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Abstract

Application of culture-independent sequencing technologies has revealed the presence of a low-biomass, high-diversity microbiome within healthy human lungs. This community is highly dynamic, with microbes constantly being introduced into and cleared from healthy airways, and its multifaceted roles in lung physiology and disease are currently a matter of intensive investigation. In view of the rising lung cancer incidence and mortality rates, a large amount of research has already been conducted in the context of lung cancer, suggesting an association between lung cancer and local dysbiosis. In light of these developments, this review summarizes and discusses existing knowledge on lung microbiome dynamics and composition in health and how these differ in lung cancer patients, focusing on the latest research. Throughout this effort, frequently reported alterations and associated microbe–host interactions in lung cancer development and progression are highlighted, along with some critical methodological considerations, outstanding questions and suggestions for the future.

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2025-10-07
2025-11-13

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References

  1. Eckburg PB, Bik EM, Bernstein CN, Purdom E, Dethlefsen L et al. Diversity of the human intestinal microbial flora. Science 2005; 308:1635–1638 [View Article] [PubMed]
    [Google Scholar]
  2. Gill SR, Pop M, DeBoy RT, Eckburg PB, Turnbaugh PJ et al. Metagenomic analysis of the human distal gut microbiome. Science 2006; 312:1355–1359 [View Article]
    [Google Scholar]
  3. Ley RE, Peterson DA, Gordon JI. Ecological and evolutionary forces shaping microbial diversity in the human intestine. Cell 2006; 124:837–848 [View Article]
    [Google Scholar]
  4. Qin J, Li R, Raes J, Arumugam M, Burgdorf KS et al. A human gut microbial gene catalogue established by metagenomic sequencing. Nature 2010; 464:59–65 [View Article]
    [Google Scholar]
  5. Natividad JMM, Verdu EF. Modulation of intestinal barrier by intestinal microbiota: pathological and therapeutic implications. Pharmacol Res 2013; 69:42–51 [View Article] [PubMed]
    [Google Scholar]
  6. Le Chatelier E, Nielsen T, Qin J, Prifti E, Hildebrand F et al. Richness of human gut microbiome correlates with metabolic markers. Nature 2013; 500:541–546 [View Article] [PubMed]
    [Google Scholar]
  7. Hollister EB, Gao C, Versalovic J. Compositional and functional features of the gastrointestinal microbiome and their effects on human health. Gastroenterology 2014; 146:1449–1458 [View Article] [PubMed]
    [Google Scholar]
  8. Belkaid Y, Hand TW. Role of the microbiota in immunity and inflammation. Cell 2014; 157:121–141 [View Article] [PubMed]
    [Google Scholar]
  9. El Aidy S, van den Bogert B, Kleerebezem M. The small intestine microbiota, nutritional modulation and relevance for health. Curr Opin Biotechnol 2015; 32:14–20 [View Article] [PubMed]
    [Google Scholar]
  10. Rooks MG, Garrett WS. Gut microbiota, metabolites and host immunity. Nat Rev Immunol 2016; 16:341–352 [View Article] [PubMed]
    [Google Scholar]
  11. Wahlström A, Sayin SI, Marschall H-U, Bäckhed F. Intestinal crosstalk between bile acids and microbiota and its impact on host metabolism. Cell Metab 2016; 24:41–50 [View Article] [PubMed]
    [Google Scholar]
  12. Wang HX, Wang YP. Gut Microbiota-brain Axis. Chin Med J 2016; 129:2373–2380 [View Article] [PubMed]
    [Google Scholar]
  13. Gao Z, Tseng C, Pei Z, Blaser MJ. Molecular analysis of human forearm superficial skin bacterial biota. Proc Natl Acad Sci USA 2007; 104:2927–2932 [View Article]
    [Google Scholar]
  14. Lemon KP, Klepac-Ceraj V, Schiffer HK, Brodie EL, Lynch SV et al. Comparative analyses of the bacterial microbiota of the human nostril and oropharynx. mBio 2010; 1:e00129-10 [View Article] [PubMed]
    [Google Scholar]
  15. Ma B, Forney LJ, Ravel J. Vaginal microbiome: rethinking health and disease. Annu Rev Microbiol 2012; 66:371–389 [View Article] [PubMed]
    [Google Scholar]
  16. Caselli E, Fabbri C, D’Accolti M, Soffritti I, Bassi C et al. Defining the oral microbiome by whole-genome sequencing and resistome analysis: the complexity of the healthy picture. BMC Microbiol 2020; 20:120 [View Article] [PubMed]
    [Google Scholar]
  17. Laurenzi GA, Potter RT, Kass EH. Bacteriologic flora of the lower respiratory tract. N Engl J Med 1961; 265:1273–1278 [View Article] [PubMed]
    [Google Scholar]
