Abstract
Microbes within tumors have been recognized and experimentally related to oncogenesis, tumor growth, metastasis and therapeutic responsiveness. Studying the tumor microbiome presents difficulties, as early indications suggest that microbe populations are low in abundance, sparse and highly heterogeneous. Disparate results from computational profiling of the tumor microbiome have cast doubt on the premise of microbes in tumors. Yet decades of experimental evidence support the presence of tumor microbes, at least in a limited number of tumor types. In this Perspective, we discuss the importance of iteratively improving microbe-targeted sequencing techniques, established analytical pipelines, robust computational tools and solid validations to address current challenges and fill existing knowledge gaps. The vast amount of human tumor sequencing data available could greatly enhance systematic investigations of microbiome–tumor interactions with methods to quantify the composition of the tumor microbiome accurately.
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References
Duong, M. T.-Q., Qin, Y., You, S.-H. & Min, J.-J. Bacteria–cancer interactions: bacteria-based cancer therapy. Exp. Mol. Med. 51, 1–15 (2019).
Fu, A. et al. Tumor-resident intracellular microbiota promotes metastatic colonization in breast cancer. Cell 185, 1356–1372 (2022).
Xavier, J. B. et al. The cancer microbiome: distinguishing direct and indirect effects requires a systemic view. Trends Cancer 6, 192–204 (2020).
Gopalakrishnan, V. et al. Gut microbiome modulates response to anti-PD-1 immunotherapy in melanoma patients. Science 359, 97–103 (2018).
Gopalakrishnan, V., Helmink, B. A., Spencer, C. N., Reuben, A. & Wargo, J. A. The influence of the gut microbiome on cancer, immunity, and cancer immunotherapy. Cancer Cell 33, 570–580 (2018).
Bullman, S. et al. Analysis of Fusobacterium persistence and antibiotic response in colorectal cancer. Science 358, 1443–1448 (2017). This work revealed the functional role of F. nucleatum in colorectal cancer and its interaction with cancer cells in liver metastases and demonstrated its potential as a therapeutic target in preclinical models.
Nejman, D. et al. The human tumor microbiome is composed of tumor type-specific intracellular bacteria. Science 368, 973–980 (2020). This is a comprehensive microbiome analysis of tumors and adjacent normal tissues across seven cancer types using 16S rRNA sequencing. It provides strong evidence for the presence and distinct composition of microbiomes within each cancer type. It also offers a strategy for addressing laboratory-associated contamination, an important challenge in microbiome research.
Galeano Niño, J. L. et al. Effect of the intratumoral microbiota on spatial and cellular heterogeneity in cancer. Nature 611, 810–817 (2022). This work presents host–microbe interactions at both spatial and cellular resolution, revealing the heterogeneous distribution of microbiota in tissue regions. The INVADE-seq technology enables the detection of microbe-associated host cells and has uncovered functional impacts on cancer progression. These findings advance understanding of the role of the tumor microbiota and highlight potential molecular and cellular targets for cancer prevention and therapy.
Lee, C. H. et al. Salmonella induce autophagy in melanoma by the downregulation of AKT/mTOR pathway. Gene Ther. 21, 309–316 (2014).
Schorr, L., Mathies, M., Elinav, E. & Puschhof, J. Intracellular bacteria in cancer—prospects and debates. NPJ Biofilms Microbiomes 9, 76 (2023).
Poore, G. D. et al. Microbiome analyses of blood and tissues suggest cancer diagnostic approach. Nature 579, 567–574 (2020); retraction 631, 694 (2024).
Dohlman, A. B. et al. The Cancer Microbiome Atlas: a pan-cancer comparative analysis to distinguish tissue-resident microbiota from contaminants. Cell Host Microbe 29, 281–298 (2021).
Chen, S. et al. Cancer type classification using plasma cell-free RNAs derived from human and microbes. eLife 11, e75181 (2022).
Zhu, G. et al. Intratumour microbiome associated with the infiltration of cytotoxic CD8+ T cells and patient survival in cutaneous melanoma. Eur. J. Cancer 151, 25–34 (2021).
Chen, C. et al. Pan-cancer analysis of microbiome quantitative trait loci. Cancer Res. 82, 3449–3456 (2022).
Luo, M. et al. Race is a key determinant of the human intratumor microbiome. Cancer Cell 40, 901–902 (2022).
Mao, A. W. et al. Identification of a novel cancer microbiome signature for predicting prognosis of human breast cancer patients. Clin. Transl. Oncol. 24, 597–604 (2022).
