Ngamkham Jarunya, Karalak Anant, Chaiwerawattana Akrom, Sornprom Adisak, Thanasutthichai Somchai, Sukarayodhin Saowakorn, Mus-u-Dee Maneerut, Boonmark Krittika, Phansri Thainsang, Laochan Nattapon
Research Division, National Cancer Institute, Bangkok, Thailand. Email:
Asian Pac J Cancer Prev. 2017 Jul 27;18(7):1839-1845. doi: 10.22034/APJCP.2017.18.7.1839.
Breast cancer is the leading female cancer worldwide and is the most frequently diagnosed in Thai women. Its potential etiologic has not been clearly identified. Several recent reports could detect human papillomavirus (HPV) infection in breast cancer or benign breast lesions. HPV infection considered suggests being one of many risk factors for cancer development. The aim of this study was to determine the frequency of HPV infection in both breast cancer and benign breast lesion/tumor tissues. Seven hundred samples from Thai women were collected during 2013-2015 and statistically correlation between HPV infection, sociodemographic and histopathological parameters were also analyzed. HPV DNA detection and genotyping were performed by polymerase chain reaction and enzyme immunoassay, respectively. The results demonstrated that mean age of the patients were 41.76±12.53 years and 52.73±11.68 years for benign breast lesions/tumor and breast cancer samples, respectively. HPV DNA was detected in 25/700 (3.57%) samples, in which 10/350 (2.857%) from benign breast lesion/tumor samples and 15/350 (4.285%) from breast cancer samples. HPV 16 is the predominant types of this study, follow by HPV 33, 18, 35, 52. Most of HPV type detection samples belong to the high risk types, except 1/25 sample could be detected low risk type; HPV 6 which was presented as co-infection with the other high risk type. From sociodemographic and histopathological correlation analysis, all of studied parameters such as breast cancer history, hormone receptors status etc. did not show statistically significant correlated with HPV infection (P>0.05). In conclusion, the low frequency detection in this study suggests that HPV did not play the main important role for breast cancer development and represented highly controversial, but it may be causative agents of only a relative small proportion of all breast cancer or non-malignant breast lesion and it is the interesting data for further study in virus-associated cancer.
乳腺癌是全球女性最主要的癌症,也是泰国女性中最常被诊断出的癌症。其潜在病因尚未明确。最近的几份报告在乳腺癌或乳腺良性病变中检测到了人乳头瘤病毒(HPV)感染。HPV感染被认为是癌症发生的众多风险因素之一。本研究的目的是确定乳腺癌以及乳腺良性病变/肿瘤组织中HPV感染的频率。2013年至2015年期间收集了700份泰国女性的样本,并对HPV感染、社会人口统计学和组织病理学参数之间的相关性进行了统计分析。分别通过聚合酶链反应和酶免疫测定法进行HPV DNA检测和基因分型。结果显示,良性乳腺病变/肿瘤样本患者的平均年龄为41.76±12.53岁,乳腺癌样本患者的平均年龄为52.73±11.68岁。在700份样本中有25份(3.57%)检测到HPV DNA,其中来自良性乳腺病变/肿瘤样本的有10份(2.857%),来自乳腺癌样本的有15份(4.285%)。HPV 16是本研究中的主要类型,其次是HPV 33、18、35、52。除了1份/25份样本检测到低风险类型HPV 6(与其他高风险类型共同感染)外,大多数检测到的HPV类型样本属于高风险类型。从社会人口统计学和组织病理学相关性分析来看,所有研究参数如乳腺癌病史、激素受体状态等与HPV感染均无统计学显著相关性(P>0.05)。总之,本研究中HPV的低检测频率表明,HPV在乳腺癌发生过程中并非起主要重要作用,这一结果极具争议性,但它可能只是所有乳腺癌或乳腺非恶性病变中相对较小比例的致病因素,是病毒相关癌症进一步研究的有趣数据。