Karbalaie Niya Mohammad Hadi, Safarnezhad Tameshkel Fahimeh, Panahi Mahshid, Bokharaei Salim Farah, Monavari Seyed Hamid Reza, Keyvani Hossein
Department of Virology, Iran University of Medical Sciences, Tehran, Iran. Email:
Asian Pac J Cancer Prev. 2017 Sep 27;18(9):2573-2579. doi: 10.22034/APJCP.2017.18.9.2573.
Background: Head and neck squamous cell carcinomas (HNSCC) are a major health issue in many parts of the world. Recently, attention has focused on the human papilloma virus (HPV) as a potential causative agent for HNSCC. This study aimed to survey HPV occurrence in HNSCCs as part of a comprehensive molecular epidemiology approach. Methods: In this retrospective study, patients were recruited from hospitals affiliated to the Iran University of Medical Sciences, Tehran, Iran. Formalin-fixed paraffin-embedded (FFPE) blocks were subjected to DNA isolation by QIAamp® DNA FFPE Tissue Kit and nested PCR, HPV-16 specific conventional PCR, and extra INNO-LiPA HPV genotyping assays were subsequently performed. PCR products were purified with a High Pure PCR Product Purification Kit and sequenced with an ABI 3730 XL sequencer. CLC Main Workbench 5 and MEGA5 bioinformatics software was used to analyze the raw data and to create the phylogenetic tree. SPSS v.20 was applied for statistical analysis. Results: A total of 156 FFPE blocks were collected from 2011 to 2017. Total mean age (y) of participants was 60.5 ± 12.6; 77.6 % (121/156) being men and 22.4% (35/156) e women. Overall, 5/156 (3.2%) patients (3 females and 2 males) were found to be HPV positive using the three methods. HPV genotyping revealed HPV types 16, 2, 27, and 43 in these malignancies. Tumor location and lymph node involvement indicated significant differences between the sexes. Conclusion: Although high risk HPV genotypes have been associated with HNSCCs, our findings indicate a potential of low risk HPV types to also contribute to such malignancies.
背景:头颈部鳞状细胞癌(HNSCC)是世界许多地区的一个主要健康问题。最近,人乳头瘤病毒(HPV)作为HNSCC的一种潜在致病因素受到了关注。本研究旨在作为综合分子流行病学方法的一部分,调查HNSCC中HPV的发生率。方法:在这项回顾性研究中,患者来自伊朗德黑兰医科大学附属的医院。使用QIAamp® DNA FFPE组织试剂盒对福尔马林固定石蜡包埋(FFPE)块进行DNA分离,并进行巢式PCR,随后进行HPV-16特异性常规PCR和额外的INNO-LiPA HPV基因分型检测。PCR产物用高纯PCR产物纯化试剂盒纯化,并用ABI 3730 XL测序仪测序。使用CLC Main Workbench 5和MEGA5生物信息学软件分析原始数据并创建系统发育树。应用SPSS v.20进行统计分析。结果:2011年至2017年共收集了156个FFPE块。参与者的总平均年龄(岁)为60.5±12.6;男性占77.6%(121/156),女性占22.4%(35/156)。总体而言,使用这三种方法发现5/156(3.2%)患者(3名女性和2名男性)HPV呈阳性。HPV基因分型显示这些恶性肿瘤中有HPV 16、2、27和43型。肿瘤位置和淋巴结受累情况表明男女之间存在显著差异。结论:虽然高危HPV基因型与HNSCC有关,但我们的研究结果表明低危HPV类型也有可能导致此类恶性肿瘤。
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