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在口腔状细胞癌中,通过PI3K/AKT/mTOR途径调节的复发是口腔微生物特征的基础
Da-Woon Kwack1, Zeba Praveen2, Yeon-Hee Kim2
1Oral Oncology Clinic, Research Institute & Hospital, National Cancer Center, Gyeonggi-do, Republic of Korea.
Journal of oral microbiology
|September 24, 2025
概括
口腔微生物组分析预测口腔状细胞癌 (OSCC) 的复发. 特定的细菌如Eubacterium和Lactobacillus与复发有关,而Veillonella则表明更好的预后,为患者的结果提供潜在的生物标志物.
科学领域:
- 微生物学 微生物学
- 在瘤学瘤学.
- 基因组学就是基因组学.
背景情况:
- 口腔状细胞癌 (OSCC) 经常复发,影响患者的存活率.
- 口腔微生物组在OSCC复发和预后中的作用仍然不清楚.
- 这项研究旨在确定与OSCC复发相关的口腔微生物特征.
研究的目的:
- 调查口腔微生物组在预测OSCC复发中的预后价值.
- 确定与复发性OSCC和患者存活率相关的特定细菌物种.
- 探索OSCC中受口腔微生物群影响的功能途径.
主要方法:
- 从133名OSCC患者收集了唾液样本.
- 进行了16S rRNA基因测序,用于微生物分析.
- 使用XGBoost进行微生物特征预测,使用PICRUSt2进行功能性元基因组预测.
主要成果:
- 确定了欧细菌,乳杆菌,金氏菌,Paludibacter,Parvimonas,葡萄球菌和Veillonella作为OSCC复发的预测因素.
- 欧细菌和乳杆菌的丰富与更高的复发率和更差的存活率相关.
- 葡萄球菌和Veillonella的丰富性与非复发性疾病和良好的预后有关.
- 基于微生物组的模型 (AUC=0.741) 的表现优于临床N阶段模型 (AUC=0.66).
- 欧细菌和乳杆菌与PI3K/AKT/mTOR通路基因具有正相关性,而Veillonella则显示出负相关性.
结论:
- 独特的口腔唾液微生物组模式与OSCC复发有关.
- 丰富的Eubacterium和乳杆菌,和较低的Veillonella丰度可能会通过PI3K/AKT/mTOR途径驱动复发.
- 基于唾液的微生物生物标志物对OSCC具有显著的预后潜力.
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