@article{87508c985dca41a3b886f5c9ced55699,
title = "Pan-cancer analyses reveal cancer-type-specific fungal ecologies and bacteriome interactions",
abstract = "Cancer-microbe associations have been explored for centuries, but cancer-associated fungi have rarely been examined. Here, we comprehensively characterize the cancer mycobiome within 17,401 patient tissue, blood, and plasma samples across 35 cancer types in four independent cohorts. We report fungal DNA and cells at low abundances across many major human cancers, with differences in community compositions that differ among cancer types, even when accounting for technical background. Fungal histological staining of tissue microarrays supported intratumoral presence and frequent spatial association with cancer cells and macrophages. Comparing intratumoral fungal communities with matched bacteriomes and immunomes revealed co-occurring bi-domain ecologies, often with permissive, rather than competitive, microenvironments and distinct immune responses. Clinically focused assessments suggested prognostic and diagnostic capacities of the tissue and plasma mycobiomes, even in stage I cancers, and synergistic predictive performance with bacteriomes.",
keywords = "biomarkers, cancer, fungi, liquid biopsy, metagenomics, metatranscriptomics, microbial interactions, tumor microbiome, tumor mycobiome",
author = "Lian Narunsky-Haziza and Sepich-Poore, {Gregory D.} and Ilana Livyatan and Omer Asraf and Cameron Martino and Deborah Nejman and Nancy Gavert and Stajich, {Jason E.} and Guy Amit and Antonio Gonz{\'a}lez and Stephen Wandro and Gili Perry and Ruthie Ariel and Arnon Meltser and Shaffer, {Justin P.} and Qiyun Zhu and Nora Balint-Lahat and Iris Barshack and Maya Dadiani and Gal-Yam, {Einav N.} and Patel, {Sandip Pravin} and Amir Bashan and Swafford, {Austin D.} and Yitzhak Pilpel and Rob Knight and Ravid Straussman",
note = "Publisher Copyright: {\textcopyright} 2022 The Authors",
year = "2022",
month = sep,
day = "29",
doi = "10.1016/j.cell.2022.09.005",
language = "אנגלית",
volume = "185",
pages = "3789--3806.e17",
journal = "Cell",
issn = "0092-8674",
publisher = "Elsevier B.V.",
number = "20",
}