-infiltrating immune cells in OSCC remains unclear.

methodsThe microbial diversity and compositions of tumor, normal mucosa, and stool samples from 42 OSCC patients were examined using 16S rDNA sequencing. Bacterial sampling was performed preoperatively by swabbing the tumor surface and normal mucosa and scraping a deep portion of the tumor. Differences in bacterial compositions between samples were examined using a linear discriminant analysis effect size analysis. To investigate the functional states of T cells, tumor-infiltrating immune cells were isolated and subjected to flow cytometry. The relationships among specific bacterial compositions, clinicopathological factors, and tumor-infiltrating immune cells were examined and the potential of microbiota-targeted therapy for OSCC was assessed.

resultsMicrobial α-diversity was higher in tumors than in the normal mucosa. Based on the bacterial compositions of tumor surfaces, patients were classified into anaerobic bacteria-dominant Group A (n = 13) and aerobic bacteria-dominant Group B (n = 10). Group A had more advanced cancer stages (p = 0.0003), shorter recurrence-free survival (p = 0.004), and a higher frequency of exhausted PD-1

conclusionsThis is the first study to show a direct relationship between intratumoral anaerobic bacterial predominance and CD8⁺ T cell exhaustion in OSCC, suggesting a microbiota-dependent mechanism of immune dysfunction and disease progression. The bacteria scoring system has potential as a prognostic marker and guide for microbiota-targeted therapies to enhance anti-tumor immunity.

Indexed as

Bacteria, AnaerobicMouthMouth NeoplasmsTumor MicroenvironmentAdultAgedCarcinoma, Squamous CellFemaleHumansMaleMicrobiotaMiddle AgedPrognosisRNA, Ribosomal, 16SRNA, Ribosomal, 16SCarcinomaLymphocytesMicrobiotaMouth neoplasmsPD-1 receptorSquamous cellT LymphocytesTumor-infiltratingTumor microenvironment

Identifiers

PMID41225628
PMCPMC12613598

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.