PMID- 25536405 OWN - NLM STAT- MEDLINE DCOM- 20151201 LR - 20181113 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 9 IP - 12 DP - 2014 TI - Human papillomavirus infection in 674 Chinese patients with laryngeal squamous cell carcinoma. PG - e115914 LID - 10.1371/journal.pone.0115914 [doi] LID - e115914 AB - OBJECTIVES: Previous reports suggest a strong association between human papillomavirus (HPV) and the etiology of laryngeal squamous cell carcinoma (LSCC). However, clinical data regarding the HPV infection rate among LSCC patients remain largely inconsistent. METHODS: In total, 674 LSCC patients from three major hospitals in Shanghai were enrolled in this study. We determined the patients' HPV infection status using immunohistochemistry and the GenoArray HPV genotyping assay and calculated their long-term survival rate using the Kaplan-Meier method. RESULTS: The total P16-positive rate according to immunostaining results was 7.57% (51/674). None of the P16-negative patients were HPV-positive according to the HPV genotyping test. The rate of HPV infection among patients with LSCC was 4.9% (33/674). HPV infection was more common among nonsmokers (P<0.05), nondrinkers (P<0.05), and patients with supraglottic LSCC (P<0.05). Of the 33 HPV-positive patients, 28 (84.8%) were infected with HPV-16, 2 with HPV-18, 1 with HPV-31, 1 with HPV-33 and 1 with HPV-45. The 3-year overall survival rate and progression-free survival rate were higher in HPV-positive than HPV-negative patients, but the difference was not statistically significant (76.3% vs. 70.7%, P = 0.30 and 65.1% vs. 58.3%, P = 0.37, respectively). CONCLUSION: HPV was not a main causal factor in LSCC carcinogenesis in this Chinese population. HPV infection did not alter patients' overall survival or progression-free survival rates in this study. FAU - Xu, Yanan AU - Xu Y AD - Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China; Department of Head and Neck Surgery, Renji Hospital of Shanghai Jiao Tong University School of Medicine, Shanghai, China; Otolaryngological Institute of Shanghai Jiaotong University, Shanghai, China. FAU - Liu, Suru AU - Liu S AD - Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China; Otolaryngological Institute of Shanghai Jiaotong University, Shanghai, China. FAU - Yi, Hongliang AU - Yi H AD - Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China; Otolaryngological Institute of Shanghai Jiaotong University, Shanghai, China. FAU - Wang, Jiadong AU - Wang J AD - Department of Head and Neck Surgery, Renji Hospital of Shanghai Jiao Tong University School of Medicine, Shanghai, China; Otolaryngological Institute of Shanghai Jiaotong University, Shanghai, China. FAU - Dong, Pin AU - Dong P AD - Department of Otolaryngology Head and Neck Surgery, Shanghai Jiao Tong University Affiliated First People's Hospital, Shanghai, China; Otolaryngological Institute of Shanghai Jiaotong University, Shanghai, China. FAU - Li, Xiaoyan AU - Li X AD - Department of Otolaryngology Head and Neck Surgery, Children's Hospital Affiliated to Shanghai Jiaotong University, Shanghai, China. FAU - Yin, Shankai AU - Yin S AD - Department of Otolaryngology, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, China; Otolaryngological Institute of Shanghai Jiaotong University, Shanghai, China. LA - eng PT - Journal Article DEP - 20141223 PL - United States TA - PLoS One JT - PloS one JID - 101285081 SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Squamous Cell/*complications/epidemiology MH - China/epidemiology MH - Female MH - Human papillomavirus 16/isolation & purification MH - Human papillomavirus 18/isolation & purification MH - Human papillomavirus 31/isolation & purification MH - Humans MH - Kaplan-Meier Estimate MH - Laryngeal Neoplasms/*complications/epidemiology MH - Larynx/pathology MH - Male MH - Middle Aged MH - Papillomavirus Infections/*complications/diagnosis/epidemiology MH - Young Adult PMC - PMC4275260 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2014/12/24 06:00 MHDA- 2015/12/15 06:00 PMCR- 2014/12/23 CRDT- 2014/12/24 06:00 PHST- 2014/09/22 00:00 [received] PHST- 2014/11/30 00:00 [accepted] PHST- 2014/12/24 06:00 [entrez] PHST- 2014/12/24 06:00 [pubmed] PHST- 2015/12/15 06:00 [medline] PHST- 2014/12/23 00:00 [pmc-release] AID - PONE-D-14-42648 [pii] AID - 10.1371/journal.pone.0115914 [doi] PST - epublish SO - PLoS One. 2014 Dec 23;9(12):e115914. doi: 10.1371/journal.pone.0115914. eCollection 2014.