  18. Willner D, Furlan M, Haynes M, Schmieder R, Angly FE et al. Metagenomic analysis of respiratory tract DNA viral communities in cystic fibrosis and non-cystic fibrosis individuals. PLoS One 2009; 4:e7370 [View Article] [PubMed]
    [Google Scholar]
  19. Hilty M, Burke C, Pedro H, Cardenas P, Bush A et al. Disordered microbial communities in asthmatic airways. PLoS One 2010; 5:e8578 [View Article] [PubMed]
    [Google Scholar]
  20. Erb-Downward JR, Thompson DL, Han MK, Freeman CM, McCloskey L et al. Analysis of the lung microbiome in the “healthy” smoker and in COPD. PLoS One 2011; 6:e16384 [View Article]
    [Google Scholar]
  21. Sharma A, Laxman B, Naureckas ET, Hogarth DK, Sperling AI et al. Associations between fungal and bacterial microbiota of airways and asthma endotypes. J Allergy Clin Immunol 2019; 144:1214–1227 [View Article] [PubMed]
    [Google Scholar]
  22. Huang C, Yu Y, Du W, Liu Y, Dai R et al. Fungal and bacterial microbiome dysbiosis and imbalance of trans-kingdom network in asthma. Clin Transl Allergy 2020; 10:42 [View Article] [PubMed]
    [Google Scholar]
  23. Yun Y, Srinivas G, Kuenzel S, Linnenbrink M, Alnahas S et al. Environmentally determined differences in the murine lung microbiota and their relation to alveolar architecture. PLoS One 2014; 9:e113466 [View Article] [PubMed]
    [Google Scholar]
  24. Remot A, Descamps D, Noordine M-L, Boukadiri A, Mathieu E et al. Bacteria isolated from lung modulate asthma susceptibility in mice. ISME J 2017; 11:1061–1074 [View Article] [PubMed]
    [Google Scholar]
  25. Olszak T, An D, Zeissig S, Vera MP, Richter J et al. Microbial exposure during early life has persistent effects on natural killer T cell function. Science 2012; 336:489–493 [View Article] [PubMed]
    [Google Scholar]
  26. Pragman AA, Kim HB, Reilly CS, Wendt C, Isaacson RE. The lung microbiome in moderate and severe chronic obstructive pulmonary disease. PLoS One 2012; 7:e47305 [View Article] [PubMed]
    [Google Scholar]
  27. Huang YJ, Nelson CE, Brodie EL, Desantis TZ, Baek MS et al. Airway microbiota and bronchial hyperresponsiveness in patients with suboptimally controlled asthma. J Allergy Clin Immunol 2011; 127:372–381 [View Article] [PubMed]
    [Google Scholar]
  28. Boyton RJ, Reynolds CJ, Quigley KJ, Altmann DM. Immune mechanisms and the impact of the disrupted lung microbiome in chronic bacterial lung infection and bronchiectasis. Clin Exp Immunol 2013; 171:117–123 [View Article] [PubMed]
    [Google Scholar]
  29. Segal LN, Alekseyenko AV, Clemente JC, Kulkarni R, Wu B et al. Enrichment of lung microbiome with supraglottic taxa is associated with increased pulmonary inflammation. Microbiome 2013; 1:19 [View Article] [PubMed]
    [Google Scholar]
  30. Fodor AA, Klem ER, Gilpin DF, Elborn JS, Boucher RC et al. The adult cystic fibrosis airway microbiota is stable over time and infection type, and highly resilient to antibiotic treatment of exacerbations. PLoS One 2012; 7:e45001 [View Article] [PubMed]
    [Google Scholar]
  31. Bray F, Laversanne M, Sung H, Ferlay J, Siegel RL et al. Global cancer statistics 2022: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 2024; 74:229–263 [View Article] [PubMed]
    [Google Scholar]
  32. Goto T. Microbiota and lung cancer. Semin Cancer Biol 2022; 86:1–10 [View Article] [PubMed]
    [Google Scholar]
  33. Wang H, Hu J, Wu J, Ji P, Shang A et al. The Function and Molecular Mechanism of Commensal Microbiome in Promoting Malignant Progression of Lung Cancer. Cancers 2022; 14:5394 [View Article]
    [Google Scholar]
  34. Cheng J, Zhou L, Wang H. Symbiotic microbial communities in various locations of the lung cancer respiratory tract along with potential host immunological processes affected. Front Cell Infect Microbiol 2024; 14:1296295 [View Article] [PubMed]
    [Google Scholar]
  35. Kashyap P, Dutt N, Ahirwar DK, Yadav P. Lung microbiome in lung cancer: a new horizon in cancer study. Cancer Prev Res (Phila) 2024; 17:401–414 [View Article] [PubMed]
    [Google Scholar]
  36. Li B, Wang D, Zhang C, Wang Y, Huang Z et al. Role of respiratory system microbiota in development of lung cancer and clinical application. Imeta 2024; 3:e232 [View Article] [PubMed]
    [Google Scholar]
  37. Mathieu E, Escribano-Vazquez U, Descamps D, Cherbuy C, Langella P et al. Paradigms of lung microbiota functions in health and disease, particularly, in Asthma. Front Physiol 2018; 9:1168 [View Article] [PubMed]
    [Google Scholar]
  38. Weinberg F, Dickson RP, Nagrath D, Ramnath N. The lung microbiome: a central mediator of host inflammation and metabolism in lung cancer patients?. Cancers (Basel) 2020; 13:13 [View Article] [PubMed]
    [Google Scholar]
