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Epidemiology and Genomics Research Program

Infectious Agents and Cancer

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Danielle M. Carrick, PhD, MHS
Program Director, Genomic Epidemiology Branch
Biospecimen Research, Immunology and Inflammation Related to Cancer Risk
carrick@mail.nih.gov

Rao L . Divi, PhD
Program Director, Methods and Technologies Branch,
Technologies for low-resource settings
divir@mail.nih.gov

Tram Kim Lam, PhD, MPH
Branch Chief, Environmental Epidemiology Branch
Environmental Exposures, Health Disparities, Understudied Populations, Infection-related Cancers
lamt@mail.nih.gov

Vaurice L. Starks, BS
Program Director, Environmental Epidemiology Branch
HIV-related Malignancies Studies, HPV Infection and Associated Cancers, Virally-mediated Carcinogenesis
starksv@mail.nih.gov

Mukesh Verma, PhD
Program Director, Methods and Technologies Branch
Biomarkers, Epigenetics, Risk Assessments
vermam@mail.nih.gov

Overview

Based on the most recent data from GLOBOCAN, an estimated 2.3 million infection-attributable cancer cases were diagnosed in 2020. Additionally, there is some evidence suggesting that multiple infections (e.g., co-infection) may also play a significant role in cancer initiation, development, and progression. Our knowledge of the underlying mechanisms of cancer induction by infectious agents (either independently or in combination), interactions between the environment and host genetics, and potential roles of cofactors (known and unknown) is limited and warrants further elucidation. Moreover, technological advances have led to the discovery of previously unknown and unsuspected oncogenic infections in recent years, prompting the idea that additional infection-associated cancers might still be discovered.

Epidemiologic studies play important roles in answering both old and new questions, which augment current knowledge and open new areas of research in infectious agents and cancer. Understanding the role of infection in cancer may result in discoveries that lead to better diagnosis, prevention, treatment of cancers, and increased survival, particularly in countries with limited resources.

Global Infection-Related Data

Figure: An infographic of 2018 Global Infection-Related Data. For infections that attributed to cancer incidence, 90% of those were H. pylori, hepatitis B and C viruses, and human papillomaviruses. 2.2 million (12.2%) of new cancer cases were attributable to infections wordwide in 2018. Infection-attributable age-standardized incidence rates of 25.0 cases per 100,000 person years. In 2018, Helicobacter pylori is the most significant cause of cancer worldwide. Source: de Martel C, Georges D, Bray F, Ferlay J, Clifford GM (2020). Global burden of cancer attributable to infections in 2018: a worldwide incidence analysis. Lancet Glob Health. (free full text available) https://www.sciencedirect.com/science/article/pii/S2214109X19304887?via%3Dihub.

Funding Opportunities

NCI-sponsored notices of funding opportunities related to infectious diseases and risk of cancer include:

  • Epidemiologic Research on Emerging Risk Factors and Liver Cancer Susceptibility - expires May 8, 2025
  • Co-infection and Cancer
    • PAR-23-056 (R21) - expires November 17, 2025, unless reissued
    • PAR-25-082 (R01, Clinical Trial Not Allowed) - expires January 8, 2026, unless reissued
  • HIV-associated Non-Communicable Diseases Research at Low- and Middle-Income Country Institutions (R21 Clinical Trial Optional) – expires December 09, 2025
  • Interventions for Stigma Reduction to Improve HIV/AIDS Prevention, Treatment, and Care in Low- and Middle-Income Countries (R01, Clinical Trial Optional) – expires December 23, 2025
  • Notice of Special Interest (NOSI): Research on HIV-associated Malignancies – expires September 08, 2026

EGRP encourages investigator-initiated grant applications on infectious agents and cancer. EGRP joins with other NCI Divisions, Offices, and Centers and other Institutes and Centers at the National Institutes of Health (NIH) to fund grant applications submitted in response to funding opportunities.

View All Cancer Control Funding Opportunities

The NIH's National Institute of Allergy and Infectious Diseases (NIAID) and Fogarty International Center also contain information about research funding opportunities related to infectious agents.

Research Resources

  • NIAID Research Resources
    A compilation of scientific literature, laboratory and clinical research support and tools, and training opportunities.
  • NIH Common Fund Human Microbiome Project
    Provides links to research resources enabling comprehensive characterization of the human microbiota and analysis of their role in human health and disease.

Public Resources

EGRP-Supported Infectious Agents and Cancer Grants

EGRP-Supported Events

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