Correnti M, Rivera H, Cavazza M E
Instituto de Investigaciones Odontológicas Raúl Vincentelli, Facultad de Odontología, Universidad Central de Venezuela, Caracas.
Oral Dis. 2004 May;10(3):163-6. doi: 10.1046/j.1601-0825.2003.00989.x.
The aim of this work was to detect and typify human papillomaviruses (HPV) in oral squamous cell carcinoma (OSCC) in a Venezuelan population. MATERIAL(S) AND METHODS: Eighteen tissue samples were obtained from biopsies, formalin-fixed, and paraffin-embedded; 16 were diagnosed as SCC. We isolated DNA from paraffin-embedded tissue; two to three sections of 5 microm were obtained and resuspended in digestion buffer and proteinase K. Five microliters of the aqueous phase was used for polymerase chain reaction (PCR). The PCR for HPV amplification was carried out with consensus primers for L1 region (MY09 and MY11) and beta-globin gene was used as internal control. The viral types were determined by molecular hybridization with a mix of probes for high/intermediate and low HPV oncogenic risk types.
The HPV-DNA was detected in 50% (eight of 16) of the SCC cases. Of these HPV-DNA-positive samples, 68% were histopathologically diagnosed as moderately differentiated SCC. The most common anatomical location was the alveolar ridge mucosa. All positive biopsies contained high oncogenic HPV types.
We observed a high prevalence of HPV infection of high oncogenic potential types in patients with SCC in our studied group. The moderately differentiated SCCs were more associated to HPV infection. These differences could be influenced by nutritional, environmental and genetical factors in our population but further studies should be carried out to determine these aspects.
本研究旨在检测委内瑞拉人群口腔鳞状细胞癌(OSCC)中的人乳头瘤病毒(HPV)并进行分型。
从活检组织中获取18份标本,经福尔马林固定、石蜡包埋;其中16份被诊断为鳞状细胞癌。我们从石蜡包埋组织中提取DNA;取2至3片5微米厚的切片,重悬于消化缓冲液和蛋白酶K中。取5微升水相用于聚合酶链反应(PCR)。采用L1区通用引物(MY09和MY11)进行HPV扩增PCR,并以β-珠蛋白基因作为内对照。通过与高/中危和低危HPV致癌风险类型的探针混合物进行分子杂交来确定病毒类型。
在16例鳞状细胞癌病例中,50%(8例)检测到HPV-DNA。在这些HPV-DNA阳性样本中,68%在组织病理学上被诊断为中度分化鳞状细胞癌。最常见的解剖部位是牙槽嵴黏膜。所有阳性活检标本均含有高危型致癌HPV。
在我们的研究组中,观察到鳞状细胞癌患者中具有高致癌潜能类型的HPV感染率较高。中度分化的鳞状细胞癌与HPV感染的相关性更强。这些差异可能受我们人群中的营养、环境和遗传因素影响,但需要进一步研究来确定这些方面。