Dr. S Naegele studies how to use blood tests to detect cancers caused by the human papillomavirus (HPV), especially in the throat and neck area. Their research includes developing methods that can identify cancer years before symptoms appear, making it easier to treat. For instance, they’ve worked on tests that can find tiny amounts of cancer DNA in the blood after surgery, helping doctors determine which patients might need further treatment. By improving these detection techniques, their work provides hope for saving lives through earlier intervention.
Key findings
A blood test detected HPV-associated oropharyngeal cancer up to 10 years before a clinical diagnosis.
Patients with detectable HPV DNA in their blood after head and neck tumor surgery had a 60% cancer-free survival rate over 2 years, compared to 100% for those without detectable DNA.
A new genetic sequencing test identified 98.7% of HPV-related head and neck cancers early while avoiding false positives, outperforming four other blood tests.
A blood screening method accurately identified about 79% of patients who would go on to develop HPV-related throat cancers up to 10 years earlier than traditional methods.
Monitoring HPV DNA levels in blood is complicated by the potential for patients to develop new cancers, which may affect treatment decisions.
Frequently asked questions
Does Dr. Naegele study throat cancers?
Yes, Dr. Naegele focuses on throat cancers associated with HPV and develops tests to detect them early.
What treatments has Dr. Naegele researched?
Dr. Naegele's work mainly involves early detection and monitoring through blood tests, rather than direct treatment methods.
Is Dr. Naegele's work relevant to HPV patients?
Absolutely, their research is specifically aimed at improving outcomes for patients with HPV-related cancers, providing critical information for early diagnosis.
How effective are Dr. Naegele's blood tests?
Their tests have shown high accuracy, with some detecting cancers up to 10 years before diagnosis and achieving a success rate of 98.7% in identifying cases.
Can Dr. Naegele's research help prevent cancer?
While their work focuses on detection, early identification can lead to timely treatment, which is essential in preventing cancer from becoming more serious.
Publications in plain English
Circulating tumor human papillomavirus DNA whole genome sequencing enables human papillomavirus-associated oropharynx cancer early detection.
2026
Journal of the National Cancer Institute
Das D, Hirayama S, Aye L, Bryan ME, Naegele S +14 more
Plain English Researchers developed a blood test that detects HPV cancer DNA years before oropharyngeal cancer (a common throat cancer) develops, finding the virus DNA in 79% of patient blood samples taken up to 7.8 years before diagnosis, while showing no false positives in healthy people. Using advanced computer analysis, they improved the test to detect the cancer signal in 96% of cases up to 10 years before symptoms appear. This discovery could enable doctors to catch this aggressive cancer much earlier, when treatment is more likely to succeed and causes less harm.
Septins function in exocytosis via physical interactions with the exocyst complex in fission yeast cytokinesis.
2025
bioRxiv : the preprint server for biology
Singh D, Liu Y, Zhu YH, Zhang S, Naegele SM +1 more
Plain English This study looked at how septins, a type of protein, work with the exocyst complex during cell division in fission yeast. The researchers found that without septins, the exocyst does not properly position itself at the cell division site, which delays the separation of the new cells. Specifically, they identified six key interactions between septins and the exocyst that help ensure timely cell division.
Who this helps: This helps researchers and scientists studying cell division and related diseases.
Septins function in exocytosis via physical interactions with the exocyst complex in fission yeast cytokinesis.
2025
eLife
Singh D, Liu Y, Zhu YH, Zhang S, Naegele SM +1 more
Plain English This study examined how septins, a type of protein, work with the exocyst complex—a group of proteins crucial for cell division in fission yeast. Researchers found that when septins were absent, the exocyst didn’t stay in the right place, causing delays in cell separation; specifically, they identified six pairs of interactions between septin and exocyst proteins that support this process. Understanding how these proteins interact is important because it helps clarify the mechanisms behind cell division, which can have implications for understanding cell function in health and disease.
Who this helps: This helps researchers and doctors.
Direct Comparison of Alternative Blood-Based Approaches for Early Detection and Diagnosis of HPV-Associated Head and Neck Cancers.
