PMID- 11903818 OWN - NLM STAT- MEDLINE DCOM- 20020805 LR - 20190916 IS - 0904-2512 (Print) IS - 0904-2512 (Linking) VI - 31 IP - 3 DP - 2002 Mar TI - Comparison of HPV infection, p53 mutation and allelic losses in post-transplant and non-posttransplant oral squamous cell carcinomas. PG - 134-41 AB - BACKGROUND: Oral squamous cell carcinoma (SCC) is increasingly found in transplant recipients, although little is known of the natural history of the disease or the mechanism underlying this increase. METHODS: In this article we describe the history of development of 5 oral post-transplant SCCs (PSCCs) and compare their genetic profiles to 34 non-posttransplant SCCs (NPSCCs). RESULTS: Of the five patients with PSCCs, 3 had bone marrow transplants and two, kidney. All three PSCCs from bone marrow recipients were preceded locally by graft-vs.-host disease (GVHD). Two of the GVHD were biopsied and demonstrated dysplasia. Similar frequencies of loss of heterozygosity (LOH) occurred in PSCCs and NPSCCs at 3p, 9p, 17p and 8p, with lower frequencies in PSCCs at 4q (39% vs. 0%), 11q (53% vs. 20%) and 13q (45% vs. 20%), although the latter were not significantly different. Only 1 PSCC had a p53 mutation, compared to historical values of 40-60% for NPSCC. Interestingly, human papillomavirus (HPV) DNA was detected in 3 (60%) PSCCs, in comparison to only 4 (12%) of the 34 NPSCCs (P = 0.0346). CONCLUSIONS: Dysplasia in oral GVHD may be a strong indicator of cancer risk and should not be regarded as reactive changes to lichenoid mucosites. The low level of p53 mutation and increased HPV infection support the involvement of HPV in the development of PSCC, while the similarity in LOH patterns suggests that other aspects of carcinogenesis may be comparable in these two types of SCCs. FAU - Zhang, L AU - Zhang L AD - Faculty of Dentistry, University of British Columbia, Canada. FAU - Epstein, J B AU - Epstein JB FAU - Poh, C F AU - Poh CF FAU - Berean, K AU - Berean K FAU - Lam, W L AU - Lam WL FAU - Zhang, X AU - Zhang X FAU - Rosin, M P AU - Rosin MP LA - eng GR - R01 DE13124-01/DE/NIDCR NIH HHS/United States PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PL - Denmark TA - J Oral Pathol Med JT - Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology JID - 8911934 RN - 0 (DNA, Viral) SB - IM MH - Adult MH - Aged MH - Bone Marrow Transplantation/*adverse effects MH - Carcinoma, Squamous Cell/*genetics/*virology MH - DNA Mutational Analysis MH - DNA, Viral/analysis MH - Genes, p53/*genetics MH - Graft vs Host Disease/*complications/etiology/pathology MH - Humans MH - Kidney Transplantation/*adverse effects MH - Loss of Heterozygosity MH - Male MH - Middle Aged MH - Mouth Neoplasms/*genetics/*virology MH - Papillomaviridae/genetics/isolation & purification MH - Papillomavirus Infections/*complications MH - Tumor Virus Infections/*complications EDAT- 2002/03/21 10:00 MHDA- 2002/08/06 10:01 CRDT- 2002/03/21 10:00 PHST- 2002/03/21 10:00 [pubmed] PHST- 2002/08/06 10:01 [medline] PHST- 2002/03/21 10:00 [entrez] AID - jop310302 [pii] AID - 10.1034/j.1600-0714.2002.310302.x [doi] PST - ppublish SO - J Oral Pathol Med. 2002 Mar;31(3):134-41. doi: 10.1034/j.1600-0714.2002.310302.x.