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. 2024 Aug 6;13(8):2050–2066. doi: 10.21037/tlcr-24-216

Table 2. Evidence of the microbiota association to oncogene drivers.

Microbiome Reference Bacteria Results
KRAS Jin et al. (59) Herbaspirillum and Sphingomonadaceae Increased bacterial burden, decreased diversity. Increase in tumor burden. Treatment with antibiotics reduced tumor growth and high-grade lesions
EGFR and
airway microbiome
Zheng et al. (60) Rhizopus oryzae, Natronolimnobius innermongolicus, Staphylococcus sciuri, Orenia marismortui, Burkholderia multivorans and Sinorhizobium Differences found in lung microbiome according to age, gender, smoking and EGFR status
Huang et al. (61) Bacteroidetes, Tenericutes, Sharpea, Prevotella, Porphyromonas, Parvimonas, Desulfovibrio, Mycoplasma, Actinobacillus, Dialister, and Eikenella Alpha diversity between EGFR mutated and wild-type was similar. Differences in Beta diversity and in activated metabolic pathways
EGFR and Gut microbiome Otoshi et al. (62) Blautia Decreased levels of Bifidobacterium and Faecalibacterium compared to controls
Saifon et al. (63) Bacteroidetes and Firmicutes Higher alpha diversity in mutated.
Similar Beta diversity between cohorts. Actinobacteria enrichment in patients with progressive disease after EGFR-TKI treatment
EGFR and intratumoral microbiome Zhang et al. (64) Serratia marcescens Negative correlation to Haemophilus parainfluenzae. Serratia marcescens associated to better overall survival
MAPK pathway
in other tumors
Boonanantanasarn
et al. (65)
Enterococcus faecalis Induction of EGFR pathway in patients with oral cancer. Production of H2O2 or EGF-like signals which stimulate cell proliferation
Wong et al. (66) Helicobacter pylori Increase in EGF protein and EGFR mRNA expression in the antral mucosa to promote injury repair and ulcer healing, but increasing risk of malignancy

EGFR, epidermal growth factor receptor; TKI, tyrosine kinase inhibitor; MAPK, mitogen-activated protein kinases.