2025
Clinical cancer research : an official journal of the American Association for Cancer Research
Bryan ME, Aye L, Das D, Hirayama S, Al-Inaya Y +29 more
Plain English Researchers developed a new blood test using advanced DNA sequencing to detect HPV-associated head and neck cancers early, before symptoms appear, and compared it to three other blood-based detection methods. The new sequencing test detected cancer 98.7% of the time it was present and correctly identified healthy people 98.7% of the time—significantly better than existing blood tests. This breakthrough matters because HPV-related head and neck cancers are becoming more common, yet doctors currently have no way to catch them early when treatment is most effective.
Clinical validation of an HPV whole genome sequencing assay for molecular residual disease detection in HPV-associated head and neck cancer patients treated with surgery.
2025
medRxiv : the preprint server for health sciences
Hirayama S, Al-Inaya Y, Bryan ME, Das D, Aye L +19 more
Plain English Researchers developed a highly sensitive blood test that detects tiny amounts of HPV cancer DNA left in patients after surgery for HPV-related head and neck cancer. They found that patients whose blood still contained this cancer DNA had much worse outcomes—only 60% stayed cancer-free for 2 years compared to 100% of patients with no detectable DNA—and this blood test was better at predicting who would relapse than current methods doctors use.
The test could also spot cancer coming back up to 17 months before it shows up on scans or causes symptoms, giving doctors an early warning system to decide whether patients need additional treatment like chemotherapy or radiation.
Circulating Tumor DNA in the Immediate Postoperative Setting.
2024
Annals of surgical oncology
Efthymiou V, Queenan N, Haas M, Naegele S, Goss D +1 more
Plain English This study looked at the presence of circulating tumor DNA (ctDNA) in patients right after surgery to see if it can predict cancer recurrence. Researchers found that in the eight studies analyzed, patients with detectable ctDNA right after surgery had a higher chance of their cancer returning, regardless of the cancer type. This is important because it suggests that checking for ctDNA soon after surgery can help doctors make better treatment decisions earlier on.
Who this helps: This helps patients and doctors by providing critical information for treatment planning.
Assessing the feasibility of a multimodal liquid biopsy for the diagnosis of HPV-associated oropharyngeal squamous cell carcinoma.
2024
American journal of clinical pathology
Lewis JS, Naegele S, Efthymiou V, Mehrad M, Ely KA +6 more
Plain English The study looked at two tests to help diagnose HPV-related throat cancer: one that checks for HPV DNA in the blood and another that looks for antibodies against HPV proteins. Out of 75 patients, 67 had HPV-associated cancer, with 79% testing positive for antibodies and 89% for HPV DNA. Combining these tests significantly improved the chances of correctly diagnosing the cancer, making it easier for doctors to identify and treat patients early.
Who this helps: This benefits patients with throat cancer and their doctors by providing more accurate diagnostic options.
ctDNA predicts recurrence and survival in stage I and II HPV-associated head and neck cancer patients treated with surgery.
2024
medRxiv : the preprint server for health sciences
Naegele S, Das D, Hirayama S, Shalhout SZ, Lee H +2 more
Plain English This study examined how the presence of tumor DNA in the blood predicts whether patients with early-stage throat cancer related to HPV will experience cancer recurrence or survive after surgery. The researchers found that patients who had detectable tumor DNA (MRD) after their treatment were more likely to see their cancer come back, while those without it had a better outlook. Specifically, while overall survival rates for the two groups were similar, the time until death was noticeably different, indicating that this detection method could influence long-term outcomes.
Who this helps: Patients with HPV-related throat cancer and their doctors.
Comparing the Diagnostic Performance of Quantitative PCR, Digital Droplet PCR, and Next-Generation Sequencing Liquid Biopsies for Human Papillomavirus-Associated Cancers.
2024
The Journal of molecular diagnostics : JMD
Naegele S, Ruiz-Torres DA, Zhao Y, Goss D, Faden DL
Plain English This study looked at different methods for detecting genetic material from human papillomavirus (HPV) in the blood of patients with HPV-related cancers, specifically throat, cervical, and anal cancers. The researchers found that next-generation sequencing (NGS) was the most effective at detecting this genetic material, while digital droplet PCR (ddPCR) was also good, but less so than NGS. This matters because using the right detection method can lead to better diagnosis and treatment for patients with these cancers.
Who this helps: This benefits patients with HPV-related cancers and their doctors by providing more accurate testing options.
