1. Strong SOD2 expression and HPV-16/18 positivity are independent events in cervical cancer
- Author
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Luiz Carlos Zeferino, Maria Antonieta Andreoli, Enrique Boccardo, Luisa L. Villa, Rafaella Almeida Lima Nunes, Maria Cecília Costa, Liliana A.L. Ângelo-Andrade, Adhemar Longatto-Filho, Lara Termini, Sophie Françoise Mauricette Derchain, Silvia Helena Rabelo-Santos, and Universidade do Minho
- Subjects
0301 basic medicine ,squamous cell carcinoma ,Human papillomavirus ,Medicina Básica [Ciências Médicas] ,SOD2 ,Adenocarcinoma ,cervical intraepithelial neoplasia ,medicine.disease_cause ,Cervical intraepithelial neoplasia ,Lesion ,03 medical and health sciences ,0302 clinical medicine ,Squamous cell carcinoma ,medicine ,Pathology ,Superoxide dismutase-2 ,skin and connective tissue diseases ,human papillomavirus ,Cervix ,Cervical cancer ,adenocarcinoma ,business.industry ,HPV infection ,medicine.disease ,female genital diseases and pregnancy complications ,Research Paper: Pathology ,superoxide dismutase-2 ,3. Good health ,030104 developmental biology ,medicine.anatomical_structure ,Oncology ,030220 oncology & carcinogenesis ,Ciências Médicas::Medicina Básica ,Cancer research ,cardiovascular system ,medicine.symptom ,Carcinogenesis ,business - Abstract
It is well known that persistent infection with high-risk HPV (hr-HPV), mostly HPV-16 and 18, is the main cause of cervical cancer development. Manganese superoxide dismutase (MnSOD or SOD2) are highly expressed in different neoplasia. The present study investigated SOD2 protein expression and the presence of hr-HPV types in 297 cervical samples including non-neoplastic tissue, cervical intraepithelial neoplasia grade 3 (CIN3), squamous cell carcinoma (SCC) and adenocarcinoma (ADC). Strong SOD2 expression was significantly higher in ADC (82%) than CIN3 (52%) or SCC (64%). There was no association between SOD2 expression and HPV 16 and/or 18 detection for every lesion analyzed. Binary Logist Regression revealed that strong SOD2 expression (OR: 27.50, 6.16-122.81) and HPV 16 and/or HPV 18 (OR: 12.67, 4.04-39.74) were independently more associated with CIN3 than non-neoplastic cervix. Strong SOD2 expression (OR: 3.30, 1.23-8.86) and HPV 16 and/or HPV 18 (OR: 3.51, 1.03-11.87) were independently more associated with ADC than SCC. Similar findings for SOD2 expression were observed by the Cochran Mantel-Haenszel test, controlling for HPV-16 and/or HPV 18. In conclusion, the expression of SOD2 was increased in CIN3 and SCC, and more increased in cervical ADC than in SCC. Strong SOD2 expression was statistically independent of the presence of HPV 16 and/or 18. These findings suggest that the mitochondrial antioxidant system and HPV infection could follow independent pathways in the carcinogenesis of cervical epithelium and in the differentiation to SCC or ADC of the cervix., Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP; Grants No. 2008/57889-1, 2010/07739-3 and 2012/16059-1) and Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)/Instituto Nacional de Ciência e Tecnologia das Doenças Associadas ao HPV (INCT-HPV) (CNPq Grant No. 573799/2008-3), info:eu-repo/semantics/publishedVersion
- Published
- 2018