  39. Natalini JG, Singh S, Segal LN. The dynamic lung microbiome in health and disease. Nat Rev Microbiol 2023; 21:222–235 [View Article] [PubMed]
    [Google Scholar]
  40. Bassis CM, Erb-Downward JR, Dickson RP, Freeman CM, Schmidt TM et al. Analysis of the upper respiratory tract microbiotas as the source of the lung and gastric microbiotas in healthy individuals. mBio 2015; 6:e00037 [View Article] [PubMed]
    [Google Scholar]
  41. Dickson RP, Erb-Downward JR, Freeman CM, McCloskey L, Beck JM et al. Spatial variation in the healthy human lung microbiome and the adapted Island model of lung biogeography. Annals ATS 2015; 12:821–830 [View Article]
    [Google Scholar]
  42. Venkataraman A, Bassis CM, Beck JM, Young VB, Curtis JL et al. Application of a neutral community model to assess structuring of the human lung microbiome. mBio 2015; 6:e02284-14 [View Article] [PubMed]
    [Google Scholar]
  43. Huffnagle GB, Dickson RP, Lukacs NW. The respiratory tract microbiome and lung inflammation: a two-way street. Mucosal Immunol 2017; 10:299–306 [View Article] [PubMed]
    [Google Scholar]
  44. Wu H, Kuzmenko A, Wan S, Schaffer L, Weiss A et al. Surfactant proteins A and D inhibit the growth of Gram-negative bacteria by increasing membrane permeability. J Clin Invest 2003; 111:1589–1602 [View Article] [PubMed]
    [Google Scholar]
  45. Dickson RP, Erb-Downward JR, Freeman CM, McCloskey L, Falkowski NR et al. Bacterial topography of the healthy human lower respiratory tract. mBio 2017; 8:e02287–16 [View Article]
    [Google Scholar]
  46. Allard B, Panariti A, Martin JG. Alveolar macrophages in the resolution of inflammation, tissue repair, and tolerance to infection. Front Immunol 2018; 9:1777 [View Article] [PubMed]
    [Google Scholar]
  47. Nawroth JC, Guo H, Koch E, Heath-Heckman EAC, Hermanson JC et al. Motile cilia create fluid-mechanical microhabitats for the active recruitment of the host microbiome. Proc Natl Acad Sci USA 2017; 114:9510–9516 [View Article] [PubMed]
    [Google Scholar]
  48. Dickson RP, Huffnagle GB. The lung microbiome: new principles for respiratory bacteriology in health and disease. PLoS Pathog 2015; 11:e1004923 [View Article] [PubMed]
    [Google Scholar]
  49. Huynh M, Crane MJ, Jamieson AM. The lung, the niche, and the microbe: exploring the lung microbiome in cancer and immunity. Front Immunol 2022; 13:1094110 [View Article] [PubMed]
    [Google Scholar]
  50. Gao J, Yang Y, Xiang X, Zheng H, Yi X et al. Human genetic associations of the airway microbiome in chronic obstructive pulmonary disease. Respir Res 2024; 25:165 [View Article] [PubMed]
    [Google Scholar]
  51. Ramírez-Labrada AG, Isla D, Artal A, Arias M, Rezusta A et al. The influence of lung microbiota on lung carcinogenesis, immunity, and immunotherapy. Trends Cancer 2020; 6:86–97 [View Article] [PubMed]
    [Google Scholar]
  52. Larsson L, Szponar B, Ridha B, Pehrson C, Dutkiewicz J et al. Identification of bacterial and fungal components in tobacco and tobacco smoke. Tob Induc Dis 2008; 4:4 [View Article] [PubMed]
    [Google Scholar]
  53. Sapkota AR, Berger S, Vogel TM. Human pathogens abundant in the bacterial metagenome of cigarettes. Environ Health Perspect 2010; 118:351–356 [View Article] [PubMed]
    [Google Scholar]
  54. Wu J, Peters BA, Dominianni C, Zhang Y, Pei Z et al. Cigarette smoking and the oral microbiome in a large study of American adults. ISME J 2016; 10:2435–2446 [View Article] [PubMed]
    [Google Scholar]
  55. Jia Y-J, Liao Y, He Y-Q, Zheng M-Q, Tong X-T et al. Association between oral microbiota and cigarette smoking in the Chinese population. Front Cell Infect Microbiol 2021; 11:658203 [View Article] [PubMed]
    [Google Scholar]
  56. Cicchinelli S, Rosa F, Manca F, Zanza C, Ojetti V et al. The impact of smoking on microbiota: a narrative review. Biomedicines 2023; 11:1144 [View Article] [PubMed]
    [Google Scholar]
  57. Prince Y, Davison GM, Davids SFG, Erasmus RT, Kengne AP et al. The effect of cigarette smoking on the oral microbiota in a South African population using subgingival plaque samples. Heliyon 2024; 10:e31559 [View Article] [PubMed]
    [Google Scholar]
  58. Pauly JL, Paszkiewicz G. Cigarette smoke, bacteria, mold, microbial toxins, and chronic lung inflammation. J Oncol 2011; 2011:819129 [View Article] [PubMed]
    [Google Scholar]
  59. Sathiyaseelan M, Srinivasan K, Raj J, Ranganadin P, Subramanian B. Potential health impacts and lung microbiome changes among smoking and smokeless tobacco use : a technical scan. Eurasian J Pulmonol 2021; 23:77 [View Article]
    [Google Scholar]
