PMID- 32364419 OWN - NLM STAT- MEDLINE DCOM- 20200806 LR - 20220415 IS - 1943-572X (Electronic) IS - 0003-4894 (Linking) VI - 129 IP - 9 DP - 2020 Sep TI - Prevalence and Prognostic Value of HPV among Tunisian Patients with Laryngeal Cancer and Relationship between DNA HPV and p16, IGF-1R, Survivin, p53 Expressions. PG - 863-871 LID - 10.1177/0003489420918280 [doi] AB - OBJECTIVES: Tobacco and alcohol are the main etiological factors common to laryngeal cancers. However, the Human Papilloma Virus (HPV) constitutes an alternative risk factor according to several studies. In Tunisia, despite the annual increasing incidence of laryngeal squamous cell carcinoma (LSCC), the prevalence and prognostic significance of HPV have never been explored.In this study, we sought to highlight HPV DNA in 70 biopsies of laryngeal cancer, and to analyze the status of HPV infection in association with p53, p16, survivin, and IGF-1R expressions. METHODS: HPV high risk (HPV HR) DNA was detected in tumors by in situ hybridization. However, the expression of p53, p16, survivin and IGF-1R were stained by immunohistochemistry test. The correlations of HPV status with clinicopathological parameters, overall survival, disease-free survival and proteins expressions were statistically evaluated. RESULTS: HPV HR DNA was detected in 39 out of 70 (55.71%) laryngeal tumors. HPV+ patients have a better overall survival (P = .081) and long disease-free-survival (P = .016) with a low rate of recurrence (P = .006) than HPV(-) patients. No significant correlations were found between HPV HR status and clinicopathological parameters (all P > .005). Moreover, HPV+ tumors were not associated with expression of p53, p16 and survivin. However, HPV HR status correlates with weak to moderate IGF-1R expression (P = .043). CONCLUSION: The substantial detection of HPV HR in LSCC tumors suggest that this virus plays an important part in laryngeal cancer in Tunisia. It is a good prognostic factor. In addition, HPV infection could act to block the pathway of IGF-1R expression. FAU - Ben Elhadj, Mariem AU - Ben Elhadj M AUID- ORCID: 0000-0002-1963-7752 AD - Departement of Immuno-Histo-Cytology, Salah Azaiez Cancer Institute, Tunis, Tunisia. AD - Research unit 17/ES/13 Faculty of Medicine, Tunis, Tunisia, University of Tunis El Manar, Tunisia. FAU - Fourati, Asma AU - Fourati A AD - Departement of Immuno-Histo-Cytology, Salah Azaiez Cancer Institute, Tunis, Tunisia. AD - Research unit 17/ES/13 Faculty of Medicine, Tunis, Tunisia, University of Tunis El Manar, Tunisia. FAU - El Amine, Olfa AU - El Amine O AD - Departement of Immuno-Histo-Cytology, Salah Azaiez Cancer Institute, Tunis, Tunisia. FAU - Goucha, Aida AU - Goucha A AD - Departement of Immuno-Histo-Cytology, Salah Azaiez Cancer Institute, Tunis, Tunisia. FAU - El May, Ahmed AU - El May A AD - Departement of Immuno-Histo-Cytology, Salah Azaiez Cancer Institute, Tunis, Tunisia. FAU - El May, Michele-Veronique AU - El May MV AD - Research unit 17/ES/13 Faculty of Medicine, Tunis, Tunisia, University of Tunis El Manar, Tunisia. FAU - Mokni Baizig, Nehla AU - Mokni Baizig N AUID- ORCID: 0000-0003-4703-6775 AD - Departement of Immuno-Histo-Cytology, Salah Azaiez Cancer Institute, Tunis, Tunisia. AD - Research unit 17/ES/13 Faculty of Medicine, Tunis, Tunisia, University of Tunis El Manar, Tunisia. LA - eng PT - Journal Article DEP - 20200504 PL - United States TA - Ann Otol Rhinol Laryngol JT - The Annals of otology, rhinology, and laryngology JID - 0407300 RN - 0 (CDKN2A protein, human) RN - 0 (Cyclin-Dependent Kinase Inhibitor p16) RN - 0 (DNA, Viral) RN - 0 (IGF1R protein, human) RN - 0 (Survivin) RN - 0 (Tumor Suppressor Protein p53) RN - EC 2.7.10.1 (Receptor, IGF Type 1) SB - IM MH - Aged MH - Aged, 80 and over MH - Cyclin-Dependent Kinase Inhibitor p16/analysis/biosynthesis MH - DNA, Viral/analysis MH - Female MH - Humans MH - Laryngeal Neoplasms/chemistry/metabolism/mortality/*virology MH - Male MH - Middle Aged MH - Papillomaviridae/genetics MH - Papillomavirus Infections/complications/epidemiology/metabolism/*virology MH - Prevalence MH - Prognosis MH - Receptor, IGF Type 1/analysis/biosynthesis MH - Retrospective Studies MH - Survival Rate MH - Survivin/analysis/biosynthesis MH - Tumor Suppressor Protein p53/analysis/biosynthesis MH - Tunisia OTO - NOTNLM OT - HPV-HR OT - IGF-1R OT - Tunisian patients OT - laryngeal tumors OT - prognostic factor OT - survivin EDAT- 2020/05/05 06:00 MHDA- 2020/08/07 06:00 CRDT- 2020/05/05 06:00 PHST- 2020/05/05 06:00 [pubmed] PHST- 2020/08/07 06:00 [medline] PHST- 2020/05/05 06:00 [entrez] AID - 10.1177/0003489420918280 [doi] PST - ppublish SO - Ann Otol Rhinol Laryngol. 2020 Sep;129(9):863-871. doi: 10.1177/0003489420918280. Epub 2020 May 4.