Gihawi, A. et al. Major data analysis errors invalidate cancer microbiome findings. mBio 14, e01607-23 (2023). This study reanalyzed data from a large-scale project about microbial signatures across 33 cancer types and revealed critical issues in the computational pipeline, including genome contamination and artifacts introduced by normalization. This work raised important concerns about the reliability of tumor microbiome signals extracted from host sequencing data and prompted methodological improvements in the field.
Zimmer, C. A new approach to spotting tumors: look for their microbes. The New York Times (29 September 2022).
Zimmer, C. Researchers dispute high-profile discoveries of cancer microbes. The New York Times (25 August 2023).
Poore, G. D. et al. Retraction: Microbiome analyses of blood and tissues suggest cancer diagnostic approach. Nature 631, 694 (2024).
Scott, A. J. et al. International Cancer Microbiome Consortium consensus statement on the role of the human microbiome in carcinogenesis. Gut 68, 1624–1632 (2019).
Ciernikova, S., Sevcikova, A., Stevurkova, V. & Mego, M. Tumor microbiome — an integral part of the tumor microenvironment. Front. Oncol. 12, 1063100 (2022).
Qiao, H. et al. Association of intratumoral microbiota with prognosis in patients with nasopharyngeal carcinoma from 2 hospitals in China. JAMA Oncol. 8, 1301–1309 (2022).
Li, L., Chandra, V. & McAllister, F. Tumor-resident microbes: the new kids on the microenvironment block. Trends Cancer 10, 347–355 (2024).
Shi, Y., Guo, Z., Wang, Q. & Deng, H. Prognostic value of tumor-infiltrating lymphocyte subtypes and microorganisms in triple-negative breast cancer. J. Cancer Res. Ther. 20, 1983–1990 (2024).
Bouvard, V. et al. A review of human carcinogens—part B: biological agents. Lancet Oncol. 10, 321–322 (2009).
Li, Y. et al. Identification of HPV oncogene and host cell differentiation associated cellular heterogeneity in cervical cancer via single-cell transcriptomic analysis. J. Med. Virol. 95, e29060 (2023).
Pathmanathan, R., Prasad, U., Sadler, R., Flynn, K. & Raab-Traub, N. Clonal proliferations of cells infected with Epstein–Barr virus in preinvasive lesions related to nasopharyngeal carcinoma. N. Engl. J. Med. 333, 693–698 (1995).
Battaglia, T. W. et al. A pan-cancer analysis of the microbiome in metastatic cancer. Cell 187, 2324–2335 (2024). This work presented the first pan-cancer analysis of the microbiome in metastatic cancers and compared two microbiome mapping pipelines, providing insights into tool selection for host–microbiome analyses in tumor tissue.
Urbaniak, C. et al. The microbiota of breast tissue and its association with breast cancer. Appl. Environ. Microbiol. 82, 5039–5048 (2016).
Spiegelhauer, M. R. et al. Transient and persistent gastric microbiome: adherence of bacteria in gastric cancer and dyspeptic patient biopsies after washing. J. Clin. Med. 9, 1882 (2020).
Riquelme, E. et al. Tumor microbiome diversity and composition influence pancreatic cancer outcomes. Cell 178, 795–806 (2019).
Greathouse, K. L. et al. Interaction between the microbiome and TP53 in human lung cancer. Genome Biol. 19, 123 (2018).
Qu, D. et al. Intratumoral microbiome of human primary liver cancer. Hepatol. Commun. 6, 1741–1752 (2022).
Narunsky-Haziza, L. et al. Pan-cancer analyses reveal cancer-type-specific fungal ecologies and bacteriome interactions. Cell 185, 3789–3806 (2022). This study presents the first comprehensive analysis of cancer-associated fungi across 35 cancer types, incorporating rigorous controls for environmental and processing-related contamination. It reveals associations between specific fungal taxa and clinical outcomes.
Yow, M. A. et al. Characterisation of microbial communities within aggressive prostate cancer tissues. Infect. Agent Cancer 12, 4 (2017).
Rogers, D. E. Host mechanisms which act to remove bacteria from the blood stream. Bacteriol. Rev. 24, 50–66 (1960).
Schlein, R. A., Kudlick, E. M., Reindorf, C. A., Gregory, J. & Royal, G. C. Toothbrushing and transient bacteremia in patients undergoing orthodontic treatment. Am. J. Orthod. Dentofacial Orthop. 99, 466–472 (1991).
