[HN Gopher] Oral Microbes Linked to 3-Fold Increased Risk of Pan...
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       Oral Microbes Linked to 3-Fold Increased Risk of Pancreatic Cancer
        
       Author : bmau5
       Score  : 31 points
       Date   : 2025-09-26 18:20 UTC (4 hours ago)
        
 (HTM) web link (nyulangone.org)
 (TXT) w3m dump (nyulangone.org)
        
       | johnea wrote:
       | To me the title of this article, and several points contained
       | within, where overly broad.
       | 
       | They give the impression that _having_ microbes in your mouth and
       | on your skin is a cancer risk, which is most definitely not the
       | case.
       | 
       | The connection between the microbiome and cancer and heart
       | disease is coming more to light. And the articles point that
       | certain microbes may contribute to cancer risk sounds like
       | another significant new finding.
       | 
       | But having a sterile environment in the mouth or on the skin is
       | certainly detrimental to health.
       | 
       | Like the gut microbiome, it's the content that counts, not
       | whether to have one or not...
        
         | ortusdux wrote:
         | The wording seems causational, while the data indicates a
         | correlation.
         | 
         | "Altogether, the entire group of microbes boosted participants'
         | chances of developing the cancer by more than threefold."
         | 
         | I feel like you would need a study that observes the effect of
         | introducing or remove these microbes from a population before
         | you can draw this conclusion.
        
         | blindriver wrote:
         | > But having a sterile environment in the mouth or on the skin
         | is certainly detrimental to health.
         | 
         | Can you point to a study that suggests this? I have no opinion
         | one way or another but making statements like this without any
         | backing is misinformation.
        
           | dham wrote:
           | Just like the gut you have to have the right bacteria. Not
           | none. This is a study on Psoriasis which is caused by
           | systematic inflamation.
           | 
           | https://pmc.ncbi.nlm.nih.gov/articles/PMC9076720/
        
           | ebolyen wrote:
           | It is the initial purpose of a microbiome to be at least
           | commensal, in that it is usually prohibitively expensive to
           | maintain a sterile environment so the odds of a true pathogen
           | colonizing a system is greatly reduced if you simply have a
           | crowded space of neutral participants.
           | 
           | Once that's true it does seem there's a lot of host and
           | microbiome interactions we've only begun to explore, but it
           | shouldn't be surprising that co-evolution of the microbiome
           | and host begins to take over as soon as you have one. One
           | great example is short-chain-fatty-acid (SCFA) producing
           | bacteria in the human gut. [1] These seem to be essential,
           | and if there was a general takeaway to improve health, it
           | would be to eat your roughage so they can do their job.
           | 
           | This is also why high alpha-diversity (community richness in
           | particular) is such a dead-ringer for healthy vs diseased
           | states. And frustratingly, is often exactly where the story
           | ends for a lot of observational studies.
           | 
           | Also, in case you are curious, artificially sterile mice
           | (gnotobiotic mice) tend to act differently than other mice,
           | which is pretty odd to be honest, and why the gut-brain axis
           | is a plausible mechanism to research further. [2]
           | 
           | [1]: https://pmc.ncbi.nlm.nih.gov/articles/PMC10180739/ [2]: 
           | https://www.sciencedirect.com/science/article/pii/S088915912.
           | ..
        
       | panabee wrote:
       | The association between pathogens and cancer is under-
       | appreciated, mostly due to limitations in detection methods.
       | 
       | For instance, it is not uncommon for cancer studies to design
       | assays around non-oncogenic strains, or for assays to use primer
       | sequences with binding sites mismatched to a large number of NCBI
       | GenBank genomes.
       | 
       | Another example: studies relying on The Cancer Genome Atlas
       | (TCGA), which is a rich database for cancer investigations.
       | However, the TCGA made a deliberate tradeoff to standardize
       | quantification of eukaryotic coding transcripts but at the cost
       | of excluding non-poly(A) transcripts like EBER1/2 and other viral
       | non-coding RNAs -- thus potentially understating viral presence.
       | 
       | Enjoy the rabbit hole. :)
        
       | pessimizer wrote:
       | The real question always is: assuming causation, if you
       | drastically improve the oral health of 1000 people, how many
       | would you save from pancreatic cancer? The answer to this
       | question in associative studies is very often in the single
       | figures, or lower (i.e. fractions of people.)
       | 
       | Anything to create an excuse to provide better dental care for
       | people, though. The chance of getting a gum infection that
       | spreads to your brain and/or goes septic is actually quite high.
        
       | layer8 wrote:
       | 1) I find numbers like "3-fold increased risk" a bit meaningless
       | without knowing the baseline risk.
       | 
       | 2) Here is an audio interview with one of the authors of the
       | study: https://edhub.ama-assn.org/jn-learning/audio-
       | player/19004027
        
       | dham wrote:
       | I've been saying what we actually need is universal dental care
       | vs universal health care for over 15 years. Giving out universal
       | health care without dental care is like changing the oil in a car
       | but failing to see the tires aren't even on.
       | 
       | I heard horror stories from my mom who worked in a periodontist
       | office (as receptionist) growing up. Really got me to care about
       | oral health early on. Health really starts at the mouth. If you
       | don't have a healthy mouth you'll never have a healthy body.
        
       | donperignon wrote:
       | Or maybe a compromised inmune system is what allow candida to
       | flourish...
        
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