Sara Arroyo Mühr
Research group leader focusing on cancer biology, genomics, biomarkers and cancer prevention.
About me
I am an Associate Professor (Docent) and Senior Research Specialist at Karolinska Institutet, where I lead the Arroyo Mühr Research Group within the Center for Cervical Cancer Elimination.
My research focuses on HPV-related and HPV-independent cancers, combining molecular biology, cancer genomics, biomarkers, epidemiology and cancer prevention. In 2026, I was awarded an ERC Starting Grant (ESCAPE-HPV) to investigate the molecular mechanisms underlying HPV-negative cervical cancers.
Beyond molecular cancer research, I have led the implementation of HPV self-sampling for cervical cancer screening in Ukraine during the ongoing war, through a project supported by the Union for International Cancer Control (UICC). This work reflects my commitment to translating scientific evidence into accessible cancer prevention strategies, including in conflict-affected settings.
I also serve as Scientific Lead of the International HPV Reference Center, Coordinator of the HPV Laboratory Network (HPV LabNet), and Executive Board Member of the International Papillomavirus Society (IPVS).
Research
My overarching goal is to bridge fundamental cancer research, molecular diagnostics and population-based epidemiology to improve cancer prevention and early detection.
My main research interests include:
- Cancer biology and genomics: Molecular characterisation of HPV-negative cervical cancers and HPV-associated malignancies, including oropharyngeal cancer, using genomics, transcriptomics, epigenetics and multi-omics approaches.
- Biomarkers of disease progression and regression: Identification and evaluation of molecular and microbiome-related biomarkers associated with HPV persistence, lesion progression, regression and cancer risk.
- Molecular epidemiology and screening optimisation: Integration of longitudinal HPV testing data, biomarkers and population-based cancer screening registries to improve risk stratification, screening participation, follow-up and early detection.
- HPV testing and laboratory quality assurance: Evaluation, validation and standardisation of HPV testing methods, with particular emphasis on laboratory performance, quality assurance and comparability of results across laboratories.
- Global cancer prevention and implementation research: Evaluation and implementation of accessible HPV-based screening strategies, including self-sampling in underserved and conflict-affected settings.
Teaching
I serve as Educational Lead at the Center for Cervical Cancer Elimination at Karolinska Institutet, contributing to the coordination and development of educational activities within the division.
I have led the development of the HPV Laboratory Manual, an educational resource supporting laboratory professionals in HPV detection, genotyping, testing methodologies and quality assurance. I am also actively involved in developing and delivering international online training courses and educational activities covering HPV taxonomy, molecular diagnostics, laboratory methods and quality assurance.
My teaching activities include lectures, seminars, workshops and hands-on training in HPV biology, molecular epidemiology, cancer prevention, molecular diagnostics and bioinformatics, targeting students, researchers and healthcare professionals and laboratory specialists.
I supervise doctoral and master's students and contribute to research training, scientific mentoring and the development of early-career researchers. Through my international roles and collaborations, I am committed to strengthening scientific education, laboratory capacity building and knowledge exchange across research and healthcare settings.
