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. 2023 Nov 8;15(4):239–260. doi: 10.1093/procel/pwad052

Table 1.

Microbial signatures on cancer early detection.

Cancer type Sample Method Key microbial feature Identification Test accuracy (AUC) References
CRC Fecal qPCR Fusobacterium nucleatum Healthy control versus CRC AUC = 0.83 (0.78–0.89) Wong et al., (2017)
Peptostreptococcus anaerobius AUC = 0.72 (0.65–0.80)
Parvimonas micra AUC = 0.73 (0.66–0.80)
F. nucleatum and FIT AUC = 0.95 (0.92–0.98)
qPCR F. nucleatum AUC = 0.850 (0.815–0.881) Liang et al., (2021)
Lachnoclostridium sp. m3 AUC = 0.751 (0.709–0.789)
Clostridium hathewayi AUC = 0.678 (0.634–0.720)
Bacteroides clarus AUC = 0.518 (0.472–0.564)
4 gut bacterial feature AUC = 0.904 (0.874–0.929)
16S rRNA sequencing 34 gut bacterial feature, age, sex, and BMI AUC = 0.93 Wu et al., (2021)
Metagenomic sequencing 12 gut bacterial feature AUC = 0.8322 Lin et al., (2022)
5 gut fungal and 9 bacterial feature AUC = 0.9002
Metagenomic sequencing 14 gut fungal feature AUC = 0.93 (0.85–1) Coker et al., (2019)
Metagenomic sequencing 9 gut archaeal feature AUC = 0.82 (0.70–0.94) Coker et al., (2020)
Metagenomic sequencing 22 gut viral feature AUC = 0.802 Nakatsu et al., (2018)
Metagenomic sequencing 27 gut bacterial feature AUC = 0.80 Liu et al., (2022)
20 gut fungal feature AUC = 0.77
20 gut archaeal feature AUC = 0.74
21 gut viral feature AUC = 0.72
11 gut bacterial and 4 fungal and 1 archaeal feature AUC = 0.83
175 EggNOG genes feature AUC = 0.86
47 KO genes feature AUC = 0.82
20 KEGG pathways feature AUC = 0.74
Metagenomic sequencing 22 microbial SNV markers feature AUC = 0.7535 Ma et al., (2021)
Metagenomic sequencing 6 gut bacterial feature AUC = 0.9005 (0.8703–0.9397) Coker et al., (2022)
GC-TOFMS 20 microbial metabolites feature AUC = 0.8005 (0.7457–0.8554)
13 microbial metabolites feature AUC = 0.7168 (0.6523–0.7813)
11 microbial metabolites feature AUC = 0.6764 (0.6098–0.7431)
Metagenomic sequencing and GC-TOFMS 6 gut bacterial and 11 microbial metabolites feature AUC = 0.9417 (0.9151–0.9683)
Oral 16S rRNA sequencing 5 oral bacterial feature AUC = 0.7642 (0.671–0.8574) Zhang et al., (2020a)
16S rRNA sequencing 16 oral bacterial feature AUC = 0.9 (0.83–0.9) Flemer et al., (2018)
qPCR F. nucleatum AUC = 0.841 (0.797–0.879) Zhang et al., (2022)
Serum Liquid chromatography-mass spectrometry 8 microbial metabolites feature Healthy control versus CRC and adenoma AUC = 0.95 (0.85–1) Chen et al., (2022b)
PDAC Fecal Metagenomic sequencing 30 gut bacterial feature Healthy control versus PDAC AUC = 0.78 (0.72–0.85) Nagata et al., (2022)
Metagenomic sequencing and 16S rRNA sequencing 27 gut bacterial feature AUC = 0.84 Kartal et al., (2022)
27 gut bacterial feature and CA19-9 AUC = 0.94
Oral Metagenomic sequencing 18 oral bacterial feature AUC = 0.82 (0.75–0.89) Nagata et al., (2022)
HCC Fecal Miseq sequencing 30 gut bacterial feature Healthy control versus HCC AUC = 0.8064 (0.7447–0.868)
Validation cohort (early HCC):
AUC = 0.7680 (0.6790–0.8570)
Validation cohort (advanced HCC):
AUC = 0.8040 (0.7070–0.9020)
Ren et al., (2019)
ccRCC Fecal 16S rRNA sequencing 5 gut bacterial feature Healthy control versus ccRCC AUC = 0.933 (0.881–0.984) Chen et al., (2022a)
Lung adenocarcinoma Fecal 16S rRNA sequencing 32 gut bacterial feature Healthy control versus lung adenocarcinoma AUC = 0.76 ± 0.08 Lim et al., (2021)
16S rRNA sequencing 13 gut bacterial feature AUC = 0.976 (0.954-0.998) Zheng et al., (2020)
Oral 16S rRNA sequencing 31 oral bacterial feature AUC = 0.95 ± 0.03 Lim et al., (2021)
Oral squamous cell carcinoma Oral 16S rRNA sequencing Streptococcus Healthy control versus oral squamous cell carcinoma AUC = 0.75 (0.67–0.83) Su et al., (2021)
Fusobacterium AUC = 0.70 (0.61–0.78)
Peptostreptococcus AUC = 0.67 (0.58–0.75)
Campylobacter AUC = 0.66 (0.58–0.75)
Streptococcus pneumoniae AUC = 0.74 (0.66–0.82)
F. nucleatum AUC = 0.66 (0.57–0.75)
Cervical cancer Fecal 16S rRNA sequencing 7 gut bacterial feature Healthy control versus cervical cancer AUC = 0.913 Kang et al., (2020)
Vaginal 16S rRNA sequencing Gardnerella AUC = 0.953 Kang et al., (2021)
Streptococcus AUC = 0.922
Finegoldia AUC = 0.781
Anaerococcus AUC = 0.766
Lactobacillus AUC = 0.719

Abbreviations: BMI, body mass index; ccRCC, clear cell renal cell carcinoma; FIT, fecal immunochemical test; GC-TOFMS, gas chromatography coupled to time-of-flight mass spectrometer; HCC, hepatocellular carcinoma; qPCR, quantitative real-time polymerase chain reaction; rRNA, ribosomal ribonucleic acid; SNV, single nucleotide variant.