Ha, C. W. Y. et al. Translocation of viable gut microbiota to mesenteric adipose drives formation of creeping fat in humans. Cell 183, 666–683 (2020).
Yang, Y. et al. Within-host evolution of a gut pathobiont facilitates liver translocation. Nature 607, 563–570 (2022).
Nagy, J. A., Chang, S. H., Dvorak, A. M. & Dvorak, H. F. Why are tumour blood vessels abnormal and why is it important to know? Br. J. Cancer 100, 865–869 (2009).
Berg, R. D. & Garlington, A. W. Translocation of certain indigenous bacteria from the gastrointestinal tract to the mesenteric lymph nodes and other organs in a gnotobiotic mouse model. Infect. Immun. 23, 403–411 (1979).
Bender, M. J. et al. Dietary tryptophan metabolite released by intratumoral Lactobacillus reuteri facilitates immune checkpoint inhibitor treatment. Cell 186, 1846–1862 (2023).
Pushalkar, S. et al. The pancreatic cancer microbiome promotes oncogenesis by induction of innate and adaptive immune suppression. Cancer Discov. 8, 403–416 (2018).
Geller, L. T. et al. Potential role of intratumor bacteria in mediating tumor resistance to the chemotherapeutic drug gemcitabine. Science 357, 1156–1160 (2017).
Pawelek, J. M., Low, K. B. & Bermudes, D. Tumor-targeted Salmonella as a novel anticancer vector. Cancer Res. 57, 4537–4544 (1997).
Ganai, S., Arenas, R. B., Sauer, J. P., Bentley, B. & Forbes, N. S. In tumors Salmonella migrate away from vasculature toward the transition zone and induce apoptosis. Cancer Gene Ther. 18, 457–466 (2011).
Saccheri, F. et al. Bacteria-induced gap junctions in tumors favor antigen cross-presentation and antitumor immunity. Sci. Transl. Med. 2, 44ra57 (2010).
Yu, Y. A. et al. Visualization of tumors and metastases in live animals with bacteria and vaccinia virus encoding light-emitting proteins. Nat. Biotechnol. 22, 313–320 (2004).
Malmgren, R. A. & Flanigan, C. C. Localization of the vegetative form of Clostridium tetani in mouse tumors following intravenous spore administration. Cancer Res. 15, 473–478 (1955).
Kohwi, Y., Imai, K., Tamura, Z. & Hashimoto, Y. Antitumor effect of Bifidobacterium infantis in mice. Gan 69, 613–618 (1978).
Kasinskas, R. W. & Forbes, N. S. Salmonella typhimurium lacking ribose chemoreceptors localize in tumor quiescence and induce apoptosis. Cancer Res. 67, 3201–3209 (2007).
Marini, R. P. et al. Persistent infection of rhesus monkeys with ‘Helicobacter macacae’ and its isolation from an animal with intestinal adenocarcinoma. J. Med. Microbiol. 59, 961–969 (2010).
Lertpiriyapong, K. et al. Pathogenic properties of enterohepatic Helicobacter spp. isolated from rhesus macaques with intestinal adenocarcinoma. J. Med. Microbiol. 63, 1004–1016 (2014).
Vincent, R. L. et al. Probiotic-guided CAR-T cells for solid tumor targeting. Science 382, 211–218 (2023).
Toso, J. F. et al. Phase I study of the intravenous administration of attenuated Salmonella typhimurium to patients with metastatic melanoma. J. Clin. Oncol. 20, 142–152 (2002).
Ma, Y., Chen, T., Sun, T., Dilimulati, D. & Xiao, Y. The oncomicrobiome: new insights into microorganisms in cancer. Microb. Pathog. 197, 107091 (2024).
Panzer, J. J. et al. Is there a placental microbiota? A critical review and re-analysis of published placental microbiota datasets. BMC Microbiol. 23, 76 (2023).
Fletcher, A. A., Kelly, M. S., Eckhoff, A. M. & Allen, P. J. Revisiting the intrinsic mycobiome in pancreatic cancer. Nature 620, E1–E6 (2023).
Wong-Rolle, A. et al. Spatial meta-transcriptomics reveal associations of intratumor bacteria burden with lung cancer cells showing a distinct oncogenic signature. J. Immunother. Cancer 10, e004698 (2022).
Bullman, S. The intratumoral microbiota: from microniches to single cells. Cell 186, 1532–1534 (2023).