  60. Liu Y, Lu L, Yang H, Wu X, Luo X et al. Dysregulation of immunity by cigarette smoking promotes inflammation and cancer: a review. Environmental Pollution 2023; 339:122730 [View Article]
    [Google Scholar]
  61. Liu X, Sun W, Ma W, Wang H, Xu K et al. Smoking related environmental microbes affecting the pulmonary microbiome in Chinese population. Science of The Total Environment 2022; 829:154652 [View Article]
    [Google Scholar]
  62. Lim MY, Yoon HS, Rho M, Sung J, Song Y-M et al. Analysis of the association between host genetics, smoking, and sputum microbiota in healthy humans. Sci Rep 2016; 6:23745 [View Article] [PubMed]
    [Google Scholar]
  63. Pfeiffer S, Herzmann C, Gaede KI, Kovacevic D, Krauss-Etschmann S et al. Different responses of the oral, nasal and lung microbiomes to cigarette smoke. Thorax 2022; 77:191–195 [View Article] [PubMed]
    [Google Scholar]
  64. Morris A, Beck JM, Schloss PD, Campbell TB, Crothers K et al. Comparison of the respiratory microbiome in healthy nonsmokers and smokers. Am J Respir Crit Care Med 2013; 187:1067–1075 [View Article]
    [Google Scholar]
  65. Liu H-X, Tao L-L, Zhang J, Zhu Y-G, Zheng Y et al. Difference of lower airway microbiome in bilateral protected specimen brush between lung cancer patients with unilateral lobar masses and control subjects. Int J Cancer 2018; 142:769–778 [View Article] [PubMed]
    [Google Scholar]
  66. Tsay J-CJ, Wu BG, Badri MH, Clemente JC, Shen N et al. Airway microbiota is associated with upregulation of the PI3K pathway in lung cancer. Am J Respir Crit Care Med 2018; 198:1188–1198 [View Article] [PubMed]
    [Google Scholar]
  67. Hanage WP. Microbiology: microbiome science needs a healthy dose of scepticism. Nature 2014; 512:247–248 [View Article] [PubMed]
    [Google Scholar]
  68. Sulaiman I, Wu BG, Li Y, Tsay J-C, Sauthoff M et al. Functional lower airways genomic profiling of the microbiome to capture active microbial metabolism. Eur Respir J 2021; 58:2003434 [View Article] [PubMed]
    [Google Scholar]
  69. Di Simone SK, Rudloff I, Nold-Petry CA, Forster SC, Nold MF. Understanding respiratory microbiome-immune system interactions in health and disease. Sci Transl Med 2023; 15:eabq5126 [View Article] [PubMed]
    [Google Scholar]
  70. Baker JM, Dickson RP. Is the lung microbiome alive? lessons from Antarctic soil. Eur Respir J 2021; 58:2100321 [View Article] [PubMed]
    [Google Scholar]
  71. Thorburn AN, Foster PS, Gibson PG, Hansbro PM. Components of Streptococcus pneumoniae suppress allergic airways disease and NKT cells by inducing regulatory T cells. J Immunol 2012; 188:4611–4620 [View Article] [PubMed]
    [Google Scholar]
  72. Segal LN, Clemente JC, Tsay J-CJ, Koralov SB, Keller BC et al. Enrichment of the lung microbiome with oral taxa is associated with lung inflammation of a Th17 phenotype. Nat Microbiol 2016; 1:16031 [View Article] [PubMed]
    [Google Scholar]
  73. Dickson RP, Erb-Downward JR, Falkowski NR, Hunter EM, Ashley SL et al. The lung microbiota of healthy mice are highly variable, cluster by environment, and reflect variation in baseline lung innate immunity. Am J Respir Crit Care Med 2018; 198:497–508 [View Article]
    [Google Scholar]
  74. O’Dwyer DN, Ashley SL, Gurczynski SJ, Xia M, Wilke C et al. Lung microbiota contribute to pulmonary inflammation and disease progression in pulmonary fibrosis. Am J Respir Crit Care Med 2019; 199:1127–1138 [View Article]
    [Google Scholar]
  75. Mata E, Tarancon R, Guerrero C, Moreo E, Moreau F et al. Pulmonary BCG induces lung-resident macrophage activation and confers long-term protection against tuberculosis. Sci Immunol 2021; 6:eabc2934 [View Article] [PubMed]
    [Google Scholar]
  76. Kumar M, Mugunthan M. Evaluation of three DNA extraction methods from fungal cultures. Medical Journal Armed Forces India 2018; 74:333–336 [View Article]
    [Google Scholar]
  77. Li R, Li J, Zhou X. Lung microbiome: new insights into the pathogenesis of respiratory diseases. Sig Transduct Target Ther 2024; 9:19 [View Article]
    [Google Scholar]
  78. Charlson ES, Diamond JM, Bittinger K, Fitzgerald AS, Yadav A et al. Lung-enriched organisms and aberrant bacterial and fungal respiratory microbiota after lung transplant. Am J Respir Crit Care Med 2012; 186:536–545 [View Article] [PubMed]
    [Google Scholar]
  79. Soret P, Vandenborght L-E, Francis F, Coron N, Enaud R et al. Respiratory mycobiome and suggestion of inter-kingdom network during acute pulmonary exacerbation in cystic fibrosis. Sci Rep 2020; 10:3589 [View Article]
    [Google Scholar]
  80. Whiteside SA, McGinniss JE, Collman RG. The lung microbiome: progress and promise. J Clin Invest 2021; 131:e150473 [View Article]
