Evidence map›Paper›PMID 41656354›Full record

ArticleScientific reports2026

Ex vivo HNSCC clinical studies using saliva and antiviral or antibacterial chewing gums reveal reduction in carcinogenic microbes.

Henry Daniell, Geetanjali Wakade, Rahul Singh, Smruti Nair, Saroj K Basak, Eri S Srivatsan, Andrés M Bur, Sufi M Thomas, Marilene B Wang

Abstract read
In one paragraph

Article in Scientific reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

9 authors.

Henry DaniellDepartment of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA. hdaniell@upenn.edu.
Geetanjali WakadeDepartment of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Rahul SinghDepartment of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Smruti NairDepartment of Basic and Translational Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Saroj K BasakDepartment of Surgery, Veterans Administration Greater Los Angeles Healthcare System, Los Angeles, USA.
Eri S SrivatsanThe Molecular Biology Institute, Los Angeles, USA.
Andrés M BurDepartment of Otolaryngology, University of Kansas Medical Center, Kansas City, KS, 66160, USA.
Sufi M ThomasDepartment of Otolaryngology, University of Kansas Medical Center, Kansas City, KS, 66160, USA.
Marilene B WangDepartment of Surgery, Veterans Administration Greater Los Angeles Healthcare System, Los Angeles, USA.

Funding

Oral immune modulatory therapy using antigens bioencapsulated in plant cellsR01HL107904 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI DANIELL, HENRY · 2011 to 2023
$7.5M
National Institutes of Health, USA 5-R01-HL 107904-13NHLBI NIH HHS R01 HL107904
6 · The paper itself

Abstract

Higher abundance of oral human papilloma virus (HPV), Porphyromonas gingivalis (Pg) and Fusobacterium nucleatum (Fn) correlate with worse survival of head and neck squamous cell carcinoma (HNSCC). One-third of males globally are HPV-positive, one-fifth have high-risk HPV-16 and is transmitted through oral sex. In our ex vivo clinical study of HNSCC patients, HPV ELISA detected viruses in 100% of saliva and 75% of oral-rinse samples (n = 44). Cell culture studies showed 1000-fold higher Pg/Fn in their saliva and 100-fold higher in oral-rinse samples than non-cancer control participants. Bean-lectin (FRIL) gum (trapped) aggregated 93% of HPV in saliva and 80% in oral-rinse samples in ELISA. Single dose of bean gum + protegrin-1 (antimicrobial peptide) reduced Pg/Fn > 99% in saliva and oral-rinse samples (n = 42). Although protegrin was effective against anaerobic Pg/Fn, it did not kill capsule forming bacteria including Streptococci, providing selectivity and protection of oral commensal bacteria. These findings from ex vivo clinical studies support potential value of advancing these biologics to clinical trials as adjuncts to current therapeutic strategies or as prophylaxis to control pathogenic microbes associated with HNSCC.

Indexed as

Anti-Bacterial AgentsAntiviral AgentsChewing GumHead and Neck NeoplasmsSalivaSquamous Cell Carcinoma of Head and NeckAgedFemaleFusobacterium nucleatumHuman Papillomavirus VirusesHumansMaleMiddle AgedPapillomavirus InfectionsPorphyromonas gingivalisAnti-Bacterial AgentsAntiviral AgentsChewing Gum

Identifiers

PMID41656354
PMCPMC12953606

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.