Lötstedt, B., Stražar, M., Xavier, R., Regev, A. & Vickovic, S. Spatial host–microbiome sequencing reveals niches in the mouse gut. Nat. Biotechnol. 42, 1394–1403 (2023). This study developed a novel spatial sequencing method to simultaneously profile host and microbial transcripts, enabling the visualization of microbial signals within tissue niches and providing spatial signatures for microbiome research.
Zhu, B. et al. A multi-omics spatial framework for host–microbiome dissection within the intestinal tissue microenvironment. Nat. Commun. 16, 1230 (2025).
Ntekas, I. et al. High resolution spatial mapping of microbiome-host interactions via in situ polyadenylation and spatial RNA sequencing. Preprint at bioRxiv https://doi.org/10.1101/2024.11.18.624127 (2024).
Westermann, A. J., Barquist, L. & Vogel, J. Resolving host–pathogen interactions by dual RNA-seq. PLoS Pathog. 13, e1006033 (2017).
Petrick, J. L. et al. The oral microbiome in relation to pancreatic cancer risk in African Americans. Br. J. Cancer 126, 287–296 (2022).
Wang, C. et al. A bioinformatics tool for identifying intratumoral microbes from the ORIEN dataset. Cancer Res. Commun. 4, 293–302 (2024). This work proposes the first transformer-based deep learning tool for identifying cancer-associated tumor microbiomes using data from the ORIEN consortium. It is a user-friendly Python tool offering multiple functionalities for association interpretations and visualizations of tumor microbiome data.
Ma, S. et al. Population structure discovery in meta-analyzed microbial communities and inflammatory bowel disease using MMUPHin. Genome Biol. 23, 208 (2022).
Wang, Y. & Lê Cao, K. A. PLSDA-batch: a multivariate framework to correct for batch effects in microbiome data. Brief. Bioinform. 24, bbac622 (2023).
Ling, W. et al. Batch effects removal for microbiome data via conditional quantile regression. Nat. Commun. 13, 5418 (2022).
Gürsoy, G. et al. Data sanitization to reduce private information leakage from functional genomics. Cell 183, 905–917 (2020).
Tryka, K. A. et al. NCBI’s Database of Genotypes and Phenotypes: dbGaP. Nucleic Acids Res. 42, D975–D979 (2014).
Tomofuji, Y. et al. Reconstruction of the personal information from human genome reads in gut metagenome sequencing data. Nat. Microbiol. 8, 1079–1094 (2023).
Salter, S. J. et al. Reagent and laboratory contamination can critically impact sequence-based microbiome analyses. BMC Biol. 12, 87 (2014). This study highlighted the critical impact of contamination from reagents and laboratory environments on microbiome sequencing, particularly in low-biomass samples. This study remains foundational in setting quality standards for contamination control.
Hoyd, R. et al. Exogenous sequences in tumors and immune cells (Exotic): a tool for estimating the microbe abundances in tumor RNA-seq data. Cancer Res. Commun. 3, 2375–2385 (2023). This study introduced the first comprehensive tool for quantifying microbiomes from tumor bulk RNA-seq data. When it was applied to the large-scale, independent cancer consortium dataset ORIEN, the tool revealed novel associations between the tumor microbiome and clinical variables.
Davis, N. M., Proctor, D. M., Holmes, S. P., Relman, D. A. & Callahan, B. J. Simple statistical identification and removal of contaminant sequences in marker-gene and metagenomics data. Microbiome 6, 226 (2018).
Dohlman, A. B. et al. A pan-cancer mycobiome analysis reveals fungal involvement in gastrointestinal and lung tumors. Cell 185, 3807–3822 (2022).
Rozowsky, J. et al. exceRpt: a comprehensive analytic platform for extracellular RNA profiling. Cell Syst. 8, 352–357 (2019).
Walker, M. A. et al. GATK PathSeq: a customizable computational tool for the discovery and identification of microbial sequences in libraries from eukaryotic hosts. Bioinformatics 34, 4287–4289 (2018).
Kutuzova, S., Nielsen, M., Piera, P., Nissen, J. N. & Rasmussen, S. Taxometer: improving taxonomic classification of metagenomics contigs. Nat. Commun. 15, 8357 (2024).
Sepich-Poore, G. D. et al. Robustness of cancer microbiome signals over a broad range of methodological variation. Oncogene 43, 1127–1148 (2024).
Goig, G. A., Blanco, S., Garcia-Basteiro, A. L. & Comas, I. Contaminant DNA in bacterial sequencing experiments is a major source of false genetic variability. BMC Biol. 18, 24 (2020).
