Baba, Satoshi, Taguchi, Ayumi, Kawata, Akira, Hara, Konan, Eguchi, Satoko, Mori, Mayuyo, Adachi, Katsuyuki, Mori, Seiichiro, Iwata, Takashi, Mitsuhashi, Akira, Maeda, Daichi, Komatsu, Atsushi, Nagamatsu, Takeshi, Oda, Katsutoshi, Kukimoto, Iwao, Osuga, Yutaka, Fujii, Tomoyuki, and Kawana, Kei
Background: Human papillomavirus (HPV) infection is a primary cause of cervical cancer. Although epidemiologic study revealed that carcinogenic risk differs according to HPV genotypes, the expression patterns of HPV-derived transcripts and their dependence on HPV genotypes have not yet been fully elucidated. Methods: In this study, 382 patients with abnormal cervical cytology were enrolled to assess the associations between HPV-derived transcripts and cervical intraepithelial neoplasia (CIN) grades and/or HPV genotypes. Specifically, four HPV-derived transcripts, namely, oncogenes E6 and E6*, E1^E4, and viral capsid protein L1 in four major HPV genotypes—HPV 16, 18, 52, and 58—were investigated. Results: The detection rate of E6/E6* increased with CIN progression, whereas there was no significant change in the detection rate of E1^E4 or L1 among CIN grades. In addition, we found that L1 gene expression was HPV type-dependent. Almost all HPV 52-positive specimens, approximately 50% of HPV 58-positive specimens, around 33% of HPV 16-positive specimens, and only one HPV18-positive specimen expressed L1. Conclusions: We demonstrated that HPV-derived transcripts are HPV genotype-dependent. Especially, expression patterns of L1 gene expression might reflect HPV genotype-dependent patterns of carcinogenesis. [ABSTRACT FROM AUTHOR]