Evidence map›Paper›PMID 41961381›Full record

ArticleCellular oncology (Dordrecht, Netherlands)2026

Bacterial taxa associated with lung cancer cases in Southeast Asians: a pilot case-control study.

Adrian Low, Yah Ru Juang, Fransiskus X Ivan, Lina Ang, Luke Hao Shuan Ooi, Sean Wei Jun Chan, Micheal Mac Aogain, Tavleen Kaur Jaggi, Sanjay H Chotirmall, Yann Felix Boucher and 5 more

Abstract read
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Article in Cellular oncology (Dordrecht, Netherlands), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Adrian Low *Department of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Yah Ru Juang *Saw Swee Hock School of Public Health, National University Singapore, Singapore, Singapore.
Fransiskus X IvanLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Lina AngSaw Swee Hock School of Public Health, National University Singapore, Singapore, Singapore.
Luke Hao Shuan OoiLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Sean Wei Jun ChanSaw Swee Hock School of Public Health, National University Singapore, Singapore, Singapore.
Micheal Mac AogainDepartment of Biochemistry, St. James's Hospital, Dublin, Ireland.
Tavleen Kaur JaggiLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Sanjay H ChotirmallLee Kong Chian School of Medicine, Nanyang Technological University, Singapore, Singapore.
Yann Felix BoucherSaw Swee Hock School of Public Health, National University Singapore, Singapore, Singapore.
Anthony Chau Ang YiiDepartment of Respiratory and Critical Care Medicine, Changi General Hospital, Singapore, Singapore.
Mariko Siyue KohDepartment of Respiratory and Critical Care Medicine, Singapore General Hospital, Singapore, Singapore.
Darren Wan Teck LimDuke-NUS Medical School, Singapore, Singapore.
Jonathan Wei Jie LeeDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.
Wei Jie SeowDepartment of Medicine, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore. ephswj@nus.edu.sg.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeLung cancer is the leading cause of cancer-related mortality worldwide, yet its underlying mechanisms remain unclear. Disruptions in the respiratory microbiome may promote inflammation and carcinogenesis. This study aimed to comprehensively compare genus-level sputum microbiota between lung cancer patients and healthy controls in a multiethnic Southeast Asian population.

methodsSputum samples were collected from lung cancer patients across three Singapore hospitals. Socio-demographic data were obtained via questionnaire. We analyzed 16S rRNA amplicon sequences from 70 lung cancer patients and 47 healthy controls from a separate local cohort, using identical sequencing protocols to minimize batch effects. Alpha- and beta-diversity metrics, random forest models, and ANCOM-BC2 were used to identify microbial features associated with lung cancer and host characteristics.

resultsLung cancer cases showed significantly reduced genus richness compared to controls. Beta-diversity (Aitchison distance) differed by case-control status, sex, age, and smoking history. ANCOM-BC2 identified Lactobacillus as differentially enriched in cases. However, this enrichment did not pass the pseudo-count test among never-smokers. Further sex-stratified analysis revealed that the Lactobacillus enrichment was driven primarily by male cases. Conversely, [Eubacterium] nodatum group, Mogibacterium, and Campylobacter emerged as robust inverse signatures for lung cancer, with their depletion consistently supported across stratified and unstratified differential abundance analyses, random forest modeling, and Wilcoxon rank-sum tests. However, these findings may still be subjected to residual confounding by exogenous factors, such as medication use, which could not be adequately adjusted for between case-control groups.

conclusionThis pilot case-control study, conducted in a multiethnic Southeast Asian population, identified distinct respiratory microbiota signatures associated with lung cancer using robust differential abundance and machine-learning methods, providing preliminary evidence for a potential role of the respiratory microbiome to lung carcinogenesis, warranting validation in larger, longitudinal studies.

Indexed as

BacteriaLung NeoplasmsMicrobiotaAgedCase-Control StudiesFemaleHumansMaleMiddle AgedPilot ProjectsRNA, Ribosomal, 16SSoutheast Asian PeopleSputumRNA, Ribosomal, 16S16S rRNA sequencingLung cancerMicrobial diversityRandom forestSputum microbiota

Identifiers

PMID41961381
PMCPMC13069060

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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.