福尔马林固定癌组织的HPV-16检测流程及其在口腔鳞状细胞癌中的应用

IF 3.1 2区 医学 Q2 ONCOLOGY
Cancer Medicine Pub Date : 2025-02-20 DOI:10.1002/cam4.70544
Shizuka Morodomi, Akiyuki Hirosue, Akhinur Rahman, Kyotaro Nohata, Misaki Matsuo, Omnia Reda, Samiul Alam Rajib, Haruki Saito, Hiroki Takeda, Ryoji Yoshida, Masafumi Nakamoto, Masatoshi Hirayama, Kenta Kawahara, Mitsuyoshi Takatori, Yorihisa Orita, Hideki Nakayama, Yorifumi Satou
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引用次数: 0

摘要

背景:病毒相关癌症是由特定病毒引起的恶性肿瘤,如人类乳头瘤病毒(HPV)、乙型肝炎病毒和人类t细胞白血病病毒,通过持续感染和致癌转化,对全球癌症负担做出了重大贡献。目前的研究旨在开发一种强大的HPV-16检测方法,用于福尔马林固定的癌症标本。材料和方法为了防止DNA断裂导致的假阴性,增加了DNA质量检查步骤。此外,本研究使用覆盖整个HPV-16基因组的多重聚合酶链反应(PCR)来减轻病毒序列变异引起的影响。为了证明这一概念,我们分析了从hpv -16阳性口咽癌组织中提取的基因组DNA。随后,该方案在我们队列中的口腔鳞状细胞癌(OSCC)样本中进行了测试。鉴于先前研究中HPV-16阳性的广泛差异,HPV-16在OSCC中阳性的频率仍然难以捉摸。结果112例患者中,7例多重PCR结果显示有微弱条带或涂片。液滴数字PCR证实了HPV-16的不同阳性水平,提示HPV-16在癌组织中阳性的两种情况:癌细胞来源于感染细胞或只有一部分HPV-16阳性。最后,我们对该病例进行了综合分析,确定了缺失的HPV-16基因组整合到宿主基因TMEM94的17号染色体上的内含子区域。据我们所知,这是第一个证明HPV-16在OSCC细胞中整合并提供其完整病毒序列的证据。结论建立的方案适用于分析HPV-16感染与各种肿瘤组织的关系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Robust HPV-16 Detection Workflow for Formalin-Fixed Cancer Tissue and Its Application for Oral Squamous Cell Carcinoma

Robust HPV-16 Detection Workflow for Formalin-Fixed Cancer Tissue and Its Application for Oral Squamous Cell Carcinoma

Background

Virus-related cancers are malignancies caused by specific viruses, such as human papillomavirus (HPV), hepatitis B virus, and human T-cell leukemia virus, contributing significantly to the global cancer burden through persistent infection and oncogenic transformation. The current study aimed to develop a robust HPV-16 detection method for formalin-fixed cancer specimens.

Materials and Methods

To prevent false negatives resulting from DNA fragmentation, a DNA quality check step was added. Additionally, this study used multiplex polymerase chain reaction (PCR) covering the entire HPV-16 genome to mitigate effects caused by viral sequence variation. To prove this concept, we analyzed genomic DNA extracted from oropharyngeal cancer tissues known as HPV-16-positive. Subsequently, the protocol was tested on oral squamous cell carcinoma (OSCC) samples in our cohort. Given the wide variation in HPV-16 positivity in previous studies, it remains elusive how frequently HPV-16 is positive in OSCC.

Results

The results showed faint bands or smears in the multiplex PCR of 7 out of 112 cases. Droplet digital PCR confirmed variable positivity levels of HPV-16, suggesting two scenarios of HPV-16 positivity in cancer tissue: cancer cells derived from infected cells or only a portion being HPV-16-positive. Finally, we comprehensively analyzed the case and identified the integration of a deleted HPV-16 genome into the intronic region of the host gene TMEM94 on chromosome 17. To the best of our knowledge, this is the first evidence showing the integration of HPV-16 in OSCC cells and providing its complete viral sequence.

Conclusions

The established protocol should be applicable to various cancer tissues for analyzing the association with HPV-16 infection.

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来源期刊
Cancer Medicine
Cancer Medicine ONCOLOGY-
CiteScore
5.50
自引率
2.50%
发文量
907
审稿时长
19 weeks
期刊介绍: Cancer Medicine is a peer-reviewed, open access, interdisciplinary journal providing rapid publication of research from global biomedical researchers across the cancer sciences. The journal will consider submissions from all oncologic specialties, including, but not limited to, the following areas: Clinical Cancer Research Translational research ∙ clinical trials ∙ chemotherapy ∙ radiation therapy ∙ surgical therapy ∙ clinical observations ∙ clinical guidelines ∙ genetic consultation ∙ ethical considerations Cancer Biology: Molecular biology ∙ cellular biology ∙ molecular genetics ∙ genomics ∙ immunology ∙ epigenetics ∙ metabolic studies ∙ proteomics ∙ cytopathology ∙ carcinogenesis ∙ drug discovery and delivery. Cancer Prevention: Behavioral science ∙ psychosocial studies ∙ screening ∙ nutrition ∙ epidemiology and prevention ∙ community outreach. Bioinformatics: Gene expressions profiles ∙ gene regulation networks ∙ genome bioinformatics ∙ pathwayanalysis ∙ prognostic biomarkers. Cancer Medicine publishes original research articles, systematic reviews, meta-analyses, and research methods papers, along with invited editorials and commentaries. Original research papers must report well-conducted research with conclusions supported by the data presented in the paper.
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