    [Google Scholar]
  81. Dollive S, Chen Y-Y, Grunberg S, Bittinger K, Hoffmann C et al. Fungi of the murine gut: episodic variation and proliferation during antibiotic treatment. PLoS One 2013; 8:e71806 [View Article] [PubMed]
    [Google Scholar]
  82. Porto BN. Insights into the role of the lung virome during respiratory viral infections. Front Immunol 2022; 13:885341 [View Article] [PubMed]
    [Google Scholar]
  83. Wylie KM. The virome of the human respiratory tract. Clin Chest Med 2017; 38:11–19 [View Article] [PubMed]
    [Google Scholar]
  84. Willner D, Haynes MR, Furlan M, Hanson N, Kirby B et al. Case studies of the spatial heterogeneity of DNA viruses in the cystic fibrosis lung. Am J Respir Cell Mol Biol 2012; 46:127–131 [View Article] [PubMed]
    [Google Scholar]
  85. Dodi G, Attanasi M, Di Filippo P, Di Pillo S, Chiarelli F. Virome in the lungs: the role of anelloviruses in childhood respiratory diseases. Microorganisms 2021; 9:1357 [View Article] [PubMed]
    [Google Scholar]
  86. Abbas AA, Taylor LJ, Dothard MI, Leiby JS, Fitzgerald AS et al. Redondoviridae, a family of small, circular dna viruses of the human oro-respiratory tract associated with periodontitis and critical illness. Cell Host Microbe 2019; 25:719–729 [View Article] [PubMed]
    [Google Scholar]
  87. Young JC, Chehoud C, Bittinger K, Bailey A, Diamond JM et al. Viral metagenomics reveal blooms of anelloviruses in the respiratory tract of lung transplant recipients. Am J Transplant 2015; 15:200–209 [View Article] [PubMed]
    [Google Scholar]
  88. Schabath MB, Cote ML. Cancer progress and priorities: lung cancer. Cancer Epidemiol Biomarkers Prev 2019; 28:1563–1579 [View Article] [PubMed]
    [Google Scholar]
  89. Hwang SY, Kim JY, Lee HS, Lee S, Kim D et al. Pulmonary tuberculosis and risk of lung cancer: a systematic review and meta-analysis. J Clin Med 2022; 11:765 [View Article] [PubMed]
    [Google Scholar]
  90. Kerpel-Fronius A, Tammemägi M, Cavic M, Henschke C, Jiang L et al. Screening for lung cancer in individuals who never smoked: an international association for the study of lung cancer early detection and screening committee report. J Thorac Oncol 2022; 17:56–66 [View Article] [PubMed]
    [Google Scholar]
  91. Zheng L, Sun R, Zhu Y, Li Z, She X et al. Lung microbiome alterations in NSCLC patients. Sci Rep 2021; 11:11736 [View Article] [PubMed]
    [Google Scholar]
  92. Jin J, Gan Y, Liu H, Wang Z, Yuan J et al. Diminishing microbiome richness and distinction in the lower respiratory tract of lung cancer patients: a multiple comparative study design with independent validation. Lung Cancer 2019; 136:129–135 [View Article] [PubMed]
    [Google Scholar]
  93. Lu H, Gao NL, Tong F, Wang J, Li H et al. Alterations of the human lung and gut microbiomes in non-small cell lung carcinomas and distant metastasis. Microbiol Spectr 2021; 9:e00802–e821 [View Article]
    [Google Scholar]
  94. Huang DH, He J, Su XF, Wen YN, Zhang SJ et al. The airway microbiota of non-small cell lung cancer patients and its relationship to tumor stage and EGFR gene mutation. Thorac Cancer 2022; 13:858–869 [View Article] [PubMed]
    [Google Scholar]
  95. Zheng X, Lu X, Hu Y. Distinct respiratory microbiota associates with lung cancer clinicopathological characteristics. Front Oncol 2023; 13:847182 [View Article]
    [Google Scholar]
  96. Zhang Y, Chen X, Wang Y, Li L, Ju Q et al. Alterations of lower respiratory tract microbiome and short-chain fatty acids in different segments in lung cancer: a multiomics analysis. Front Cell Infect Microbiol 2023; 13:1261284 [View Article]
    [Google Scholar]
  97. Yuan Q, Wang X, Li Z, Guo W, Cheng H et al. A preliminary study on microbiota characteristics of bronchoalveolar lavage fluid in patients with pulmonary nodules based on metagenomic next-generation sequencing. Biomedicines 2023; 11:631 [View Article]
    [Google Scholar]
  98. Li Y, Rao G, Zhu G, Cheng C, Yuan L et al. Dysbiosis of lower respiratory tract microbiome are associated with proinflammatory states in non‐small cell lung cancer patients. Thoracic Cancer 2024; 15:111–121 [View Article]
    [Google Scholar]
  99. Greathouse KL, White JR, Vargas AJ, Bliskovsky VV, Beck JA et al. Interaction between the microbiome and TP53 in human lung cancer. Genome Biol 2018; 19:123 [View Article]
    [Google Scholar]
  100. Vogtmann E, Hua X, Yu G, Purandare V, Hullings AG et al. The oral microbiome and lung cancer risk: an analysis of 3 prospective cohort studies. J Natl Cancer Inst 2022; 114:1501–1510 [View Article] [PubMed]
    [Google Scholar]