Immunotherapy time of infusion impacts survival in head and neck cancer: A propensity score matched analysis.
2024
Oral oncology
Ruiz-Torres DA, Naegele S, Podury A, Wirth L, Shalhout SZ +1 more
Plain English This study examined how the timing of immunotherapy infusions affects the survival rates of patients with head and neck cancer. The researchers found that for every 20% increase in infusions given after 3 PM, patients experienced a 35% higher risk of death and a 34% higher risk of cancer progression. This indicates that receiving immunotherapy earlier in the day could lead to better outcomes for patients.
Who this helps: This helps patients with head and neck cancer and their doctors.
Das D, Hirayama S, Aye L, Bryan ME, Naegele S +13 more
Plain English Researchers developed a blood test that can detect a common cancer caused by HPV (the virus linked to cervical cancer) years before symptoms appear—up to 10 years early in some cases. The test works by finding tiny pieces of HPV DNA floating in the bloodstream, which the cancer releases long before the disease becomes noticeable.
When they tested blood samples taken years before patients were actually diagnosed with cancer, the test caught 79% of future cancer cases while giving zero false alarms in healthy people. Using artificial intelligence to analyze the blood samples improved detection even further, catching 96% of cases.
This matters because unlike cervical cancer, there's currently no screening test for this type of HPV-related throat cancer—the most common HPV cancer in America. A blood test that finds it a decade early could save lives by catching cancer when it's easiest to treat.
circulating tumor DNA in the immediate post-operative setting.
2023
medRxiv : the preprint server for health sciences
Efthymiou V, Queenan N, Haas M, Naegele S, Goss D +1 more
Plain English This study looked at how circulating tumor DNA (ctDNA) levels right after surgery can indicate the risk of cancer coming back. Researchers found that in patients with six types of cancer, those who tested positive for ctDNA within three days post-surgery were at a higher risk of recurrence. This matters because it shows that checking ctDNA soon after surgery can help guide future treatment decisions.
Who this helps: Patients recovering from cancer surgery.
Double trouble: Synchronous and metachronous primaries confound ctHPVDNA monitoring.
2023
Head & neck
Naegele S, Efthymiou V, Hirayama S, Zhao BY, Das D +4 more
Plain English Researchers tracked blood tests that measure HPV DNA in two throat cancer patients to monitor their disease during and after treatment. Both patients unexpectedly developed a second separate HPV-related cancer while being treated for their first one, which made the blood test results confusing because the test couldn't tell which cancer the detected DNA was coming from.
This matters because as doctors increasingly use this blood test to catch cancer recurrence early, they need to know that rising levels don't always mean the original cancer is coming back—a patient might have developed a completely new cancer instead, which requires different treatment decisions.
Development of a 51-hospital Chicagoland regional antibiogram and comparison to local hospital and national surveillance data.
2020
Infection control and hospital epidemiology
Butler DA, Biagi M, Gupta V, Wieczorkiewicz S, Young L +14 more
Plain English This study created a detailed report on antibiotic resistance patterns in the Chicago area by analyzing data from 51 hospitals for the year 2017. Researchers found that the regional report included 167,394 samples, with 96% of local hospitals having similar resistance patterns, and it highlighted that some bacteria were becoming more resistant compared to national data. This is important because it gives doctors a clearer picture of local resistance trends, helping them choose the right antibiotics for their patients.
Who this helps: Patients and doctors in the Chicagoland area.
The F-BAR Domain of Rga7 Relies on a Cooperative Mechanism of Membrane Binding with a Partner Protein during Fission Yeast Cytokinesis.
2019
Cell reports
Liu Y, McDonald NA, Naegele SM, Gould KL, Wu JQ
Plain English This study looked at a protein called Rga7, which helps cells divide properly in a type of yeast. Researchers discovered that Rga7 needs another protein, Rng10, to effectively attach to the part of the cell where division happens. They found that Rga7 and Rng10 work together to ensure Rga7 stays in the right place during cell division, emphasizing the importance of these proteins cooperating to maintain healthy cell function.
Who this helps: This helps researchers studying cell division and potential cell-related diseases.
Deep Defects Seen on Visual Fields Spatially Correspond Well to Loss of Retinal Nerve Fiber Layer Seen on Circumpapillary OCT Scans.
