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The Potential Role of the Microbiome in the Pathogenesis of Nasal Tumors: A Comprehensive Review
Antonella Loperfido1, Davide Rizzo2,3, Bruno Fionda4
1Otolaryngology Unit, San Camillo Forlanini Hospital, 00152 Rome, Italy.
Abstract:
Cancers of the nose, and especially the nose vestibule, represent a significant challenge for clinicians due to their rarity, the intricate nature of surrounding vital structures, the nonspecific early symptoms, and the etiological factors that are not completely understood. Emerging research suggests that alterations in the nasal microbiome, also known as microbial dysbiosis, may contribute to the pathogenesis of those malignancies through mechanisms involving chronic inflammation, immune modulation, and cellular changes. The aims of this paper are to review the current literature covering the nasal microbiome's role in carcinogenesis, particularly in the context of squamous cell carcinoma, and to explore how microbial dysbiosis might foster a pro-tumorigenic environment. It further discusses potential future directions for research and therapeutic approaches.
Insights
Nasal microbiome alterations, or microbial dysbiosis, may drive nose and nasal vestibule cancers by causing chronic inflammation. This review explores the nasal microbiome
Area of Science:
- Otolaryngology
- Microbiology
- Oncology
Background:
- Nasal cancers, particularly squamous cell carcinoma, pose clinical challenges due to rarity and complex anatomy.
- Early symptoms are often nonspecific, delaying diagnosis.
- Etiology of nasal cancers is not fully understood.
Purpose of the Study:
- To review literature on the nasal microbiome's role in carcinogenesis.
- To explore how microbial dysbiosis contributes to a pro-tumorigenic environment in the nose.
- To discuss future research and therapeutic strategies.
Main Methods:
- Literature review of studies on nasal microbiome and cancer.
- Analysis of mechanisms linking microbial dysbiosis to cancer pathogenesis.
- Exploration of potential therapeutic targets.
Main Results:
- Emerging evidence links nasal microbial dysbiosis to cancer development.
- Mechanisms include chronic inflammation, immune modulation, and cellular changes.
- Squamous cell carcinoma is a key focus.
Conclusions:
- The nasal microbiome plays a potential role in nasal carcinogenesis.
- Microbial dysbiosis may create a pro-tumorigenic environment.
- Further research is needed for therapeutic applications.