  101. Zeng W, Zhao C, Yu M, Chen H, Pan Y et al. Alterations of lung microbiota in patients with non-small cell lung cancer. Bioengineered 2022; 13:6665–6677 [View Article]
    [Google Scholar]
  102. Kim G, Park C, Yoon YK, Park D, Lee JE et al. Prediction of lung cancer using novel biomarkers based on microbiome profiling of bronchoalveolar lavage fluid. Sci Rep 2024; 14:1691 [View Article]
    [Google Scholar]
  103. Wang H, Hu J, Ma Y, Abulimiti Y, Zhou Y. Lung commensal bacteria promote lung cancer progression through NK cell-mediated immunosuppressive microenvironment. Int J Med Sci 2025; 22:1039–1051 [View Article]
    [Google Scholar]
  104. Baranova E, Druzhinin V, Matskova L, Demenkov P, Volobaev V et al. Sputum microbiome composition in patients with squamous cell lung carcinoma. Life 2022; 12:1365 [View Article]
    [Google Scholar]
  105. Ren Y, Su H, She Y, Dai C, Xie D et al. Whole genome sequencing revealed microbiome in lung adenocarcinomas presented as ground-glass nodules. Transl Lung Cancer Res 2019; 8:235–246 [View Article]
    [Google Scholar]
  106. Dumont-Leblond N, Veillette M, Racine C, Joubert P, Duchaine C. Non-small cell lung cancer microbiota characterization: prevalence of enteric and potentially pathogenic bacteria in cancer tissues. PLoS ONE 2021; 16:e0249832 [View Article] [PubMed]
    [Google Scholar]
  107. Druzhinin VG, Matskova LV, Demenkov PS, Baranova ED, Volobaev VP et al. Genetic damage in lymphocytes of lung cancer patients is correlated to the composition of the respiratory tract microbiome. Mutagenesis 2021; 36:143–153 [View Article] [PubMed]
    [Google Scholar]
  108. Najafi S, Jamalkandi SA, Najafi A, Salimian J, Ahmadi A. Exploring Co-occurrence patterns and microbial diversity in the lung microbiome of patients with non-small cell lung cancer. BMC Microbiol 2023; 23:182 [View Article] [PubMed]
    [Google Scholar]
  109. Huang D, Ren Q, Xie L, Chen Y, Li C et al. Association between airway microbiota and systemic inflammation markers in non-small cell lung cancer patients. Sci Rep 2025; 15:3539 [View Article]
    [Google Scholar]
  110. Reddy RM, Lagisetty K, Lin J, Chang AC, Achreja A et al. Comprehensive sampling of the lung microbiome in early-stage non-small cell lung cancer. JTCVS Open 2024; 17:260–268 [View Article] [PubMed]
    [Google Scholar]
  111. Ma Y, Chen H, Li H, Zheng M, Zuo X et al. Intratumor microbiome-derived butyrate promotes lung cancer metastasis. Cell Reports Medicine 2024; 5:101488 [View Article]
    [Google Scholar]
  112. Williams CE, Hammer TJ, Williams CL. Diversity alone does not reliably indicate the healthiness of an animal microbiome. ISME J 2024; 18:wrae133 [View Article] [PubMed]
    [Google Scholar]
  113. Mendoza MC, Er EE, Blenis J. The Ras-ERK and PI3K-mTOR pathways: cross-talk and compensation. Trends Biochem Sci 2011; 36:320–328 [View Article] [PubMed]
    [Google Scholar]
  114. Gustafson AM, Soldi R, Anderlind C, Scholand MB, Qian J et al. Airway PI3K pathway activation is an early and reversible event in lung cancer development. Sci Transl Med 2010; 2:26ra25 [View Article] [PubMed]
    [Google Scholar]
  115. Scrima M, De Marco C, Fabiani F, Franco R, Pirozzi G et al. Signaling networks associated with AKT activation in non-small cell lung cancer (NSCLC): new insights on the role of phosphatydil-inositol-3 kinase. PLoS One 2012; 7:e30427 [View Article] [PubMed]
    [Google Scholar]
  116. Vicent S, López-Picazo JM, Toledo G, Lozano MD, Torre W et al. ERK1/2 is activated in non-small-cell lung cancer and associated with advanced tumours. Br J Cancer 2004; 90:1047–1052 [View Article] [PubMed]
    [Google Scholar]
  117. Li J, Wang J, Xie D, Pei Q, Wan X et al. Characteristics of the PI3K/AKT and MAPK/ERK pathways involved in the maintenance of self-renewal in lung cancer stem-like cells. Int J Biol Sci 2021; 17:1191–1202 [View Article]
    [Google Scholar]
  118. Li N, Zhou H, Holden VK, Deepak J, Dhilipkannah P et al. Streptococcus pneumoniae promotes lung cancer development and progression. iScience 2023; 26:105923 [View Article]
    [Google Scholar]
  119. Hosgood HD III, Sapkota AR, Rothman N, Rohan T, Hu W et al. The potential role of lung microbiota in lung cancer attributed to household coal burning exposures. Environ and Mol Mutagen 2014; 55:643–651 [View Article]
    [Google Scholar]
  120. Cameron SJS, Lewis KE, Huws SA, Hegarty MJ, Lewis PD et al. A pilot study using metagenomic sequencing of the sputum microbiome suggests potential bacterial biomarkers for lung cancer. PLoS One 2017; 12:e0177062 [View Article] [PubMed]
    [Google Scholar]
