1. Human papillomavirus and p16 protein expression as prognostic biomarkers in mobile tongue cancer.
- Author
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Minami, Kazuhiko, Kogashiwa, Yasunao, Ebihara, Yasuhiro, Nakahira, Mitsuhiko, Sugasawa, Masashi, Fujino, Takashi, and Yasuda, Masanori
- Subjects
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PAPILLOMAVIRUS disease diagnosis , *SMOKING , *BIOMARKERS , *COLLECTION & preservation of biological specimens , *CANCER patients , *CHI-squared test , *STATISTICAL correlation , *DNA , *ALCOHOL drinking , *GENE expression , *GENES , *HEAD tumors , *IMMUNOHISTOCHEMISTRY , *MULTIVARIATE analysis , *NECK tumors , *ONCOGENES , *PAPILLOMAVIRUS diseases , *PAPILLOMAVIRUSES , *POLYMERASE chain reaction , *PROTEINS , *RESEARCH funding , *RNA , *SURVIVAL , *TUMOR classification , *DISEASE prevalence , *PROPORTIONAL hazards models , *RETROSPECTIVE studies , *DATA analysis software , *KAPLAN-Meier estimator , *DISEASE complications , *DIAGNOSIS ,TONGUE tumors - Abstract
Objectives: The objectives were to determine the prevalence of human papillomavirus (HPV) in mobile tongue cancer (MTC) and evaluate associations and survival. Materials and methods: Patients who underwent surgical resection as primary treatment for MTC (n = 127) were retrospectively evaluated. Formalin-fixed paraffin-embedded (FFPE) specimens were assessed for p16 and p53 by immunohistochemistry; for HPV DNA by nested multiplex polymerase chain reaction (PCR) using two pairs of consensus primers (MY09–MY11 and GP5+–GP6+); and for E6 and E7 oncogenes from 13 high-risk HPV types (16, 18, 31, 33, 35, 39, 45, 52, 56, 58, 59, 66, and 68) by real-time reverse transcription PCR (RT-PCR). Results: There were 18 (14.2%) p16-positive, 45 (35.4%) p53-positive, 9 (7.1%) HPV DNA-positive, and 7 (5.5%) E6 and/or E7 mRNA-positive tumors, but the correlation of all pairs was poor. There was no demographic or histopathologic association with HPV status. Cause-specific survival was significantly better with p16-positive than with p16-negative tumors (p =.037). Conclusions: The prevalence of HPV and p16 positivity was relatively low and p16 status was a poor surrogate marker for HPV status. The results showed the importance of p16 expression in prognosticating mobile tongue cancer. [ABSTRACT FROM AUTHOR]
- Published
- 2017
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