Evidence map›Paper›PMID 34880265›Full record

ArticleNPJ genomic medicine2021

The salivary metatranscriptome as an accurate diagnostic indicator of oral cancer.

Guruduth Banavar, Oyetunji Ogundijo, Ryan Toma, Sathyapriya Rajagopal, Yen Kai Lim, Kai Tang, Francine Camacho, Pedro J Torres, Stephanie Gline, Matthew Parks and 7 more

Abstract read
In one paragraph

Article in NPJ genomic medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
–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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  8. Frontiers in cellular and infection microbiology · 2025
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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

17 authors.

Guruduth BanavarViome Research Institute, Viome Life Sciences, Inc., New York City, USA. guru@viome.com.ORCID http://orcid.org/0000-0002-4170-7841
Oyetunji OgundijoViome Research Institute, Viome Life Sciences, Inc., New York City, USA.ORCID http://orcid.org/0000-0001-7581-0436
Ryan TomaViome Research Institute, Viome Life Sciences, Inc., Seattle, USA.ORCID http://orcid.org/0000-0003-4156-8316
Sathyapriya RajagopalViome Research Institute, Viome Life Sciences, Inc., Seattle, USA.
Yen Kai LimThe Saliva and Liquid Biopsy Translational Laboratory, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD 4059, Australia.
Kai TangThe Saliva and Liquid Biopsy Translational Laboratory, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD 4059, Australia.
Francine CamachoViome Research Institute, Viome Life Sciences, Inc., New York City, USA.ORCID http://orcid.org/0000-0002-2817-8252
Pedro J TorresViome Research Institute, Viome Life Sciences, Inc., New York City, USA.ORCID http://orcid.org/0000-0002-0606-8482
Stephanie GlineViome Research Institute, Viome Life Sciences, Inc., New York City, USA.
Matthew ParksViome Research Institute, Viome Life Sciences, Inc., New York City, USA.ORCID http://orcid.org/0000-0003-4283-9675
Liz KennyThe School of Medicine, University of Queensland, Royal Brisbane and Women's Hospital, Brisbane, QLD, Australia.
Ally PerlinaViome Research Institute, Viome Life Sciences, Inc., Seattle, USA.
Hal TilyViome Research Institute, Viome Life Sciences, Inc., New York City, USA.
Nevenka DimitrovaNew York Medical College, Valhalla, NY, USA.
Salomon AmarNew York Medical College, Valhalla, NY, USA.ORCID http://orcid.org/0000-0002-0017-5930
Momchilo VuyisichViome Research Institute, Viome Life Sciences, Inc., Seattle, USA.
Chamindie PunyadeeraThe Saliva and Liquid Biopsy Translational Laboratory, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, QLD 4059, Australia. c.punyadeera@griffith.edu.au.ORCID http://orcid.org/0000-0001-9039-8259

Funding

Cancer Australia APP1145657
6 · The paper itself

Abstract

Despite advances in cancer treatment, the 5-year mortality rate for oral cancers (OC) is 40%, mainly due to the lack of early diagnostics. To advance early diagnostics for high-risk and average-risk populations, we developed and evaluated machine-learning (ML) classifiers using metatranscriptomic data from saliva samples (n = 433) collected from oral premalignant disorders (OPMD), OC patients (n = 71) and normal controls (n = 171). Our diagnostic classifiers yielded a receiver operating characteristics (ROC) area under the curve (AUC) up to 0.9, sensitivity up to 83% (92.3% for stage 1 cancer) and specificity up to 97.9%. Our metatranscriptomic signature incorporates both taxonomic and functional microbiome features, and reveals a number of taxa and functional pathways associated with OC. We demonstrate the potential clinical utility of an AI/ML model for diagnosing OC early, opening a new era of non-invasive diagnostics, enabling early intervention and improved patient outcomes.

Identifiers

PMID34880265
PMCPMC8654845

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.