Selected publications
- Article: SCIENTIFIC REPORTS. 2026;16(1):28879Hassan SS; Ghaderi M; Marklund L; Farrajota Neves Da Silva P; Arroyo Muhr LS; Nasman A
- Journal article: BMC MICROBIOLOGY. 2026;26(1):802Stosic M; Molina MA; Mukhedkar D; Hassan SS; Sahlin A; Ballester CR; Wang J; Muhr LSA
- Review: INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER. 2026;36(7):104751Kleppe SN; Almstedt P; Dillner J; Muhr LSA
- Review: ECLINICALMEDICINE. 2026;97:103890Muhr LSA; Dillner J
- Article: JOURNAL OF MEDICAL VIROLOGY. 2026;98(7):e71033Arroyo Muhr LS; Yilmaz E; Lagheden C; Eklund C; Dillner J
- Article: BMJ GLOBAL HEALTH. 2026;11(4):e023478Kovalyov O; Kovalyov K; Deinichenko O; Dillner J; Arroyo Muhr LS
- Article: JOURNAL OF CLINICAL VIROLOGY. 2025;181:105869Martinelli M; Hassan SS; Yilmaz E; Lagheden C; Kleppe SN; Cocuzza C; Muhr LSA
- Article: JOURNAL OF CLINICAL VIROLOGY. 2025;179:105834Muhr LSA; Eklund C; Lagheden C; Correa RM; Fellner MD; Picconi MA; Songur N; Gultekin M; Cuschieri K; Pretet J-L; Lepiller Q; Baraquin A; Silling S; Soreng K; Stosic M; Presthus GK; Arbyn M; Peeters M; Van Gucht S; Padalko E; Chin T; Kehoe K; Pereira AR; Redzic N; Vanden Broeck D; Molano M; Murray GL; Garland SM; Pinto LA; Wilkinson DE; Poljak M; Dillner J
- Article: INTERNATIONAL JOURNAL OF CANCER. 2025;156(2):379-388Muhr LSA; Wang J; Hassan SS; Yilmaz E; Elfstrom MK; Dillner J
- Article: SCIENTIFIC REPORTS. 2024;14(1):22014Hidjo M; Mukhedkar D; Masimirembwa C; Lei J; Muhr LSA
- Article: NATURE COMMUNICATIONS. 2024;15(1):3679Arroyo Muehr LS; Gini A; Yilmaz E; Hassan SS; Lagheden C; Hultin E; Garcia Serrano A; Ure AE; Andersson H; Merino R; Elfstroem KM; Baussano I; Dillner J
- Article: JOURNAL OF CLINICAL VIROLOGY. 2024;171:105657Pretet JL; Muhr LSA; Cuschieri K; Fellner MD; Correa RM; Picconi MA; Garland SM; Murray GL; Molano M; Peeters M; Van Gucht S; Lambrecht C; Vanden Broeck D; Padalko E; Arbyn M; Lepiller Q; Brunier A; Silling S; Soreng K; Christiansen IK; Poljak M; Lagheden C; Yilmaz E; Eklund C; Thapa HR; Querec TD; Unger ER; Dillner J
- Review: INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER. 2023;33(5):802-811Cuschieri K; Fellner MD; Arroyo Muehr LS; Padalko E; Correa RM; Dillner J; Gultekin M; Picconi MA
- Article: SCIENTIFIC REPORTS. 2022;12(1):15062Ure AE; Lagheden C; Muhr LSA
- Article: SCIENTIFIC REPORTS. 2022;12(1):13058Ure A; Mukhedkar D; Muhr LSA
- Article: JOURNAL OF CLINICAL ONCOLOGY. 2022;40(14):1522-1528Lei J; Arroyo-Muehr LS; Lagheden C; Eklund C; Kleppe SN; Elfstroem M; Andrae B; Sparen P; Dillner J; Sundstroem K
- Article: VIRUSES-BASEL. 2021;13(7):1323Muhr LSA; Guerendiain D; Cuschieri K; Sundstrom K
- Article: VIROLOGY. 2021;558:57-66Muhr LSA; Eklund C; Dillner J
- Article: BRITISH JOURNAL OF CANCER. 2020;123(12):1790-1795Arroyo Muhr LS; Lagheden C; Lei J; Eklund C; Nordqvist Kleppe S; Sparen P; Sundstrom K; Dillner J
- Article: PLOS ONE. 2020;15(8):e0237455Arroyo Muhr LS; Lagheden C; Hassan SS; Kleppe SN; Hultin E; Dillner J
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Articles
- Journal article: INTERNATIONAL JOURNAL OF CANCER. 2026Hassan SS; Kleppe SN; Asinger N; Wang J; Dillner J; Muhr LSA
- Article: ACCESS MICROBIOLOGY. 2026;8(9):001166.v3Murray GL; Balgovind P; Tabrizi SN; Morris BJ; French P; Yilmaz E; Arroyo Mühr LS; Garland SM
- Article: INTERNATIONAL JOURNAL OF GYNECOLOGICAL CANCER. 2026;36(9):104950Muhr LSA; Mungo C; Chatzistamatiou K; Leung SOA; Garland SM
