PMID- 32079256 OWN - NLM STAT- MEDLINE DCOM- 20201116 LR - 20201116 IS - 1648-9144 (Electronic) IS - 1010-660X (Print) IS - 1010-660X (Linking) VI - 56 IP - 2 DP - 2020 Feb 17 TI - Combined Effect of HPV and Several Gene SNPs in Laryngeal Cancer. LID - 10.3390/medicina56020081 [doi] LID - 81 AB - Background and objectives: Laryngeal squamous cell carcinoma (LSCC) is one of the most common head and neck tumors. The molecular mechanism of LSCC remains unclear. The aim of this study was to evaluate the prevalence of Human papillomavirus (HPV) and single nucleotide polymorphisms (SNPs) of TP53, MDM2, MDM4, MTHFR, CASP8, and CCR5 genes in LSCC, and to assess their correlations with patient survival. Materials and Methods: 49 LSCC patients were enrolled in this study. PCR and qRT-PCR were used to detect, identify, and quantify HPV. SNPs were genotyped using PCR and PCR-RFLP. Results: By analyzing the interactions of the SNPs of the genes with clinical parameters, the majority of patients with lymph node status (N1,2) were identified as carriers of MDM2 T/G, CASP8 ins/del, CCR5 wt/wt SNP. Cluster analysis showed that patients with MDM2 T/T SNP survive longer than patients identified as CASP8 ins/ins, MTHFR C/C, and MDM4 A/A variant carriers; meanwhile, LSCC patients with MDM2 T/T polymorphic variant had the best survival. Multivariate analysis showed that HPV-positive patients without metastasis in regional lymph nodes (N0) and harboring CASP8 ins/del variant had the best survival. Meanwhile, HPV-negative patients with identified metastasis in lymph nodes (N1 and N2) and CASP8 ins/del variant had poor survival. Conclusions: This finding suggests patients survival prognosis and tumor behavior are different according HPV status, SNP variants, and clinical characteristics of the LSCC. FAU - Stumbryte-Kaminskiene, Ausra AU - Stumbryte-Kaminskiene A AD - Biobank, National Cancer Institute, P. Baublio 3b, LT-08406 Vilnius, Lithuania. FAU - Gudleviciene, Zivile AU - Gudleviciene Z AD - Biobank, National Cancer Institute, P. Baublio 3b, LT-08406 Vilnius, Lithuania. FAU - Dabkeviciene, Daiva AU - Dabkeviciene D AD - Laboratory of Clinical Oncology, National Cancer Institute, P. Baublio 3b, LT-08406 Vilnius, Lithuania. FAU - Mackeviciene, Irina AU - Mackeviciene I AD - Department of Head and Neck Surgery and Oncology, National Cancer Institute, Santariskiu 1, LT-08660 Vilnius, Lithuania. LA - eng PT - Journal Article DEP - 20200217 PL - Switzerland TA - Medicina (Kaunas) JT - Medicina (Kaunas, Lithuania) JID - 9425208 RN - 0 (CCR5 protein, human) RN - 0 (Cell Cycle Proteins) RN - 0 (MDM4 protein, human) RN - 0 (Proto-Oncogene Proteins) RN - 0 (Receptors, CCR5) RN - 0 (TP53 protein, human) RN - 0 (Tumor Suppressor Protein p53) RN - EC 1.5.1.20 (MTHFR protein, human) RN - EC 1.5.1.20 (Methylenetetrahydrofolate Reductase (NADPH2)) RN - EC 2.3.2.27 (MDM2 protein, human) RN - EC 2.3.2.27 (Proto-Oncogene Proteins c-mdm2) RN - EC 3.4.22.- (CASP8 protein, human) RN - EC 3.4.22.- (Caspase 8) SB - IM MH - Adult MH - Aged MH - Carcinoma, Squamous Cell/*genetics MH - Caspase 8/analysis MH - Cell Cycle Proteins/analysis MH - Female MH - Humans MH - Laryngeal Neoplasms/*genetics/pathology MH - Male MH - Methylenetetrahydrofolate Reductase (NADPH2)/analysis MH - Middle Aged MH - Papillomavirus Infections/*complications/genetics MH - Polymorphism, Single Nucleotide/genetics MH - Prognosis MH - Proto-Oncogene Proteins/analysis MH - Proto-Oncogene Proteins c-mdm2/analysis MH - Receptors, CCR5/analysis MH - Tumor Suppressor Protein p53/analysis PMC - PMC7074362 OTO - NOTNLM OT - human papillomavirus OT - laryngeal squamous cell carcinoma OT - multivariate analysis OT - patient survival OT - single nucleotide polymorphisms COIS- Ethics approval and consent to participate: All patients included in this study have signed an Informed patient consent approved by the Vilnius Regional Committee of Biomedical Research (Lithuania, 2013-06-11 permission No. 158200-13-638-204). Consent for publication: Not Applicable. Availability of data and materials: All data generated or analyzed during this study are included in this published article and its supplementary information files. Competing interests: The authors declare that they have no competing interests. EDAT- 2020/02/23 06:00 MHDA- 2020/11/18 06:00 PMCR- 2020/02/17 CRDT- 2020/02/22 06:00 PHST- 2019/12/26 00:00 [received] PHST- 2020/02/11 00:00 [revised] PHST- 2020/02/12 00:00 [accepted] PHST- 2020/02/22 06:00 [entrez] PHST- 2020/02/23 06:00 [pubmed] PHST- 2020/11/18 06:00 [medline] PHST- 2020/02/17 00:00 [pmc-release] AID - medicina56020081 [pii] AID - medicina-56-00081 [pii] AID - 10.3390/medicina56020081 [doi] PST - epublish SO - Medicina (Kaunas). 2020 Feb 17;56(2):81. doi: 10.3390/medicina56020081.