Evidence map›Paper›PMID 41507564›Full record

ArticleBritish journal of cancer2026

Diagnostic accuracy of combinatorial mRNA biomarkers for non-invasive detection and therapy monitoring of oral and oropharyngeal SCC.

Leonie Hose, Alina Celine Tekin, Bart Verwaaijen, Rayoung Kim, Christian Rückert-Reed, Ulrich Hamberger, Tobias Busche, Lars-Uwe Scholtz, Frank Brasch, Ingo Todt and 2 more

Abstract read
In one paragraph

Article in British journal of cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Leonie HoseDepartment of Otolaryngology, Head and Neck Surgery, Klinikum Bielefeld-Mitte, Medical School OWL, Bielefeld University, Bielefeld, Germany. leonie.hose@uni-bielefeld.de.ORCID http://orcid.org/0009-0005-5488-0183
Alina Celine TekinDepartment of Otolaryngology, Head and Neck Surgery, Klinikum Bielefeld-Mitte, Medical School OWL, Bielefeld University, Bielefeld, Germany.
Bart VerwaaijenCore Unit Laboratory Research at Department of Laboratory Medicine, Microbiology and Transfusion Medicine, Klinikum Bielefeld- Mitte, Bielefeld, Germany.
Rayoung KimDepartment of Otolaryngology, Head and Neck Surgery, Klinikum Bielefeld-Mitte, Medical School OWL, Bielefeld University, Bielefeld, Germany.
Christian Rückert-ReedMedical School OWL, Bielefeld University, Bielefeld, Germany.ORCID http://orcid.org/0000-0002-9722-4435
Ulrich HambergerDepartment of Pathology, Klinikum Bielefeld-Mitte, Bielefeld, Germany.
Tobias BuscheMedical School OWL, Bielefeld University, Bielefeld, Germany.ORCID http://orcid.org/0000-0001-9211-8927
Lars-Uwe ScholtzDepartment of Otolaryngology, Head and Neck Surgery, Klinikum Bielefeld-Mitte, Medical School OWL, Bielefeld University, Bielefeld, Germany.
Frank BraschDepartment of Pathology, Klinikum Bielefeld-Mitte, Bielefeld, Germany.
Ingo TodtDepartment of Otolaryngology, Head and Neck Surgery, Klinikum Bielefeld-Mitte, Medical School OWL, Bielefeld University, Bielefeld, Germany.
Peter GoonDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, Singapore.
Matthias SchürmannDepartment of Otolaryngology, Head and Neck Surgery, Klinikum Bielefeld-Mitte, Medical School OWL, Bielefeld University, Bielefeld, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOral squamous cell carcinoma (OSCC) is increasingly common, with over 380,000 new cases annually. Despite its high incidence (6.0 per 100,000 males; 2.3 per 100,000 females) and poor prognosis, no molecular biomarkers exist for early detection. Non-invasive sampling could improve diagnosis and patient outcomes.

methodsThis pilot study used RNA sequencing to identify significantly upregulated mRNA targets in swab samples from oral and oropharyngeal SCC patients and healthy probands. After filtering, four potential biomarkers were further validated in 79 samples using RT-qPCR. CombiROC analysis assessed diagnostic performance. Additional RT-qPCR on tumour and normal tissues and fluorescence staining in FFPE tumour sections evaluated expression at mRNA and protein levels.

resultsA panel of three markers (c-JUN, SFN, HSP90AB1) showed high diagnostic accuracy: 92.3% specificity, 92.3% sensitivity, and AUC of 0.91. Fluorescence staining confirmed significantly higher protein expression in tumour tissues, supporting RNA findings. The panel showed stronger diagnostic performance in men than in women.

conclusionThis study presents a promising non-invasive biomarker panel for oral and oropharyngeal SCC detection. Further validation in larger cohorts is needed to confirm diagnostic value and clarify sex specificity. The approach is adaptable to other tumour types and sample materials, supporting molecular diagnostics. The workflow shows all project steps from sampling to marker localisation in FFPE tissue. In the discovery phase, RNA sequencing was used to find potential mRNA markers in swab samples. Via strict filtering, markers for RT-qPCR were selected and verified in a bigger cohort in the validation phase. Selected markers were then used to do combinatorial analysis to improve the specificity and sensitivity compared to that of the single markers. Finally, markers were verified and localised in primary oral and oropharyngeal SCC FFPE tissue. Created with BioRender.com.

Indexed as

Biomarkers, TumorCarcinoma, Squamous CellMouth NeoplasmsOropharyngeal NeoplasmsRNA, MessengerAgedFemaleHumansMaleMiddle AgedPilot ProjectsSensitivity and SpecificityBiomarkers, TumorRNA, Messenger

Identifiers

PMID41507564
PMCPMC12960811

What OpenQuestion holds

Textmetadata
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.