印度东部烟草成瘾的口腔鳞状细胞癌(OSCC)患者中高危型人乳头瘤病毒的流行情况及其与P53密码子72多态性的关联

Prevalence of high-risk human papilloma virus types and its association with P53 codon 72 polymorphism in tobacco addicted oral squamous cell carcinoma (OSCC) patients of Eastern India.

作者信息

Nagpal Jatin K, Patnaik Srinivas, Das Bibhu R

机构信息

Molecular Oncology and Medical Biotechnology Division, Institute of Life Sciences, Chandrasekharpur, Bhubaneswar, India.

出版信息

Int J Cancer. 2002 Feb 10;97(5):649-53. doi: 10.1002/ijc.10112.

Abstract

Human papillomavirus (HPV) infects the squamous epithelial cells of oral cavity and cervix leading to formation of warts that develops into the cancer. Human papillomavirus (HPV)-16 and 18 encode E6 oncoprotein, which binds to and induces degradation of the tumour suppressor protein p53. A common polymorphism of p53, encoding either proline (Pro) or arginine (Arg) at position 72, affects the susceptibility of p53 to E6 mediated degradation in vivo. Oral cancer is a pressing problem in India due to the widespread habit of chewing betel quid, which plays an important role in etiology of this disease. In the present study an attempt has been made to analyze the genetic predisposition of the Indian population to HPV infection and oral carcinogenesis. In our study a total of 110 cases of Oral Cancer highly addicted to betel quid and tobacco chewing are analyzed for HPV 16/18 infection and its association with polymorphism at p53 codon 72. Of these a total number of 37 patients (33.6%) have shown the presence of HPV, among which the presence of HPV-16, 18 and 16/18 coinfection is 22.7%, 14.5% and 10%, respectively. Our results also indicate that the p53 codon 72 genotype frequencies in Indian Oral Cancer patients are 0.55 (Arg) and 0.45 (Pro) as per Hardy-Weinberg equilibrium. In our study, striking reduction in Pro/Pro allele frequency has been found in HPV positive cases, indicating Arg/Arg genotype to be more susceptible to HPV infection and oral carcinogenesis.

摘要

人乳头瘤病毒(HPV)感染口腔和子宫颈的鳞状上皮细胞,导致疣的形成,进而发展为癌症。人乳头瘤病毒(HPV)-16和18编码E6癌蛋白,该蛋白与肿瘤抑制蛋白p53结合并诱导其降解。p53的一种常见多态性,在第72位编码脯氨酸(Pro)或精氨酸(Arg),影响p53在体内对E6介导的降解的敏感性。由于嚼槟榔的广泛习惯,口腔癌在印度是一个紧迫的问题,嚼槟榔在这种疾病的病因中起重要作用。在本研究中,已尝试分析印度人群对HPV感染和口腔癌发生的遗传易感性。在我们的研究中,共分析了110例严重沉溺于嚼槟榔和烟草的口腔癌病例,以检测HPV 16/18感染及其与p53密码子72处多态性的关联。其中,共有37例患者(33.6%)显示存在HPV,其中HPV-16、18及16/18合并感染的比例分别为22.7%、14.5%和10%。我们的结果还表明,根据哈迪-温伯格平衡,印度口腔癌患者中p53密码子72的基因型频率为0.55(Arg)和0.45(Pro)。在我们的研究中,发现HPV阳性病例中Pro/Pro等位基因频率显著降低,表明Arg/Arg基因型更容易感染HPV并发生口腔癌。

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