PMID- 23968641 OWN - NLM STAT- MEDLINE DCOM- 20140108 LR - 20221207 IS - 1532-8392 (Electronic) IS - 0046-8177 (Linking) VI - 44 IP - 11 DP - 2013 Nov TI - Human papillomavirus multiplex ligation-dependent probe amplification assay for the assessment of viral load, integration, and gain of telomerase-related genes in cervical malignancies. PG - 2410-8 LID - S0046-8177(13)00228-1 [pii] LID - 10.1016/j.humpath.2013.04.026 [doi] AB - We evaluated the reliability of a novel multiplex ligation-dependent probe amplification (MLPA) assay in detecting integration of human papillomavirus (HPV) based on the viral E2/E6 copy number ratio in formalin-fixed and paraffin-embedded cervical lesions. The MLPA results were compared with those of amplification of papillomavirus oncogene transcripts for RNA, detection of integrated papillomavirus sequences for DNA, and HPV fluorescence in situ hybridization (FISH). DNA was isolated from 41 formalin-fixed and paraffin-embedded HPV-positive cervical lesions (cervical intraepithelial neoplasia grade 3 lesions, squamous cell carcinomas, and adenocarcinomas) for MLPA analysis. From 13 matching frozen samples, DNA and RNA were isolated for the detection of integrated papillomavirus sequences and/or the amplification of papillomavirus oncogene transcripts, respectively. Integrated HPV16, HPV18, or both were identified. The MLPA assay detected viral integration in 12 of these 13 cases, and episomal copies also were detected in 7 cases. In 20 of the 24 cases with exclusive viral integration or episomal viral copies as detected by FISH, MLPA confirmed the physical status of the virus. In the cases classified as mixed by FISH, the presence of excess episomal copies complicated the recognition of viral integration by MLPA. Furthermore, the feasibility of detecting gain of the telomerase genes with the HPV MLPA assay was evaluated. The MLPA confirmed the FISH data in 12 of 13 cases in which the status of copy number gain for telomerase RNA component was known. In conclusion, the HPV MLPA assay can be performed on routinely processed cervical lesions for the detection of viral load and HPV integration. CI - Copyright (c) 2013 Elsevier Inc. All rights reserved. FAU - Theelen, Wendy AU - Theelen W AD - Department of Molecular Cell Biology, GROW - School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht 6200MD, The Netherlands. FAU - Litjens, Rogier J N T M AU - Litjens RJ FAU - Vinokurova, Svetlana AU - Vinokurova S FAU - Haesevoets, Annick AU - Haesevoets A FAU - Reijans, Martin AU - Reijans M FAU - Simons, Guus AU - Simons G FAU - Smedts, Frank AU - Smedts F FAU - Herrington, C Simon AU - Herrington CS FAU - Ramaekers, Frans C S AU - Ramaekers FC FAU - von Knebel Doeberitz, Magnus AU - von Knebel Doeberitz M FAU - Speel, Ernst-Jan M AU - Speel EJ FAU - Hopman, Anton H N AU - Hopman AH LA - eng PT - Comparative Study PT - Journal Article DEP - 20130819 PL - United States TA - Hum Pathol JT - Human pathology JID - 9421547 RN - 0 (DNA, Viral) RN - 0 (RNA, Viral) RN - 0 (telomerase RNA) RN - 63231-63-0 (RNA) RN - EC 2.7.7.49 (Telomerase) SB - IM MH - Carcinoma, Squamous Cell/pathology/*virology MH - Cervix Uteri/pathology/*virology MH - DNA, Viral/genetics MH - Female MH - Gene Dosage MH - Human papillomavirus 16/genetics/isolation & purification/physiology MH - Human papillomavirus 18/genetics/isolation & purification/physiology MH - Humans MH - In Situ Hybridization, Fluorescence MH - Multiplex Polymerase Chain Reaction/*methods MH - Papillomaviridae/genetics/*isolation & purification/physiology MH - Papillomavirus Infections/pathology/*virology MH - RNA/genetics MH - RNA, Viral/genetics MH - Reproducibility of Results MH - Telomerase/genetics MH - Uterine Cervical Neoplasms/pathology/*virology MH - Viral Load MH - Virus Integration MH - Uterine Cervical Dysplasia/pathology/*virology OTO - NOTNLM OT - APOT OT - Cervical carcinoma OT - DIPS OT - HPV FISH OT - HPV integration EDAT- 2013/08/24 06:00 MHDA- 2014/01/09 06:00 CRDT- 2013/08/24 06:00 PHST- 2012/12/23 00:00 [received] PHST- 2013/03/26 00:00 [revised] PHST- 2013/04/01 00:00 [accepted] PHST- 2013/08/24 06:00 [entrez] PHST- 2013/08/24 06:00 [pubmed] PHST- 2014/01/09 06:00 [medline] AID - S0046-8177(13)00228-1 [pii] AID - 10.1016/j.humpath.2013.04.026 [doi] PST - ppublish SO - Hum Pathol. 2013 Nov;44(11):2410-8. doi: 10.1016/j.humpath.2013.04.026. Epub 2013 Aug 19.