- Article: PLOS NEGLECTED TROPICAL DISEASES. 2026;20(9):e0014694Donkoh ET; Williams I; Akologo RN; Asiedu AA; Ofori-Atta RJ; Boadu IW; Ryabinina O; Forson AO; Boampong K; Jain N; Dassah ET; Gyasi SF; Arroyo Muhr LS; Akanwariwaik WG
- Article: CARTILAGE. 2026;17(3):829-844Zhang Z; Boggavarapu NR; Muhr LSA; Garcia-Serrango A; Aeppli TRJ; Nava TS; Zhao Y; Gutierrez-Farewik EM; Kulachenko A; Savendahl L; Zaman F
- Article: CANCERS. 2026;18(16):2568d'Avenia M; Muhr LSA; Mastromauro M; Spadaccino F; Razzuoli E; Iacobellis M; Dell'Anno F
- Article: FRONTIERS IN MICROBIOLOGY. 2026;17:1907599Mukhedkar D; Stosic MS; Szekely AJ; Avershina E; Arroyo Muhr LS
- Article: JOURNAL OF MEDICAL VIROLOGY. 2026;98(5):e70936Yilmaz E; Murray GL; Balgovind P; Garland SM; Pereira R; Vanden Broeck D; Redzic N; Pretet J-L; Lepiller Q; Silling S; Cocuzza C; Martinelli M; Campbell A; Brown C; Cuschieri K; Connor L; Ostrbenk A; Poljak M; Gultekin M; Kilic Y; Elfstrom KM; Arroyo Muhr LS; Dillner J
- Article: ECLINICALMEDICINE. 2026;93:103819Deng Y; Dillner J; Baltzer N; Muhr LSA; Martinez RM; Ploner A; Lei J; Clements M
- Article: JOURNAL OF MEDICAL VIROLOGY. 2025;97(12):e70737Scott H; Stevenson A; Mair D; Rooney WM; McMahon H; Muhr LSA; Cuschieri K; Graham SV
- Article: INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES. 2025;160:108067Rios-Monteza P; Solis-Ponce L; Espetia S; Eklund C; Dillner J; Matos A; Obregon G
- Article: JOURNAL OF MEDICAL VIROLOGY. 2025;97(11):e70668Godoy LR; El-zein M; Cools P; Padalko E; Verberckmoes B; Degomme O; Vermandere H; Arroyo Muhr LS; Stosic MS; Franco EL; Longatto-filho A
- Article: SCIENTIFIC REPORTS. 2025;15(1):32535Solis-Ponce L; Stosic M; Curico G; Espetia S; Sanchez-Grandez H; Hassan SS; Basiletti J; Soreng K; Acuna-Barrios M; Huarca-Balbin L; Yaya-Rios M; Vilcarino-Zevallos G; Lopez R; Matos A; Ramal-Asayag C; Obregon G; Arroyo Muhr LS
- Article: JOURNAL OF MEDICAL VIROLOGY. 2025;97(7):e70482d'Avenia M; Dell'Anno F; Martinelli M; Santomauro L; Njoku RC; Arroyo Muhr LS; Iacobellis M; Cocuzza CE
- Article: BRIEFINGS IN BIOINFORMATICS. 2025;26(2):bbaf155Nowicki M; Mroczek M; Mukhedkar D; Bala P; Pimenoff VN; Muhr LSA
- Article: JOURNAL OF MEDICAL VIROLOGY. 2024;96(10):e70022Muhr LSA; Eklund C; Lagheden C; Yilmaz E; Forslund O; Lilja M; Dillner J
- Article: SCIENTIFIC DATA. 2024;11(1):697Dillner J; Muhr LSA; Kleppe SN; Wang J; Andersson H; Elfstrom M; Merino R; Sundstrom K
- Article: JOURNAL OF CLINICAL VIROLOGY. 2023;167:105581Yilmaz E; Eklund C; Lagheden C; Robertsson KD; Lilja M; Elfstrom M; Muhr LSA; Dillner J
- Article: CANCER MEDICINE. 2023;12(18):19291-19300Garcia-Serrano A; Mukhedkar D; Hultin E; Rudsander U; Wettergren Y; Ure AE; Dillner J; Arroyo-Muhr LS
- Article: DIAGNOSTICS. 2022;12(12):3222Guerendiain D; Muhr LSA; Grigorescu R; Holden MTG; Cuschieri K
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All other publications
- Preprint: MEDRXIV. 2026Hassan SS; Nordqvist Kleppe S; Asinger N; Wang J; Dillner J; Arroyo Mühr LS
- Preprint: MEDRXIV. 2026Yilmaz E; Murray G; Balgovind P; Garland S; Pereira R; Vanden Broeck D; Redzic N; Prétet J-L; Lepiller Q; Silling S; Cocuzza C; Martinelli M; Campbell A; Brown C; Cuschieri K; Connor L; Oštrbenk A; Poljak M; Gultekin M; Kılıç Y; Elfström M; Arroyo Mühr LS; Dillner J
- Preprint: MEDRXIV. 2026Arroyo Mühr LS; Yilmaz E; Lagheden C; Eklund C; Dillner J
- Preprint: MEDRXIV. 2026Kovalyov O; Kovalyov K; Deinichenko O; Dillner J; Mühr LSA
- Corrigendum: JOURNAL OF CLINICAL VIROLOGY. 2024;171:105660Yilmaz E; Eklund C; Lagheden C; Robertsson KD; Lilja M; Elfstrom M; Muhr LSA; Dillner J
- Review: JOURNAL OF MEDICAL VIROLOGY. 2023;95(12):e29332Arroyo Muhr LS; Lagheden C; Hassan SS; Eklund C; Dillner J
