The study, led by researchers who have tracked the link between infections and cancer for nearly thirty years, is the latest in a series of global estimates. Earlier analyses reported higher proportions, including 18% in 2002, but the authors caution that improvements in data quality make such comparisons unreliable. Instead, the study aims to highlight opportunities for cancer prevention through infection control.
Infections can cause cancer through several biological pathways. Viruses can disable a cell's self-destruction mechanism or its ability to stop dividing, for instance by inactivating the TP53 or RB proteins. This can allow infected cells to grow uncontrollably and eventually become cancerous. The five pathogens highlighted in the study are associated with more than 20 different cancer types, including stomach, liver, cervical and blood cancers.
The findings underscore that a substantial fraction of the global cancer burden may be preventable. Vaccination against HPV and hepatitis B, screening and treatment for H. pylori infection, and improved sanitation are among the measures that could reduce future cancer rates.