PMID- 23860397 OWN - NLM STAT- MEDLINE DCOM- 20131021 LR - 20240413 IS - 1643-3750 (Electronic) IS - 1234-1010 (Print) IS - 1234-1010 (Linking) VI - 19 DP - 2013 Jul 17 TI - Association between infection of virulence cagA gene Helicobacter pylori and laryngeal squamous cell carcinoma. PG - 584-91 LID - 10.12659/MSM.889011 [doi] AB - BACKGROUND: The aim of the study was to evaluate the presence of cagA gene Helicobacter pylori in etiopathogenesis of initiation and development of larynx squamous cell carcinoma (LSCC) and its predictable role as a prognostic factor. MATERIAL AND METHODS: The prospective, controlled study involved a series of 75 patients (65 male, 10 female, mean age 59.1 years, range 43 to 79 years) with larynx cancer. Samples of larynx cancerous tissue, each of 10-15 mg, were obtained from fresh tissues and were used for nucleic acid purification. DNA was extracted from 225 samples (larynx tumor - I (75), margin of tumor and normal tissue - II (75) and normal larynx tissue from opposite side to the tumor - III). All samples were subjected to H. pylori ureA detection by the PCR H. pylori diagnostic test. Samples that were positive for ureA H. pylori gene were evaluated for cagA H. pylori gene. RESULTS: Presence of H. pylori cagA gene was identified in 46,7% to 49,3% of 75 H. pylori ureA gene-positive larynx cancer depending of tissue location. There was a correlation of high incidence of positive cagA gene in larynx cancer tissue in supraglottic versus subglottic and glottic location. We observed a predominance of cagA gene in LSCC in patients with positive cervical lymph nodes and clinical stage T3 and T4. CONCLUSIONS: H. pylori is present in larynx tissue and may be a possible carcinogen or co-carcinogen in LSCC development, but that must be addressed by future investigations. The presence of cagA gene in larynx cancer tissues significantly decreases survival rate and increases the disease recurrence possibilities. FAU - Burduk, Pawel Krzysztof AU - Burduk PK AD - Nicolaus Copernicus University of Torun, Bydgoszcz, Poland. pburduk@wp.pl LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130717 PL - United States TA - Med Sci Monit JT - Medical science monitor : international medical journal of experimental and clinical research JID - 9609063 RN - 0 (Antigens, Bacterial) RN - 0 (Bacterial Proteins) RN - 0 (cagA protein, Helicobacter pylori) SB - IM MH - Adult MH - Aged MH - Antigens, Bacterial/*genetics MH - Bacterial Proteins/*genetics MH - Base Sequence MH - Carcinoma, Squamous Cell/*complications/microbiology/mortality/pathology MH - Female MH - Genes, Bacterial/genetics MH - Helicobacter Infections/*complications/*microbiology/mortality/pathology MH - Helicobacter pylori/genetics/*pathogenicity MH - Humans MH - Laryngeal Neoplasms/*complications/*microbiology/mortality/pathology MH - Male MH - Middle Aged MH - Molecular Sequence Data MH - Poland/epidemiology MH - Polymerase Chain Reaction MH - Recurrence MH - Sequence Analysis, DNA MH - Survival Rate MH - Virulence/genetics PMC - PMC3718723 EDAT- 2013/07/19 06:00 MHDA- 2013/10/22 06:00 PMCR- 2013/07/17 CRDT- 2013/07/18 06:00 PHST- 2013/07/18 06:00 [entrez] PHST- 2013/07/19 06:00 [pubmed] PHST- 2013/10/22 06:00 [medline] PHST- 2013/07/17 00:00 [pmc-release] AID - 889011 [pii] AID - 10.12659/MSM.889011 [doi] PST - epublish SO - Med Sci Monit. 2013 Jul 17;19:584-91. doi: 10.12659/MSM.889011.