口腔癌中致癌高危型人乳头瘤病毒 DNA 和 HPV-E7 蛋白的双重表达。
Double demonstration of oncogenic high risk human papilloma virus DNA and HPV-E7 protein in oral cancers.
机构信息
Department of Surgical Sciences, Section of Anatomic Pathology and Cytopathology, University of Foggia, Foggia, Italy.
出版信息
Int J Immunopathol Pharmacol. 2011 Apr-Jun;24(2 Suppl):95-101. doi: 10.1177/03946320110240S217.
Oncogenic HPVs are necessarily involved in cervical cancer but their role in oral carcinogenesis is debated. To detect HPV in oral cancer, 38 cases of formalin fixed-paraffin embedded OSCC were studied by both DNA genotyping (MY09/11 L1 consensus primers in combination with GP5-GP6 primer pair followed by sequencing) and immunohistochemistry (monoclonal Abs against capsid protein and HPV-E7 protein, K1H8 DAKO and clone 8C9 INVITROGEN, respectively). HPV-16 tonsil cancer was used as positive control. The overall prevalence of HPV infection in OSCCs was 10.5%. Amplification of DNA samples showed single HPV DNA infection in 3 cases (HPV16; HPV53; HPV70) and double infection in one case of cheek cancer (HPV31/HPV44). The overall HR-HPV prevalence was 7.5%. E-7 antigen was immunohistochemically detected in all HPV-positive cases. HPV+ OSCC cases showed an overall better outcome than HPV negative oral cancers, as evaluated by Kaplan-Meier curves. HPVs exert their oncogenic role after DNA integration, gene expression of E5, E6 and E7 loci and p53/pRb host proteins suppression. This study showed that HPV-E7 protein inactivating pRb is expressed in oral cancer cells infected by oncogenic HPV other than classical HR-HPV-16/18. Interestingly HPV-70, considered a low risk virus with no definite collocation in oncogenic type category, gives rise to the expression of HPV-E7 protein and inactivate pRb in oral cancer. HPV-70, as proved in current literature, is able to inactivates also p53 protein, promoting cell immortalization. HPV-53, classified as a possible high risk virus, expresses E7 protein in OSCC, contributing to oral carcinogenesis. We have identified among OSCCs, a subgroup characterized by HPV infection (10.5%). Finally, we have proved the oncogenic potential of some HPV virus types, not well known in literature.
致癌 HPV 必然与宫颈癌有关,但它们在口腔癌发生中的作用仍存在争议。为了检测口腔癌中的 HPV,使用 DNA 基因分型(结合 MY09/11 L1 通用引物和 GP5-GP6 引物对的 GP5-GP6 引物对进行测序)和免疫组织化学(针对衣壳蛋白和 HPV-E7 蛋白的单克隆抗体,K1H8 DAKO 和 clone 8C9 INVITROGEN)对 38 例福尔马林固定石蜡包埋的 OSCC 进行了研究。HPV 扁桃体癌被用作阳性对照。OSCC 中 HPV 感染的总体流行率为 10.5%。DNA 样本的扩增显示 3 例(HPV16;HPV53;HPV70)存在单一 HPV DNA 感染,1 例颊癌(HPV31/HPV44)存在双重感染。总体 HR-HPV 流行率为 7.5%。在所有 HPV 阳性病例中均检测到 E-7 抗原的免疫组织化学表达。根据 Kaplan-Meier 曲线评估,HPV+OSCC 病例的总体预后优于 HPV 阴性口腔癌。HPV 通过 DNA 整合、E5、E6 和 E7 基因座的基因表达以及 p53/pRb 宿主蛋白的抑制发挥其致癌作用。本研究表明,除经典 HR-HPV-16/18 外,感染致癌 HPV 的口腔癌细胞中表达 HPV-E7 蛋白并失活 pRb。有趣的是,HPV-70 被认为是一种低风险病毒,没有明确的致癌类型分类,但会导致 HPV-E7 蛋白在口腔癌中的表达并失活 pRb。HPV-70 如当前文献所述,还能够失活 p53 蛋白,促进细胞永生化。HPV-53 被归类为可能的高危病毒,在 OSCC 中表达 E7 蛋白,促进口腔癌发生。我们在 OSCC 中鉴定出一个具有 HPV 感染特征的亚组(10.5%)。最后,我们证明了一些 HPV 病毒类型的致癌潜力,这些病毒类型在文献中并不广为人知。