PMID- 30134232 OWN - NLM STAT- MEDLINE DCOM- 20180918 LR - 20190212 IS - 1421-9778 (Electronic) IS - 1015-8987 (Linking) VI - 49 IP - 1 DP - 2018 TI - Prevalence and Prognostic Significance of HPV in Laryngeal Squamous Cell Carcinoma in Northeast China. PG - 206-216 LID - 10.1159/000492858 [doi] AB - BACKGROUND/AIMS: Human papillomavirus (HPV) is an etiological risk factor for a subset of head and neck squamous cell carcinomas. HPV has been proven to be a powerful prognostic biomarker for oropharyngeal cancer, but its role in the larynx has not been explored in depth. Here, we sought to evaluate the prevalence and genotype distribution of HPV in patients with laryngeal squamous cell carcinoma (LSCC) in northeast China. METHODS: HPV DNA in specimens from 211 patients diagnosed with LSCC was analyzed by the polymerase chain reaction and in situ hybridization, and p16 overexpression was evaluated by immunohistochemistry. p16 expression was scored positive if strong and diffuse nuclear and cytoplasmic staining was present in > 75% of tumor cells. RESULTS: In this study, infection with HPV and p16 expression were not absolutely consistent. Among all patients, 132 (62.6%) were positive for HPV DNA (HPV+), while 23 (10.9%) were inconsistent for HPV and p16. Multivariate analysis indicated that HPV, but not p16, is an independent prognostic factor for overall survival in LSCC. Overall survival was significantly improved in HPV+ LSCC patients compared with the HPV-negative group (hazard ratio, 0.395; 95% confidence interval, 0.185-0.843; p = 0.016). Among the 132 HPV+ patients, 28 (21.2%) were HPV-16 single infection. CONCLUSION: This study indicates that HPV DNA is a more reliable surrogate marker than p16 for the prediction of survival in patients with LSCC. CI - (c) 2018 The Author(s). Published by S. Karger AG, Basel. FAU - Tong, Fangjia AU - Tong F AD - Department of Microbiology, Harbin Medical University, Harbin, China. AD - Wu Lien-Teh Institute, Harbin Medical University, Harbin, China. FAU - Geng, Jingshu AU - Geng J AD - Department of Pathology, Harbin Medical University Cancer Hospital, Harbin, China. FAU - Yan, Bingqing AU - Yan B AD - Department of Microbiology, Harbin Medical University, Harbin, China. AD - Wu Lien-Teh Institute, Harbin Medical University, Harbin, China. FAU - Lou, Huihuang AU - Lou H AD - Department of Microbiology, Harbin Medical University, Harbin, China. AD - Wu Lien-Teh Institute, Harbin Medical University, Harbin, China. FAU - Chen, Xiaohang AU - Chen X AD - Department of Microbiology, Harbin Medical University, Harbin, China. AD - Wu Lien-Teh Institute, Harbin Medical University, Harbin, China. FAU - Duan, Chenwei AU - Duan C AD - Department of Microbiology, Harbin Medical University, Harbin, China. AD - Wu Lien-Teh Institute, Harbin Medical University, Harbin, China. FAU - He, Jing AU - He J AD - Department of Pathology, Harbin Medical University Cancer Hospital, Harbin, China. FAU - Zhang, Siwei AU - Zhang S AD - Department of Microbiology, Harbin Medical University, Harbin, China. AD - Wu Lien-Teh Institute, Harbin Medical University, Harbin, China. FAU - Xie, Huanhuan AU - Xie H AD - Department of Microbiology, Harbin Medical University, Harbin, China. AD - Wu Lien-Teh Institute, Harbin Medical University, Harbin, China. FAU - Li, Huining AU - Li H AD - Department of Pathology, Harbin Medical University & Department of Pathology, the First Affiliated Hospital of Heilongjiang University of Chinese Medicine, Harbin, China. FAU - Yuan, Dawei AU - Yuan D AD - Department of Pathology, Harbin Medical University Cancer Hospital, Harbin, China. FAU - Zhang, Fengmin AU - Zhang F AD - Department of Microbiology, Harbin Medical University, Harbin, China. AD - Wu Lien-Teh Institute, Harbin Medical University, Harbin, China. FAU - Meng, Hongxue AU - Meng H AD - Department of Pathology, Harbin Medical University Cancer Hospital, Harbin, China. FAU - Wei, Lanlan AU - Wei L AD - Department of Microbiology, Harbin Medical University, Harbin, China. AD - Wu Lien-Teh Institute, Harbin Medical University, Harbin, China. LA - eng PT - Journal Article DEP - 20180822 PL - Germany TA - Cell Physiol Biochem JT - Cellular physiology and biochemistry : international journal of experimental cellular physiology, biochemistry, and pharmacology JID - 9113221 RN - 0 (Cyclin-Dependent Kinase Inhibitor p16) RN - 0 (DNA, Viral) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Carcinoma, Squamous Cell/*diagnosis/epidemiology/mortality/virology MH - China/epidemiology MH - Cyclin-Dependent Kinase Inhibitor p16/metabolism MH - DNA, Viral/metabolism MH - Female MH - Humans MH - Kaplan-Meier Estimate MH - Laryngeal Neoplasms/*diagnosis/epidemiology/mortality/virology MH - Male MH - Middle Aged MH - Papillomaviridae/*genetics/isolation & purification MH - Prevalence MH - Prognosis MH - Proportional Hazards Models OTO - NOTNLM OT - Human papillomavirus OT - Laryngeal squamous cell carcinomas OT - Overall survival OT - P16 OT - Prognosis EDAT- 2018/08/23 06:00 MHDA- 2018/09/19 06:00 CRDT- 2018/08/23 06:00 PHST- 2017/11/28 00:00 [received] PHST- 2018/08/13 00:00 [accepted] PHST- 2018/08/23 06:00 [pubmed] PHST- 2018/09/19 06:00 [medline] PHST- 2018/08/23 06:00 [entrez] AID - 000492858 [pii] AID - 10.1159/000492858 [doi] PST - ppublish SO - Cell Physiol Biochem. 2018;49(1):206-216. doi: 10.1159/000492858. Epub 2018 Aug 22.