  121. Sun Y, Liu Y, Li J, Tan Y, An T et al. Characterization of lung and oral microbiomes in lung cancer patients using culturomics and 16S rRNA gene sequencing. Microbiol Spectr 2023; 11:e0031423 [View Article]
    [Google Scholar]
  122. Lee SH, Sung JY, Yong D, Chun J, Kim SY et al. Characterization of microbiome in bronchoalveolar lavage fluid of patients with lung cancer comparing with benign mass like lesions. Lung Cancer 2016; 102:89–95 [View Article] [PubMed]
    [Google Scholar]
  123. Liu Y, Yang B, Qi Q, Liu S, Du Y et al. Metagenomic next-generation sequencing for lung cancer low respiratory tract infections diagnosis and characterizing microbiome features. Front Cell Infect Microbiol 2025; 14:1518199 [View Article]
    [Google Scholar]
  124. Yan X, Yang M, Liu J, Gao R, Hu J et al. Discovery and validation of potential bacterial biomarkers for lung cancer. Am J Cancer Res 2015; 5:3111–3122 [PubMed]
    [Google Scholar]
  125. Leng Q, Holden VK, Deepak J, Todd NW, Jiang F. Microbiota biomarkers for lung cancer. Diagnostics (Basel) 2021; 11:407 [View Article] [PubMed]
    [Google Scholar]
  126. Yu G, Gail MH, Consonni D, Carugno M, Humphrys M et al. Characterizing human lung tissue microbiota and its relationship to epidemiological and clinical features. Genome Biol 2016; 17:163 [View Article] [PubMed]
    [Google Scholar]
  127. Apopa PL, Alley L, Penney RB, Arnaoutakis K, Steliga MA et al. PARP1 is up-regulated in non-small cell lung cancer tissues in the presence of the cyanobacterial toxin microcystin. Front Microbiol 2018; 9:1757 [View Article] [PubMed]
    [Google Scholar]
  128. Najafi S, Abedini F, Azimzadeh Jamalkandi S, Shariati P, Ahmadi A et al. The composition of lung microbiome in lung cancer: a systematic review and meta-analysis. BMC Microbiol 2021; 21:315 [View Article] [PubMed]
    [Google Scholar]
  129. Zhang Z, Bi X, Lian X, Niu Z. BDH1 promotes lung cancer cell proliferation and metastases by PARP1-mediated autophagy. J Cell Mol Med 2023; 27:939–949 [View Article] [PubMed]
    [Google Scholar]
  130. Zhai X, Lin D, Shen Y, Zhai N, Yu F et al. A novel interplay between bacteria and metabolites in different early-stage lung cancer: an integrated microbiome and metabolome analysis. Front Oncol 2024; 14:1492571 [View Article] [PubMed]
    [Google Scholar]
  131. Sun Y, Gan Z, Wang X, Liu J, Zhong W et al. Integrative metagenomic, transcriptomic, and proteomic analysis reveal the microbiota-host interplay in early-stage lung adenocarcinoma among non-smokers. J Transl Med 2024; 22:652 [View Article]
    [Google Scholar]
  132. Lan Y, Ni W, Tai G. Expression of MUC1 in different tumours and its clinical significance (Review). Mol Clin Oncol 2022; 17:161 [View Article] [PubMed]
    [Google Scholar]
  133. Lakshmanan I, Chaudhary S, Vengoji R, Seshacharyulu P, Rachagani S et al. ST6GalNAc-I promotes lung cancer metastasis by altering MUC5AC sialylation. Mol Oncol 2021; 15:1866–1881 [View Article] [PubMed]
    [Google Scholar]
  134. Sagheer U, Shu J, Yu H, Ren X, Haroon K et al. Protein glycopatterns for natural regulation of microbiota in lung adenocarcinoma. Int J Biol Macromol 2025; 306:141542 [View Article] [PubMed]
    [Google Scholar]
  135. Song Q, He X, Xiong Y, Wang J, Zhang L et al. The functional landscape of Golgi membrane protein 1 (GOLM1) phosphoproteome reveal GOLM1 regulating P53 that promotes malignancy. Cell Death Discov 2021; 7:42 [View Article] [PubMed]
    [Google Scholar]
  136. Aruna LLM. Overexpression of golgi membrane protein 1 promotes non-small-cell carcinoma aggressiveness by regulating the matrix metallopeptidase 13. Am J Cancer Res 2018; 8:551–565 [PubMed]
    [Google Scholar]
  137. Liu X, Chen L, Zhang T. Increased GOLM1 expression independently predicts unfavorable overall survival and recurrence-free survival in lung adenocarcinoma. Cancer Control 2018; 25:1073274818778001 [View Article] [PubMed]
    [Google Scholar]
  138. Narunsky-Haziza L, Sepich-Poore GD, Livyatan I, Asraf O, Martino C et al. Pan-cancer analyses reveal cancer-type-specific fungal ecologies and bacteriome interactions. Cell 2022; 185:3789–3806 [View Article] [PubMed]
    [Google Scholar]
  139. Dohlman AB, Klug J, Mesko M, Gao IH, Lipkin SM et al. A pan-cancer mycobiome analysis reveals fungal involvement in gastrointestinal and lung tumors. Cell 2022; 185:3807–3822 [View Article] [PubMed]
    [Google Scholar]
  140. Benedict K, Roy M, Chiller T, Davis JP. Epidemiologic and ecologic features of blastomycosis: a review. Curr Fungal Infect Rep 2012; 6:327–335 [View Article]
    [Google Scholar]
  141. Liu N-N, Yi C-X, Wei L-Q, Zhou J-A, Jiang T et al. The intratumor mycobiome promotes lung cancer progression via myeloid-derived suppressor cells. Cancer Cell 2023; 41:1927–1944 [View Article] [PubMed]
