Intratumoral Fusobacterium nucleatum is associated with better cancer-specific survival in head and neck cancer patients

Background The oral microbiome, particularly Fusobacterium nucleatum (Fn), has been implicated in head and neck cancers (HNC), influencing local immunity and Human Papillomavirus (HPV) status. Here, we evaluated the presence of Fn and its association with HPV infection, TERT promoter (TERTp) mutatio...

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Main Authors: José Guilherme Datorre, Mariana Bisarro dos Reis, Bruna Pereira Sorroche, Gustavo Ramos Teixeira, Silveli Suzuki Hatano, Ana Carolina de Carvalho, Ricardo Ribeiro Gama, Lidia Maria Rebolho Batista Arantes, Rui Manuel Reis
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Journal of Oral Microbiology
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Online Access:https://www.tandfonline.com/doi/10.1080/20002297.2025.2487644
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author José Guilherme Datorre
Mariana Bisarro dos Reis
Bruna Pereira Sorroche
Gustavo Ramos Teixeira
Silveli Suzuki Hatano
Ana Carolina de Carvalho
Ricardo Ribeiro Gama
Lidia Maria Rebolho Batista Arantes
Rui Manuel Reis
author_facet José Guilherme Datorre
Mariana Bisarro dos Reis
Bruna Pereira Sorroche
Gustavo Ramos Teixeira
Silveli Suzuki Hatano
Ana Carolina de Carvalho
Ricardo Ribeiro Gama
Lidia Maria Rebolho Batista Arantes
Rui Manuel Reis
author_sort José Guilherme Datorre
collection DOAJ
description Background The oral microbiome, particularly Fusobacterium nucleatum (Fn), has been implicated in head and neck cancers (HNC), influencing local immunity and Human Papillomavirus (HPV) status. Here, we evaluated the presence of Fn and its association with HPV infection, TERT promoter (TERTp) mutations, and patient outcomes.Materials and Methods We analyzed 94 formalin-fixed paraffin-embedded (FFPE) tumor tissues from HNC patients previously evaluated for TERTp mutations. Fn DNA was detected using droplet digital PCR (ddPCR), and HPV status was determined via p16 immunohistochemistry in pre-treatment samples. Associations between Fn presence, clinicopathological features, HPV, and TERTp mutation status were assessed.Results Tumors primarily originated from the oropharynx (70.2%) and oral cavity (29.8%). Tobacco and alcohol use were reported in 87.2% and 79.8% of cases, respectively. Fn was present in 59.6% of cases, with higher prevalence in oropharyngeal (62.1%) than oral cavity (53.6%) tumors. No significant associations were found between Fn and clinicopathological features, TERTp, or HPV status. However, patients with Fn positivity showed significantly improved cancer-specific survival (61.5% vs. 39.1%, p = 0.013), similar to HPV-positive patients (72.7% vs. 42.7%, p = 0.014).Conclusion The presence of Fusobacterium nucleatum in HNC correlates with longer survival, highlighting its potential as a prognostic marker.
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spelling doaj-art-bce72e9140c644cc922b79bb55aff23f2025-08-20T03:09:55ZengTaylor & Francis GroupJournal of Oral Microbiology2000-22972025-12-0117110.1080/20002297.2025.2487644Intratumoral Fusobacterium nucleatum is associated with better cancer-specific survival in head and neck cancer patientsJosé Guilherme Datorre0Mariana Bisarro dos Reis1Bruna Pereira Sorroche2Gustavo Ramos Teixeira3Silveli Suzuki Hatano4Ana Carolina de Carvalho5Ricardo Ribeiro Gama6Lidia Maria Rebolho Batista Arantes7Rui Manuel Reis8Molecular Oncology Research Center, Barretos Cancer Hospital, Barretos, BrazilMolecular Oncology Research Center, Barretos Cancer Hospital, Barretos, BrazilMolecular Oncology Research Center, Barretos Cancer Hospital, Barretos, BrazilPathology Department, Barretos Cancer Hospital, Barretos, BrazilMolecular Oncology Research Center, Barretos Cancer Hospital, Barretos, BrazilMolecular Oncology Research Center, Barretos Cancer Hospital, Barretos, BrazilHead and Neck Surgery Department, Barretos Cancer Hospital, Barretos, BrazilMolecular Oncology Research Center, Barretos Cancer Hospital, Barretos, BrazilMolecular Oncology Research Center, Barretos Cancer Hospital, Barretos, BrazilBackground The oral microbiome, particularly Fusobacterium nucleatum (Fn), has been implicated in head and neck cancers (HNC), influencing local immunity and Human Papillomavirus (HPV) status. Here, we evaluated the presence of Fn and its association with HPV infection, TERT promoter (TERTp) mutations, and patient outcomes.Materials and Methods We analyzed 94 formalin-fixed paraffin-embedded (FFPE) tumor tissues from HNC patients previously evaluated for TERTp mutations. Fn DNA was detected using droplet digital PCR (ddPCR), and HPV status was determined via p16 immunohistochemistry in pre-treatment samples. Associations between Fn presence, clinicopathological features, HPV, and TERTp mutation status were assessed.Results Tumors primarily originated from the oropharynx (70.2%) and oral cavity (29.8%). Tobacco and alcohol use were reported in 87.2% and 79.8% of cases, respectively. Fn was present in 59.6% of cases, with higher prevalence in oropharyngeal (62.1%) than oral cavity (53.6%) tumors. No significant associations were found between Fn and clinicopathological features, TERTp, or HPV status. However, patients with Fn positivity showed significantly improved cancer-specific survival (61.5% vs. 39.1%, p = 0.013), similar to HPV-positive patients (72.7% vs. 42.7%, p = 0.014).Conclusion The presence of Fusobacterium nucleatum in HNC correlates with longer survival, highlighting its potential as a prognostic marker.https://www.tandfonline.com/doi/10.1080/20002297.2025.2487644Fusobacterium nucleatumhead and neck cancerdroplet digital PCRBrazilBiomarker
spellingShingle José Guilherme Datorre
Mariana Bisarro dos Reis
Bruna Pereira Sorroche
Gustavo Ramos Teixeira
Silveli Suzuki Hatano
Ana Carolina de Carvalho
Ricardo Ribeiro Gama
Lidia Maria Rebolho Batista Arantes
Rui Manuel Reis
Intratumoral Fusobacterium nucleatum is associated with better cancer-specific survival in head and neck cancer patients
Journal of Oral Microbiology
Fusobacterium nucleatum
head and neck cancer
droplet digital PCR
Brazil
Biomarker
title Intratumoral Fusobacterium nucleatum is associated with better cancer-specific survival in head and neck cancer patients
title_full Intratumoral Fusobacterium nucleatum is associated with better cancer-specific survival in head and neck cancer patients
title_fullStr Intratumoral Fusobacterium nucleatum is associated with better cancer-specific survival in head and neck cancer patients
title_full_unstemmed Intratumoral Fusobacterium nucleatum is associated with better cancer-specific survival in head and neck cancer patients
title_short Intratumoral Fusobacterium nucleatum is associated with better cancer-specific survival in head and neck cancer patients
title_sort intratumoral fusobacterium nucleatum is associated with better cancer specific survival in head and neck cancer patients
topic Fusobacterium nucleatum
head and neck cancer
droplet digital PCR
Brazil
Biomarker
url https://www.tandfonline.com/doi/10.1080/20002297.2025.2487644
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