Evidence map›Paper›PMID 40532026›Full record

ArticlePloS one2025

Exploration of predictive factors based on oral and intestinal bacterial flora for treating patients with urothelial carcinoma.

Yuichi Matsumoto, Yukihiro Hitaka, Hiroshi Hirata, Yoshiaki Yamamoto, Keita Kobayashi, Naohito Isoyama, Toshio Matsubara, Kenji Watanabe, Yoichi Mizukami, Shin Nakagawa and 3 more

Abstract read
In one paragraph

Article in PloS one, 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. Review
  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

13 authors.

Yuichi MatsumotoDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi, Japan.
Yukihiro HitakaDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi, Japan.ORCID 0000-0001-6457-2057
Hiroshi HirataDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi, Japan.
Yoshiaki YamamotoDepartment of Urology, Sanyo-Onoda Municipal Hospital, Sanyo-Onoda, Yamaguchi, Japan.
Keita KobayashiDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi, Japan.ORCID 0000-0001-9279-3156
Naohito IsoyamaDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi, Japan.
Toshio MatsubaraDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushii, Ube, Yamaguchi, Japan.
Kenji WatanabeCenter for Gene Research, Science Research Center, Yamaguchi University, Ube, Yamaguchi, Japan.ORCID 0000-0002-5069-1706
Yoichi MizukamiCenter for Gene Research, Science Research Center, Yamaguchi University, Ube, Yamaguchi, Japan.
Shin NakagawaDivision of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushii, Ube, Yamaguchi, Japan.
Katsuaki MishimaDepartment of Oral and Maxillofacial Surgery, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi, Japan.
Koji HaradaDepartment of Nursing, Faculty of Health Sciences, Hiroshima Cosmopolitan University, 5-3-18 Ujina-nishi, Minami-ku, Hiroshima, Japan.
Koji ShiraishiDepartment of Urology, Graduate School of Medicine, Yamaguchi University, Ube, Yamaguchi, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe role of intestinal flora in carcinogenesis and chemotherapy efficacy has been increasingly studied; however, comparisons between oral and intestinal flora remain limited. Given the oral microbiome's role in systemic inflammation and immune modulation, it may significantly influence cancer progression and response to immunotherapy. This study aimed to identify the microbial changes in urothelial carcinoma (UC) by analyzing oral saliva and stool samples from healthy individuals and UC patients. We also examined the association between microbial composition and immune checkpoint inhibitor (ICI) response.

methodsA total of 20 healthy individuals and 38 patients with UC were analyzed. Among them, 27 patients with UC underwent ICI treatment. Oral saliva and stool samples were analyzed for 16S rRNA sequences to assess bacterial composition. Operational taxonomic units were generated, and phylogenetic analysis was performed using the Illumina BaseSpace.

resultsPatients with UC showed higher Veillonellaceae and Prevotellaceae levels in saliva and stool, with lower levels of these bacteria associated with more prolonged overall survival and progression-free survival, particularly Veillonellaceae in stool. A higher neutrophil-to-lymphocyte ratio correlated with increased levels of these bacteria.

conclusionVeillonellaceae and Prevotellaceae are potential microbial biomarkers of survival outcomes and ICI efficacy in patients with UC. Non-invasive oral microbial sampling may facilitate personalized cancer treatment strategies.

Indexed as

Gastrointestinal MicrobiomeMouthUrologic NeoplasmsAdultAgedCase-Control StudiesFecesFemaleHumansImmune Checkpoint InhibitorsMaleMiddle AgedPhylogenyRNA, Ribosomal, 16SSalivaImmune Checkpoint InhibitorsRNA, Ribosomal, 16S

Identifiers

PMID40532026
PMCPMC12176287

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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 OpenQuestion graph.