Non-Cochrane · aetiology · PM42812282

A systematic review and meta-analysis reveals enrichment of pro-inflammatory and bacterial immunity-modulating taxa in oral squamous cell carcinoma.

Vishwakarma Akanksha, Patil Ayurshi, Saini Diksha, et al. · Frontiers in immunology · 2026 · PubMed · doi:10.3389/fimmu.2026.1913744

Findings

Population People with oral squamous cell carcinoma and healthy controls

9 findings

Oral microbiome in OSCCOral microbiome in healthy controlsBray–Curtis beta diversityMD 1.29 [0.68, 1.90]
GRADE not reported
11 studies
Oral microbiome in OSCCOral microbiome in healthy controlsWeighted UniFrac beta diversitySMD 1.26 [-0.47, 2.98]
GRADE not reported
Studies not reported
Oral microbiome in OSCCOral microbiome in healthy controlsFusobacterium abundance
Unresolved: the two extractors disagree on this row.
no estimate extracted
GRADE not reported
Studies not reported
Oral microbiome in OSCCOral microbiome in healthy controlsChao1 richnessSMD -50.39 [-101.73, 0.96]
GRADE not reported
Studies not reported
Oral microbiome in OSCCOral microbiome in healthy controlsShannon diversityMD -0.10 [-0.45, 0.26]
GRADE not reported
11 studies
Oral microbiome in OSCCOral microbiome in healthy controlsEvennessSMD -0.01 [-0.02, 0.03]
GRADE not reported
Studies not reported
Oral microbiome in OSCCOral microbiome in healthy controlsObserved featuresSMD -37.18 [-78.96, 4.61]
GRADE not reported
Studies not reported
Oral microbiome in OSCCOral microbiome in healthy controlsFaith phylogenetic diversitySMD -5.51 [-22.64, 11.63]
GRADE not reported
Studies not reported
Oral microbiome in OSCCOral microbiome in healthy controlsStreptococcus abundance
Unresolved: the two extractors disagree on this row.
no estimate extracted
GRADE not reported
Studies not reported

Included primary studies 20

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Chen et al., 2021
matched by author and year (probable)
NR7 other reviewsnot statednot extracted yet
Zhang et al., 2020
matched by author and year (probable)
NR3 other reviewsnot statednot extracted yet
Al-Hebshi 2017
Inflammatory bacteriome featuring Fusobacterium nucleatum and Pseudomonas aeruginosa identified in association with oral squamous cell…
PMID:28500338
20171 other reviewnot statednot extracted yet
Chen 2021
Taxonomic and Functional Dysregulation in Salivary Microbiomes During Oral Carcinogenesis.
PMID:34604102
20211 other reviewnot statednot extracted yet
Oyeyemi 2023
Microbiome analysis of saliva from oral squamous cell carcinoma (OSCC) patients and tobacco abusers with potential biomarkers for oral…
PMID:38034672
20231 other reviewnot statednot extracted yet
Zhang 2020
The Oral Microbiota May Have Influence on Oral Cancer.
PMID:32010645
20191 other reviewnot statednot extracted yet
Zhou et al., 2021
matched by author and year (probable)
NR1 other reviewnot statednot extracted yet
Al-Hebshi et al., 2017
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Granato 2021
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Herreros-Pomares 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Oyeyemi et al., 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Perera 2018
Inflammatory Bacteriome and Oral Squamous Cell Carcinoma.
PMID:29630846
2018this review onlynot statednot extracted yet
Perera et al., 2018
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Sawant 2023
Oral Microbial Signatures of Tobacco Chewers and Oral Cancer Patients in India.
PMID:36678424
2023this review onlynot statednot extracted yet
Sawant et al., 2023
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Saxena 2022
Assessing the Effect of Smokeless Tobacco Consumption on Oral Microbiome in Healthy and Oral Cancer Patients.
PMID:35433507
2022this review onlynot statednot extracted yet
Saxena et al., 2022
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Srivastava 2022
Comparative and analytical characterization of the oral bacteriome of smokeless tobacco users with oral squamous cell carcinoma.
PMID:35596785
2022this review onlynot statednot extracted yet
Srivastava et al., 2022
matched by author and year (probable)
NRthis review onlynot statednot extracted yet
Zhou 2021
The Clinical Potential of Oral Microbiota as a Screening Tool for Oral Squamous Cell Carcinomas.
PMID:34485181
2021this review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

ReviewShared studiesJaccard
Integrative meta-analysis of the OSCC microbiome: from niche-specific heterogeneity to universal network and functional signatures. (2026)30.10
Bias, Study Quality, and Confounding in Temporomandibular Disorder Research Compared to General Orthodontic Studies: A Systematic Review… (2025)20.00
A systematic review and meta-analysis on early-childhood-caries global data. (2024)10.01
Accuracy of artificial intelligence in caries detection: a systematic review and meta-analysis. (2025)10.02
Clinical efficacy of socket shield technique compared to conventional immediate implant placement in the aesthetic zone: a meta-analysis. (2025)10.02
Anatomic considerations for immediate implant placement in the mandibular posterior region -A systematic review and meta-analysis. (2025)10.03
The oral bacterial microbiota change in oral squamous cell carcinoma: a systematic review and meta-analysis. (2026)10.03
Extended reality interventions for health and procedural anxiety: An overview of reviews. (2026)10.01
Global and regional knowledge of antibiotic use and resistance among healthcare students: A systematic review and meta-analysis. (2026)10.01
Comparative efficacy and safety of topical therapies for ocular involvement in Sjögren's syndrome: a systematic review and network… (2026)10.03
Grading the evidence for the association between periodontal disease and chronic non-communicable diseases: an umbrella review of… (2026)10.01
Crestal Versus Lateral Window Approaches for Maxillary Sinus Floor Augmentation: A Systematic Review and Meta-Analysis of Randomized… (2026)10.02

Review question

ElementPlanned (methods)Found (results)
PopulationPatients with OSCC and/or healthy controls; human oral samples (saliva, oral tissue, swabs, dental plaque, oral rinse); excluded OPMDs, oropharyngeal cancer, salivary adenoid cystic carcinoma, studies using adjacent non-tumor tissue as comparatorPatients with OSCC and healthy controls from 11 studies in India, China, Yemen, Taiwan, Spain and Sri Lanka (n=11 studies)
InterventionOral squamous cell carcinoma (exposure)Oral squamous cell carcinoma (n=11)
ComparisonHealthy controlsHealthy controls (n=11)
OutcomesOral microbiome composition and diversity: alpha diversity (Chao1, Shannon, Simpson, PD whole tree, Good's coverage), beta diversity (Bray-Curtis, weighted UniFrac), relative abundance at phylum/genus/species level, LEfSe biomarkers, machine-learning classification, PICRUSt2 functional predictionAlpha diversity: Shannon (n=11), observed features, Faith's PD, evenness, Chao1; beta diversity: Bray-Curtis (n=11), weighted UniFrac; differential taxa abundance, LEfSe, LightGBM classifier (AUC 0.84), PICRUSt functional pathways and genes
Study designsOriginal studies using 16S rRNA gene NGS with publicly available paired-end raw sequencing data (NCBI SRA BioProject)Cross-sectional 16S rRNA sequencing studies reanalyzed from raw data (n=11)
TimingNot specifiedNot specified