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ABSTRACT: Introduction
Human papillomavirus (HPV) infection is associated with the development of anogenital and head and neck cancers. In recent years a potential role of HPV in colorectal cancer (CRC) has been suggested.Objective
To investigate the presence of HPV in colorectal carcinomas and to study the role of p16INK4a as a marker of transcriptionally active HPV infection. In addition, to investigate the correlation between these findings and the CRC prognostic factors.Methods
Case control study with 92 cases of colorectal cancers, 75 controls of normal tissue adjacent to the tumor, and 30 controls of precursor lesions, including polyps and colorectal adenomas. Paraffinized samples were used, HPV detection and genotyping were performed by PCR and reverse hybridization by using the INNO LIPA kit, with SPF10 plus primers. The expression of the p16INK4a protein was investigated using immunohistochemistry. Data analysis was performed using descriptive, univariate statistics and survival curves were calculated by using the Kaplan Meier and log-rank method.Results
HPV was detected in 13% of the cases and the most prevalent genotype was HPV 16. HPV DNA was not detected in either control groups. The high expression of p16INK4a was observed in 30% of the cases, but it was not associated to the presence of HPV. The overall survival was 53.3% and was influenced by prognostic factors such as later stage, lymph node and distant metastasis.Conclusions
Based on these results, HPV is unlikely to be involved in colorectal carcinogenesis and p16INK4a expression is not a relevant marker of transcriptionally active HPV infection in CRC.
SUBMITTER: Dalla Libera LS
PROVIDER: S-EPMC7316293 | biostudies-literature | 2020
REPOSITORIES: biostudies-literature
Dalla Libera Larisse Silva LS de Siqueira Thalita T Santos Igor Lopes IL Porto Ramos Jéssica Enocencio JE Milhomen Amanda Xavier AX Alencar Rita de Cassia Gonçalves de RCG Rabelo Santos Silvia Helena SH Dos Santos Carneiro Megmar Aparecida MA Figueiredo Alves Rosane Ribeiro RR Saddi Vera Aparecida VA
PloS one 20200625 6
<h4>Introduction</h4>Human papillomavirus (HPV) infection is associated with the development of anogenital and head and neck cancers. In recent years a potential role of HPV in colorectal cancer (CRC) has been suggested.<h4>Objective</h4>To investigate the presence of HPV in colorectal carcinomas and to study the role of p16INK4a as a marker of transcriptionally active HPV infection. In addition, to investigate the correlation between these findings and the CRC prognostic factors.<h4>Methods</h4 ...[more]