2018
Investigative ophthalmology & visual science
Mavrommatis MA, Wu Z, Naegele SI, Nunez J, De Moraes CG +2 more
Plain English This study looked at the relationship between visual field defects and damage to the retinal nerve fiber layer in patients with early glaucoma. Researchers examined 32 eyes with serious visual field issues and found that 19 of those had almost complete loss of the retinal nerve fiber layer, showing a strong link between these two problems. All eyes studied showed some level of abnormal retinal nerve fiber layer thickness, which is critical for understanding how glaucoma affects sight.
Who this helps: This research benefits patients with glaucoma by improving understanding of their condition and aiding doctors in diagnosing and monitoring the disease.
Molecular cross-talk between MEK1/2 and mTOR signaling during recovery of 293 cells from hypertonic stress.
2004
The Journal of biological chemistry
Naegele S, Morley SJ
Plain English This study looked at how human kidney cells recover from salt stress and the role of certain proteins in making new proteins after such stress. The researchers found that when the cells returned to normal conditions, their ability to produce proteins increased, even if some pathways were blocked. Specifically, they discovered that most of the protein production could happen without needing all the usual protein signaling pathways to be active.
Who this helps: This benefits researchers studying kidney cell functions and treatments for kidney-related conditions.
Phosphorylation of initiation factor 4E is resistant to SB203580 in cells expressing a drug-resistant mutant of stress-activated protein kinase 2a/p38.
2003
Cellular signalling
Morley SJ, Naegele S
Plain English This study looked at how a specific protein (eIF4E) within cells responds to stress and how a drug called SB203580 impacts that response in cells with different versions of a stress-related protein (SAPK2a). The researchers found that while SB203580 effectively reduced eIF4E phosphorylation in normal cells, it did not have the same effect in cells with a drug-resistant version of SAPK2a. This is important because it helps confirm how we can use SB203580 to study stress responses in cells, potentially guiding treatments for conditions where these responses are problematic.
Who this helps: This helps researchers studying stress responses in cells and developing treatments for diseases related to these pathways.
Phosphorylation of eukaryotic initiation factor (eIF) 4E is not required for de novo protein synthesis following recovery from hypertonic stress in human kidney cells.
2002
The Journal of biological chemistry
Morley SJ, Naegele S
Plain English This study looked at how human kidney cells recover from stress caused by high salt levels, specifically focusing on a protein called eIF4E that helps start making new proteins. The researchers found that even when eIF4E was not phosphorylated (a chemical change often linked to starting protein production), the cells were still able to resume making proteins effectively after the stress, with no need for that phosphorylation. This is important because it clarifies that other factors are at play in protein synthesis during stress recovery, which can impact how we understand kidney function and related diseases.
Who this helps: This helps doctors and researchers studying kidney health and stress responses in cells.
Ileus in the newborn: a study of decreasing mortality.
1991
European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie
Hecker WC, Naegele S
Plain English This study looked at the survival rates of newborns who underwent surgery for various types of intestinal blockages, including those in the duodenum, small intestine, colon, and rectum, over a 30-year period. The research found that survival rates improved significantly from 1980 to 1989, with 100% survival for duodenum issues and uncomplicated small bowel cases, and an overall 97.5% survival rate for all types of ileus. These findings highlight that surgical treatments for newborns with intestinal blockages are highly effective now, which is crucial for improving infant health outcomes.
Who this helps: This helps newborns with intestinal blockages and their families by improving treatment options and survival rates.
[The value of C-reative protein analysis for the differential diagnosis of non-acute appendicitis].
1991
Klinische Padiatrie
Ring-Mrozik E, Naegele S, Soder J, Hecker WC
Plain English This study looked at how measuring C-reactive protein (CRP) levels can help doctors diagnose non-acute appendicitis in children, especially when other conditions like gastroenteritis might complicate things. Out of 269 children examined for possible appendicitis, the researchers found that CRP levels, when combined with standard tests, added useful information for making a diagnosis, but CRP alone isn't enough to conclusively determine if someone has non-acute appendicitis. This matters because improving the accuracy of appendicitis diagnosis can lead to better treatment and avoid unnecessary surgeries.
Who this helps: This helps doctors and pediatric patients suspected of having appendicitis.