Abstract

Humans harbor various microorganisms, some of which reside naturally in the body, and some of which are transferred from elsewhere. Many of these microbes are considered to be normal flora that do not cause disease, provided that they occur only in their normal anatomical site in the body. The development of malignant lesions requires a long incubation time, even after direct exposure to known carcinogens. Multistep tumorigenesis is required to transform a normal cell into a cancerous one. The role of different microbes in tumorigenesis has expanded to include their potential capacity to form and modulate several cancer hallmarks, including the alteration of the immune response, tumor-promoting inflammation, angiogenesis, tumor growth and proliferation, and pro-carcinogenic metabolite production. Furthermore, microbes may damage the host DNA and induce genomic instability. This review provides a basic overview of the process of tumorigenesis and the role of different microorganisms in cancer accuracy. Then this study discusses the different mechanisms of tumor induction by viruses, bacteria, protozoa, and fungi. Finally, it highlights the necessary health precautions that need to be taken to prevent the development of cancers.

Highlights

  • Cancer is one of the most common diseases worldwide

  • The current review provides a straightforward overview of oncogenic microorganisms and the process of tumorigenesis

  • Most of the emphasis has been on viruses due to their direct influence on human genes and bacteria, which causes chronic inflammation leading to cancer

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Summary

Introduction

Cancer is one of the most common diseases worldwide. It is the result of the uncontrolled growth of abnormal cells due to genetic mutations. Most of the emphasis has been on viruses due to their direct influence on human genes 23 and bacteria, which causes chronic inflammation leading to cancer 24. Vescovo et al (2016) 57 studied the molecular mechanisms of human hepatitis C virus and reported that HCC is a multistep process that leads to malignant transformation.

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