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Discussion The bacteriome of moist STPs was established by high throughput sequencing of 16S rDNA (V3-V4 region) sequence present in genomic DNA isolated from the STPs and first time expansively analyzed (community profiling, comparative analysis, and functional prediction) by MicrobiomeAnalyst tool ( Bacillus , Lactobacillus, Staphylococcus, Corynebacterium, Streptococcus, Prevotella, Rothia, Pantoea, Veillonella, Propionibacterium, Fusobacterium, Actinomyces, Lactobacillus, Sphingomonas, Marinilactibacillus, Oceanobacillus , and Porphyromonas were recognized in different STPs ( In our study, we focused on the moist STPs because high moisture content plays a significant role in the increased level of TSNAs by facilitating the growth of the microorganisms ( in vitro assay using epithelial cells (AMOL-III) from the oral leukoplakia of a Khaini user and treatment with aqueous extract of Khaini showed alteration in the expression of proteins involved in cell cycle regulation and DNA methylation, suggesting the role of Khaini in oral carcinogenesis ( Snus contains high levels of carcinogenic TSNAs (23.161.2 g/g) ( Qiwam products also retain a significant level of TSNAs (5.4322.2 mg/kg) ( The diversity of bacteriome present in different moist STPs was determined and we have observed that the species richness (-diversity) was more in STPs having high moisture content such as Moist-snuff and Qiwam compared to products having low moisture levels like Khaini and Snus