HPV DNA, E6*I-mRNA expression and p16INK4A immunohistochemistry in head and neck cancer – How valid is p16INK4A as surrogate marker?
| Autor: | Anna S. Hoffmann, Christoph Röcken, Saskia Pfannenschmidt, Silke Tribius, Markus Schmitt, Markus Hoffmann, Hannes Henry, Tibor Görögh, Elgar Susanne Quabius, Claudia Burkhardt, Gordana Halec, Tomas Kahn, Jochen Haag, Tim Waterboer |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Cancer Research Pathology medicine.medical_specialty Tonsillar Neoplasms medicine.disease_cause Tonsillar Neoplasm stomatognathic system otorhinolaryngologic diseases Carcinoma medicine Humans RNA Messenger neoplasms Cyclin-Dependent Kinase Inhibitor p16 Aged Squamous Cell Carcinoma of Head and Neck Surrogate endpoint business.industry Papillomavirus Infections Head and neck cancer HPV infection virus diseases Oncogene Proteins Viral Middle Aged medicine.disease Immunohistochemistry stomatognathic diseases Oncology Head and Neck Neoplasms DNA Viral Carcinoma Squamous Cell Cancer research Female business Carcinogenesis Multiplex Polymerase Chain Reaction Viral load Biomarkers |
| Zdroj: | Cancer Letters. 323:88-96 |
| ISSN: | 0304-3835 |
| Popis: | It has been proposed that p16(INK4A) qualifies as a surrogate marker for viral oncogene activity in head and neck cancer (HNSCC). By analyzing 78 HNSCC we sought to validate the accuracy of p16(INK4A) as a reliable marker of active HPV infections in HNSCC. To this end we determined HPV DNA (HPVD) and E6*I mRNA (HPVR) expression status and correlated these results with p16(INK4A) staining. In tonsillar SCC 12/20 were HPVD+ and 12/12 of these showed active HPV infections whereas in non-tonsillar SCC 10/58 were HPVD+ and 5/10 showed active HPV infections. Thus, we prove about 8% of non-tonsillar SCC to be also correlated with HPV-associated carcinogenesis. Strikingly, 3/14 (21.4%) of tonsillar and non-tonsillar HPVD+/HPVR+ cases did not show p16(INK4A) overexpression and these cases would have been missed when applying initial p16(INK4A) staining only. However, in 13 cases negative for HPV, DNA p16(INK4A) was overexpressed. In conclusion, our data confirm tonsillar SCC to be predominantly but not only associated with active HPV infections. Furthermore, our data show that p16(INK4A) overexpression is not evident in a subgroup of HNSCC with active HPV infection. Definitive HPV data should therefore be utilized in diagnostics and treatment modalities of HPV positive and HPV negative HNSCC patients, resulting in a paradigm shift regarding these obviously different tumor entities. |
| Databáze: | OpenAIRE |
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