Oliveira Márcio Campos, Soares Rosilene Calazans, Pinto Leão Pereira, Souza Lélia Batista de, Medeiros Sílvia Regina Batistuzzo de, Costa Antonio de Lisboa Lopes
Department of Oral Pathology of the State University of Feira de Santana, Feira de Santana, Bahia, Brazil.
Auris Nasus Larynx. 2009 Aug;36(4):450-6. doi: 10.1016/j.anl.2008.10.011. Epub 2009 Jan 4.
To determine the frequency and type of human papillomavirus (HPV) in oral squamous cell carcinomas (OSCC), as well as to identify a possible association between HPV infection and the expression pattern of p53 and bcl-2, and identify whether the oral HPV infection is a characteristic finding in our sample.
We performed polymerase chain reaction and dot blot hybridization for the detection of HPV DNA in paraffin sections as well as immunohistochemical analysis of p53 and bcl-2 in our sample.
Twenty-six cases (29.5%) were positive for the virus by PCR. Dot blot hybridization identified HPV 18 in 21 (80.8%) cases, HPV 16 in one (3.8%) case and a combination of the two types in the four (15.4%) remaining cases. No other type of HPV was detected in the sample. Immunohistochemistry showed p53 in 26 (60.4%) cases and bcl-2 in 17 (39.5%) ones. No significant association was observed between the presence of HPV and the expression of the proteins studied (p=0.988 and p=0.748, respectively).
Although this investigation have detected only 29.5% of HR-HPV DNA in OSCC, it is possible that this virus contribute to the development of some case of this tumor. Furthermore, it seems that the immunohistochemical expression of p53 and bcl-2 and the presence of HPV DNA are independent events in OSCC.
确定口腔鳞状细胞癌(OSCC)中人乳头瘤病毒(HPV)的感染频率及类型,识别HPV感染与p53和bcl-2表达模式之间可能存在的关联,并确定口腔HPV感染是否为本样本中的特征性发现。
我们对石蜡切片进行聚合酶链反应和斑点杂交以检测HPV DNA,并对样本中的p53和bcl-2进行免疫组化分析。
通过PCR检测,26例(29.5%)病毒呈阳性。斑点杂交在21例(80.8%)中鉴定出HPV 18,1例(3.8%)中鉴定出HPV 16,其余4例(15.4%)为两种类型的组合。样本中未检测到其他类型的HPV。免疫组化显示,26例(60.4%)中有p53表达,17例(39.5%)中有bcl-2表达。未观察到HPV的存在与所研究蛋白的表达之间存在显著关联(p值分别为0.988和0.748)。
尽管本研究仅在OSCC中检测到29.5%的高危型HPV DNA,但该病毒有可能导致部分此类肿瘤的发生。此外,在OSCC中,p53和bcl-2的免疫组化表达与HPV DNA的存在似乎是独立事件。