- Editorial: LANCET INFECTIOUS DISEASES. 2023;23(11):1215-1216Muhr LSA; Dillner J
- Preprint: MEDRXIV. 2021Elfström M; Blomqvist J; Nilsson P; Hober S; Pin E; Månberg A; Pimenoff V; Arroyo Mühr LS; Lundgren KC; Dillner J
- Letter: INTERNATIONAL JOURNAL OF CANCER. 2019;145(11):3181Muhr LSA; Dillner J
- Corrigendum: SCIENTIFIC REPORTS. 2016;6:26267Smelov V; Bzhalava D; Muhr LSA; Eklund C; Komyakov B; Gorelov A; Dillner J; Hultin E
- Letter: SEXUALLY TRANSMITTED INFECTIONS. 2013;89(8):627Smelov V; Eklund C; Muhr LSA; Hultin E; Dillner J
- Conference publication: SEXUAL HEALTH. 2013;10(6):591Smelov V; Eklund C; Muhr LSA; Hultin E; Dillner J
- Meeting abstract: INTERNATIONAL JOURNAL OF INFECTIOUS DISEASES. 2012;16:e71Arroyo LS; Basaras M; Arrese E; Hernaez S; Andia D; Esteban V; Cisterna R
Selected grants
- ERC Starting Grant ESCAPE HPVEuropean Research Council (ERC)1 January 2027 - 31 December 2031Cervical cancer prevention is built on the understanding that persistent infection with high-risk human papillomaviruses (HPV) is responsible for nearly all cervical cancers. HPV vaccination and HPV-based screening have transformed prevention, bringing the elimination of cervical cancer within reach. Yet, a small proportion of cervical cancers are HPV-negative, challenging our understanding of the disease and raising a fundamental question: are these cancers truly independent of HPV, or are we missing important aspects of their biology? ESCAPE-HPV aims to unravel the molecular characteristics and potential mechanisms underlying HPV-negative cervical cancers. Using a unique collection of cancer cases and population-based registry data, the project integrates whole-genome and exome sequencing, transcriptomics and epigenomics to investigate the molecular pathways involved in their development. By moving beyond the traditional HPV-driven model of cervical carcinogenesis, ESCAPE-HPV seeks to uncover previously unrecognised biological mechanisms, improve our understanding of cervical cancer heterogeneity and identify potential molecular markers relevant to cancer classification and diagnosis. Ultimately, the project aims to generate fundamental knowledge that may inform future approaches to cervical cancer detection and prevention, helping ensure that advances in cancer elimination do not overlook biologically distinct forms of the disease.
- Cervical Cancers Escaping HPV Screening: A Multi-Omics Approach to Tumor Evolution and Viral PersistenceCenter for Innovative Medicine1 January 2026 - 31 December 2028
- Advancing Cervical Cancer Prevention: Integrating AI for Precision ScreeningALF Medicin1 January 2026 - 31 December 2026
- Human papillomavirus self-sampling for enhancing cervical screening during the war in UkraineUnion for International Cancer Control1 September 2024 - 31 August 2026
Employments
- Senior Research Specialist, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, 2024-
- Research Coordinator, Department of Clinical Science, Intervention and Technology, Karolinska Institutet, 2023-2024
- Development Officer, ME Patologi & Cancerdiagnostik, Karolinska Universitetssjukhuset, 2022-2023
- Research Coordinator, Department of Laboratory Medicine, Karolinska Institutet, 2020-2022
- Postdoctoral Researcher, Department of Laboratory Medicine, Karolinska Institutet, 2016-2020
- Phd Student, Department of Laboratory Medicine, Karolinska Institutet, 2014-2016
- Research Assistant on Study Grant, Department of Laboratory Medicine, Karolinska Institutet, 2013-2013
Degrees and Education
- Docent, Karolinska Institutet, 2025
- Degree Of Doctor Of Philosophy, Department of Laboratory Medicine, Karolinska Institutet, 2016