PMID- 7665253 OWN - NLM STAT- MEDLINE DCOM- 19951011 LR - 20190708 IS - 0020-7136 (Print) IS - 0020-7136 (Linking) VI - 64 IP - 1 DP - 1995 Feb 20 TI - Analysis and clinical implications of K-ras gene mutations and infection with human papillomavirus types 16 and 18 in primary adenocarcinoma of the uterine cervix. PG - 9-13 AB - Experimental models indicate that activated ras genes and HPV oncogenic sequences may cooperate in inducing a completely transformed phenotype in epithelial cells. We searched for K-ras gene mutations and HPV type-16 and -18 sequences in 67 primary adenocarcinomas of the uterine cervix by analyzing DNAs from formalin-fixed, paraffin-embedded tissue samples. Target sequences were amplified by PCR and analyzed by denaturing gradient gel electrophoresis (DGGE) and sequencing for the detection of K-ras gene mutations and by Southern blotting for the detection of HPV infection. We found 16 mutations in 15 cases; 14 were at codon 12 and 2 at codon 13; 11 were base transitions and 5 were transversions. Mutations were more frequent in mucin-secreting than in non-mucinous tumors. HPV oncogenic sequences were detected in 58 cases with no significant difference between K-ras-mutated and wild-type tumors. HPV oncogenic sequences were also more frequent in mucin-secreting than in non-mucinous tumors. Both molecular events were present simultaneously in 13 out of 58 cases, all of which had histologically grade-2 and grade-3 tumors. Clinico-pathological parameters of the disease and the overall survival, however, were independent of K-ras mutations and of HPV-16 and -18 infection, as shown by univariate and multivariate analysis. In contrast, stage of disease, lymph-node metastases, deep infiltration, clear-cell histology and low grade of differentiation were risk factors for tumor-related death. FAU - Tenti, P AU - Tenti P AD - Department of Human Pathology, University of Pavia, Italy. FAU - Romagnoli, S AU - Romagnoli S FAU - Silini, E AU - Silini E FAU - Pellegata, N S AU - Pellegata NS FAU - Zappatore, R AU - Zappatore R FAU - Spinillo, A AU - Spinillo A FAU - Zara, C AU - Zara C FAU - Ranzani, G N AU - Ranzani GN FAU - Carnevali, L AU - Carnevali L LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (DNA Primers) RN - 0 (DNA, Viral) RN - EC 3.6.5.2 (HRAS protein, human) RN - EC 3.6.5.2 (Proto-Oncogene Proteins p21(ras)) SB - IM MH - Adenocarcinoma/*genetics/*virology MH - Adult MH - Aged MH - Base Sequence MH - DNA Primers/chemistry MH - DNA, Viral/analysis MH - Female MH - *Genes, ras MH - Humans MH - Middle Aged MH - Molecular Sequence Data MH - Papillomaviridae/*genetics MH - Papillomavirus Infections/*complications/diagnosis MH - Point Mutation MH - Proto-Oncogene Proteins p21(ras)/*genetics MH - Survival Analysis MH - Tumor Virus Infections/*complications/diagnosis MH - Uterine Cervical Neoplasms/*genetics/*virology EDAT- 1995/02/20 00:00 MHDA- 1995/02/20 00:01 CRDT- 1995/02/20 00:00 PHST- 1995/02/20 00:00 [pubmed] PHST- 1995/02/20 00:01 [medline] PHST- 1995/02/20 00:00 [entrez] AID - 10.1002/ijc.2910640104 [doi] PST - ppublish SO - Int J Cancer. 1995 Feb 20;64(1):9-13. doi: 10.1002/ijc.2910640104.