    [Google Scholar]
  142. Sun Y, Gan Z, Liu S, Zhang S, Zhong W et al. Metagenomic and transcriptomic analysis reveals crosstalk between intratumor mycobiome and hosts in early‐stage nonsmoking lung adenocarcinoma patients. Thoracic Cancer 2025; 16:e15527 [View Article]
    [Google Scholar]
  143. Zhao Y, Yi J, Xiang J, Jia W, Chen A et al. Exploration of lung mycobiome in the patients with non-small-cell lung cancer. BMC Microbiol 2023; 23:81 [View Article]
    [Google Scholar]
  144. Madbouly AK, Abdel-Wareth MT. The Use of Chaetomium Taxa as Biocontrol Agents Recent Developments on Genus Chaetomium Springer; 2020 pp 251–266
    [Google Scholar]
  145. Dwibedi V, Rath SK, Jain S, Martínez-Argueta N, Prakash R et al. Key insights into secondary metabolites from various Chaetomium species. Appl Microbiol Biotechnol 2023; 107:1077–1093 [View Article] [PubMed]
    [Google Scholar]
  146. Ichihara A, Oikawa H. Polyketides and other secondary metabolites including fatty acids and their derivatives. Comprehensive Natural Products Chemistry 1999
    [Google Scholar]
  147. Li H, Xiao J, Gao Y-Q, Tang JJ, Zhang A-L et al. Chaetoglobosins from Chaetomium globosum, an endophytic fungus in Ginkgo biloba, and their phytotoxic and cytotoxic activities. J Agric Food Chem 2014; 62:3734–3741 [View Article] [PubMed]
    [Google Scholar]
  148. Flewelling AJ, Bishop AL, Johnson JA, Gray CA. Polyketides from an endophytic Aspergillus fumigatus Isolate Inhibit the Growth of Mycobacterium tuberculosis and MRSA. Natural Product Communications 2015; 10:1934578X1501001009 [View Article]
    [Google Scholar]
  149. Gao W, He Y, Li F, Chai C, Zhang J et al. Antibacterial activity against drug-resistant microbial pathogens of cytochalasan alkaloids from the arthropod-associated fungus Chaetomium globosum TW1-1. Bioorg Chem 2019; 83:98–104 [View Article] [PubMed]
    [Google Scholar]
  150. Telarovic I, Wenger RH, Pruschy M. Interfering with tumor hypoxia for radiotherapy optimization. J Exp Clin Cancer Res 2021; 40:197 [View Article] [PubMed]
    [Google Scholar]
  151. Youn UJ, Sripisut T, Park E-J, Kondratyuk TP, Fatima N et al. Determination of the absolute configuration of chaetoviridins and other bioactive azaphilones from the endophytic fungus Chaetomium globosum. Bioorg Med Chem Lett 2015; 25:4719–4723 [View Article] [PubMed]
    [Google Scholar]
  152. Min S, Wang X, Du Q, Gong H, Yang Y et al. Chetomin, a Hsp90/HIF1α pathway inhibitor, effectively targets lung cancer stem cells and non-stem cells. Cancer Biol Ther 2020; 21:698–708 [View Article] [PubMed]
    [Google Scholar]
  153. Chen A, Yu Q, Zheng L, Yi J, Tang Z et al. Dose-dependent M2 macrophage polarization induced by Talaromyces marneffei promotes lung cancer cell growth via arginine-ornithine-cycle activation. Med Microbiol Immunol 2025; 214:11 [View Article] [PubMed]
    [Google Scholar]
  154. Hu Y, Ren S, He Y, Wang L, Chen C et al. Possible oncogenic viruses associated with lung cancer. Onco Targets Ther 2020; 13:10651–10666 [View Article] [PubMed]
    [Google Scholar]
  155. Xiong W-M, Xu Q-P, Li X, Xiao R-D, Cai L et al. The association between human papillomavirus infection and lung cancer: a system review and meta-analysis. Oncotarget 2017; 8:96419–96432 [View Article] [PubMed]
    [Google Scholar]
  156. Behdarvand A, Zamani MS, Sadeghi F, Yahyapour Y, Vaziri F et al. Evaluation of Merkel cell polyomavirus in non-small cell lung cancer and adjacent normal cells. Microbial Pathogenesis 2017; 108:21–26 [View Article]
    [Google Scholar]
  157. Zheng H, Abdel Aziz HO, Nakanishi Y, Masuda S, Saito H et al. Oncogenic role of JC virus in lung cancer. J Pathol 2007; 212:306–315 [View Article] [PubMed]
    [Google Scholar]
  158. Campos M, Cickovski T, Fernandez M, Jaric M, Wanner A et al. Lower respiratory tract microbiome composition and community interactions in smokers. Access Microbiol 2023; 5:acmi000497.v3 [View Article] [PubMed]
    [Google Scholar]
  159. Chang SH, Krupnick AS. Perioperative antibiotics in thoracic surgery. Thorac Surg Clin 2012; 22:35–45 [View Article] [PubMed]
    [Google Scholar]
  160. Carney SM, Clemente JC, Cox MJ, Dickson RP, Huang YJ et al. Methods in lung microbiome research. Am J Respir Cell Mol Biol 2020; 62:283–299 [View Article] [PubMed]
    [Google Scholar]
  161. Leong S, Shaipanich T, Lam S, Yasufuku K. Diagnostic bronchoscopy--current and future perspectives. J Thorac Dis 2013; 5 Suppl 5:S498–510 [View Article] [PubMed]
    [Google Scholar]
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