Breitwieser, F. P., Pertea, M., Zimin, A. V. & Salzberg, S. L. Human contamination in bacterial genomes has created thousands of spurious proteins. Genome Res. 29, 954–960 (2019).
Steinegger, M. & Salzberg, S. L. Terminating contamination: large-scale search identifies more than 2,000,000 contaminated entries in GenBank. Genome Biol. 21, 115 (2020).
Ghaddar, B. et al. Tumor microbiome links cellular programs and immunity in pancreatic cancer. Cancer Cell 40, 1240–1253 (2022).
Wang, Q. et al. Computational methods and challenges in analyzing intratumoral microbiome data. Trends Microbiol. 31, 707–722 (2023).
Liu, Z. et al. An explainable graph neural framework to identify cancer-associated intratumoral microbial communities. Adv. Sci. 11, e2403393 (2024).
Muller, E., Shiryan, I. & Borenstein, E. Multi-omic integration of microbiome data for identifying disease-associated modules. Nat. Commun. 15, 2621 (2024).
Yang, C. Y. et al. Oral microbiota community dynamics associated with oral squamous cell carcinoma staging. Front. Microbiol. 9, 862 (2018).
Bi, X., Wang, J. & Liu, C. Intratumoral microbiota: metabolic influences and biomarker potential in gastrointestinal cancer. Biomolecules 14, 917 (2024).
Lyu, L. et al. Simultaneous profiling of host expression and microbial abundance by spatial metatranscriptome sequencing. Genome Res. 33, 401–411 (2023).
Hezaveh, K. et al. Tryptophan-derived microbial metabolites activate the aryl hydrocarbon receptor in tumor-associated macrophages to suppress anti-tumor immunity. Immunity 55, 324–340 (2022).
Canene-Adams, K. In Methods in Enzymology Vol. 533 (ed. Lorsch, J.) 225–233 (Academic, 2013).
Cao, Y. et al. Intratumoural microbiota: a new frontier in cancer development and therapy. Signal Transduct. Target. Ther. 9, 15 (2024).
Yu, T. et al. Fusobacterium nucleatum promotes chemoresistance to colorectal cancer by modulating autophagy. Cell 170, 548–563 (2017).
Gao, Y. et al. Fusobacterium nucleatum enhances the efficacy of PD-L1 blockade in colorectal cancer. Signal Transduct. Target. Ther. 6, 398 (2021).
Acknowledgements
Q.M. is supported by NIH R01GM152585 and P01AI177687. Z.L. is supported by the NIH (P01CA278732). D.S. is supported by the NIH (K01AG070310, R01CA248741 and R21CA294050), an American Lung Association Innovator Award (1046611) and an American Cancer Society Research Scholar Award (RSG-23-1023205). S.D. is supported in part by the NIH (R35GM149224, R01GM129066 and P01CA250957) and a New Jersey Commission for Cancer Research grant (COCR25RBG003). S.J. is supported by NIH DP2AI171139, R01AI149672 and U24CA224331, the Gilead’s Research Scholars Program in Hematologic Malignancies, the Bill & Melinda Gates Foundation (INV-002704), a Broad Next Generation Award, the Dye Family Foundation and the Bridge Project, a partnership between the Koch Institute for Integrative Cancer Research at MIT and the Dana-Farber/Harvard Cancer Center. This work was also supported by the Pelotonia Institute of Immuno-Oncology. The content is solely the responsibility of the authors and does not necessarily represent the official views of the Pelotonia Institute of Immuno-Oncology or the NIH. We extend our gratitude to C. Zimmer for his outstanding series of articles and interviews on cancer microbes, which were published in the New York Times. We also thank G. Gürsoy for sharing thoughts about their work in data sanitization and for pointing out the critical paper.
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Q.M. and D.S. conceptualized the work. Y.L. researched literature and data. Y.L. and A.M. wrote the original draft and created the figures. E.J., C.E., S.D., S.J. and Z.L. critically revised the manuscript. Y.L., A.M., D.S. and Q.M. finalized the manuscript.
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S.J. is a cofounder of Elucidate Bio, serves on its board of directors and scientific advisory board and has received research support from Roche and Novartis. The other authors declare no competing interests.
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Li, Y., Ma, A., Johnson, E. et al. The new microbiome on the block: challenges and opportunities of using human tumor sequencing data to study microbes. Nat Methods 22, 1788–1799 (2025). https://doi.org/10.1038/s41592-025-02807-y
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DOI: https://doi.org/10.1038/s41592-025-02807-y
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