The Performance of an Oral Microbiome Biomarker Panel in Predicting Oral Cavity and Oropharyngeal Cancers

The oral microbiome can play a role in the instigation and progression of oral diseases that can manifest into other systemic conditions. These associations encourage the exploration of oral dysbiosis leading to the pathogenesis of cancers. In this study, oral rinse was used to characterize the oral...

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Main Authors: Yenkai Lim, Naoki Fukuma, Makrina Totsika, Liz Kenny, Mark Morrison, Chamindie Punyadeera
Format: Article
Language:English
Published: Frontiers Media S.A. 2018-08-01
Series:Frontiers in Cellular and Infection Microbiology
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fcimb.2018.00267/full
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author Yenkai Lim
Yenkai Lim
Naoki Fukuma
Makrina Totsika
Liz Kenny
Mark Morrison
Chamindie Punyadeera
Chamindie Punyadeera
author_facet Yenkai Lim
Yenkai Lim
Naoki Fukuma
Makrina Totsika
Liz Kenny
Mark Morrison
Chamindie Punyadeera
Chamindie Punyadeera
author_sort Yenkai Lim
collection DOAJ
description The oral microbiome can play a role in the instigation and progression of oral diseases that can manifest into other systemic conditions. These associations encourage the exploration of oral dysbiosis leading to the pathogenesis of cancers. In this study, oral rinse was used to characterize the oral microbiome fluctuation associated with oral cavity cancer (OCC) and oropharyngeal cancers (OPC). The study cohort consists of normal healthy controls (n = 10, between 20 and 30 years of age; n = 10, above 50 years of age), high-risk individuals (n = 11, above 50 years of age with bad oral hygiene and/or oral diseases) and OCC and OPC patients (n = 31, HPV-positive; n = 21, HPV-negative). Oral rinse samples were analyzed using 16S rRNA gene amplicon sequencing on the MiSeq platform. Kruskal–Wallis rank test was used to identify genera associated with OCC and OPC. A logistic regression analysis was carried out to determine the performance of these genera as a biomarker panel to predict OCC and OPC. In addition, a two-fold cross-validation with a bootstrap procedure was carried out in R to investigate how well the panel would perform in an emulated clinical scenario. Our data indicate that the oral microbiome is able to predict the presence of OCC and OPC with sensitivity and specificity of 100 and 90%, respectively. With further validation, the panel could potentially be implemented into clinical diagnostic and prognostic workflows for OCC and OPC.
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spelling doaj.art-c81570a79c8a41f69bc551b5a06c09382022-12-22T00:53:53ZengFrontiers Media S.A.Frontiers in Cellular and Infection Microbiology2235-29882018-08-01810.3389/fcimb.2018.00267390376The Performance of an Oral Microbiome Biomarker Panel in Predicting Oral Cavity and Oropharyngeal CancersYenkai Lim0Yenkai Lim1Naoki Fukuma2Makrina Totsika3Liz Kenny4Mark Morrison5Chamindie Punyadeera6Chamindie Punyadeera7The School of Biomedical Sciences, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, AustraliaTranslational Research Institute, Brisbane, QLD, AustraliaThe Department of Life and Food Science, Obihiro University of Agriculture and Veterinary Medicine, Obihiro, JapanThe School of Biomedical Sciences, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, AustraliaThe School of Medicine, University of Queensland, Royal Brisbane and Women's Hospital, Brisbane, QLD, AustraliaTranslational Research Institute, University of Queensland Diamantina Institute, University of Queensland, Brisbane, QLD, AustraliaThe School of Biomedical Sciences, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD, AustraliaTranslational Research Institute, Brisbane, QLD, AustraliaThe oral microbiome can play a role in the instigation and progression of oral diseases that can manifest into other systemic conditions. These associations encourage the exploration of oral dysbiosis leading to the pathogenesis of cancers. In this study, oral rinse was used to characterize the oral microbiome fluctuation associated with oral cavity cancer (OCC) and oropharyngeal cancers (OPC). The study cohort consists of normal healthy controls (n = 10, between 20 and 30 years of age; n = 10, above 50 years of age), high-risk individuals (n = 11, above 50 years of age with bad oral hygiene and/or oral diseases) and OCC and OPC patients (n = 31, HPV-positive; n = 21, HPV-negative). Oral rinse samples were analyzed using 16S rRNA gene amplicon sequencing on the MiSeq platform. Kruskal–Wallis rank test was used to identify genera associated with OCC and OPC. A logistic regression analysis was carried out to determine the performance of these genera as a biomarker panel to predict OCC and OPC. In addition, a two-fold cross-validation with a bootstrap procedure was carried out in R to investigate how well the panel would perform in an emulated clinical scenario. Our data indicate that the oral microbiome is able to predict the presence of OCC and OPC with sensitivity and specificity of 100 and 90%, respectively. With further validation, the panel could potentially be implemented into clinical diagnostic and prognostic workflows for OCC and OPC.https://www.frontiersin.org/article/10.3389/fcimb.2018.00267/fulloral canceroral rinsesalivabiomarkeroral microbiome
spellingShingle Yenkai Lim
Yenkai Lim
Naoki Fukuma
Makrina Totsika
Liz Kenny
Mark Morrison
Chamindie Punyadeera
Chamindie Punyadeera
The Performance of an Oral Microbiome Biomarker Panel in Predicting Oral Cavity and Oropharyngeal Cancers
Frontiers in Cellular and Infection Microbiology
oral cancer
oral rinse
saliva
biomarker
oral microbiome
title The Performance of an Oral Microbiome Biomarker Panel in Predicting Oral Cavity and Oropharyngeal Cancers
title_full The Performance of an Oral Microbiome Biomarker Panel in Predicting Oral Cavity and Oropharyngeal Cancers
title_fullStr The Performance of an Oral Microbiome Biomarker Panel in Predicting Oral Cavity and Oropharyngeal Cancers
title_full_unstemmed The Performance of an Oral Microbiome Biomarker Panel in Predicting Oral Cavity and Oropharyngeal Cancers
title_short The Performance of an Oral Microbiome Biomarker Panel in Predicting Oral Cavity and Oropharyngeal Cancers
title_sort performance of an oral microbiome biomarker panel in predicting oral cavity and oropharyngeal cancers
topic oral cancer
oral rinse
saliva
biomarker
oral microbiome
url https://www.frontiersin.org/article/10.3389/fcimb.2018.00267/full
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