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P16 and HPV Genotype Significance in HPV-Associated Cervical Cancer—A Large Cohort of Two Tertiary Referral Centers

The expression of p16 is a good surrogate of human papillomavirus (HPV) infection in HPV-associated cancers. The significance of p16 expression, HPV genotype and genera in the outcome of patients with HPV-associated cervical cancer (CC) is unclear. Our aim is to ascertain the prognostic significance...

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Autores principales: da Mata, Sara, Ferreira, Joana, Nicolás, Inmaculada, Esteves, Susana, Esteves, Gonçalo, Lérias, Sofia, Silva, Fernanda, Saco, Adela, Cochicho, Daniela, Cunha, Mário, del Pino, Marta, Ordi, Jaume, Félix, Ana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7956391/
https://www.ncbi.nlm.nih.gov/pubmed/33669021
http://dx.doi.org/10.3390/ijms22052294
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author da Mata, Sara
Ferreira, Joana
Nicolás, Inmaculada
Esteves, Susana
Esteves, Gonçalo
Lérias, Sofia
Silva, Fernanda
Saco, Adela
Cochicho, Daniela
Cunha, Mário
del Pino, Marta
Ordi, Jaume
Félix, Ana
author_facet da Mata, Sara
Ferreira, Joana
Nicolás, Inmaculada
Esteves, Susana
Esteves, Gonçalo
Lérias, Sofia
Silva, Fernanda
Saco, Adela
Cochicho, Daniela
Cunha, Mário
del Pino, Marta
Ordi, Jaume
Félix, Ana
author_sort da Mata, Sara
collection PubMed
description The expression of p16 is a good surrogate of human papillomavirus (HPV) infection in HPV-associated cancers. The significance of p16 expression, HPV genotype and genera in the outcome of patients with HPV-associated cervical cancer (CC) is unclear. Our aim is to ascertain the prognostic significance of these factors. Data from 348 patients (median age: 47.5 years old) with CC, diagnosed in two referral centers, were retrospectively collected. Advanced disease (FIGO2018 IB2-IV) was present in 68% of patients. A single HPV genotype was identified in 82.8% of patients. The most common HPVs were HPV16 (69%) and HPV18 (14%). HPV genera reflected this distribution. HPV16 tumors presented at an earlier stage. P16 was negative in 18 cases (5.2%), 83.3% of which were squamous cell carcinomas. These cases occurred in older patients who tended to have advanced disease. In the univariate analysis, HPV16 (HR: 0.58; p = 0.0198), α-9 genera (HR: 0.37; p = 0.0106) and p16 overexpression (HR: 0.54; p = 0.032) were associated with better survival. HPV16 (HR: 0.63; p = 0.0174) and α-9 genera (HR: 0.57; p = 0.0286) were associated with less relapse. In the multivariate analysis, only the International Federation of Gynecology and Obstetrics (FIGO) stage retained an independent prognostic value. HPV16, α-9 genera and p16 overexpression were associated with better survival, although not as independent prognostic factors. Patients with p16-negative HPV-associated CC were older, presented with advanced disease and had worse prognosis.
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spelling pubmed-79563912021-03-16 P16 and HPV Genotype Significance in HPV-Associated Cervical Cancer—A Large Cohort of Two Tertiary Referral Centers da Mata, Sara Ferreira, Joana Nicolás, Inmaculada Esteves, Susana Esteves, Gonçalo Lérias, Sofia Silva, Fernanda Saco, Adela Cochicho, Daniela Cunha, Mário del Pino, Marta Ordi, Jaume Félix, Ana Int J Mol Sci Article The expression of p16 is a good surrogate of human papillomavirus (HPV) infection in HPV-associated cancers. The significance of p16 expression, HPV genotype and genera in the outcome of patients with HPV-associated cervical cancer (CC) is unclear. Our aim is to ascertain the prognostic significance of these factors. Data from 348 patients (median age: 47.5 years old) with CC, diagnosed in two referral centers, were retrospectively collected. Advanced disease (FIGO2018 IB2-IV) was present in 68% of patients. A single HPV genotype was identified in 82.8% of patients. The most common HPVs were HPV16 (69%) and HPV18 (14%). HPV genera reflected this distribution. HPV16 tumors presented at an earlier stage. P16 was negative in 18 cases (5.2%), 83.3% of which were squamous cell carcinomas. These cases occurred in older patients who tended to have advanced disease. In the univariate analysis, HPV16 (HR: 0.58; p = 0.0198), α-9 genera (HR: 0.37; p = 0.0106) and p16 overexpression (HR: 0.54; p = 0.032) were associated with better survival. HPV16 (HR: 0.63; p = 0.0174) and α-9 genera (HR: 0.57; p = 0.0286) were associated with less relapse. In the multivariate analysis, only the International Federation of Gynecology and Obstetrics (FIGO) stage retained an independent prognostic value. HPV16, α-9 genera and p16 overexpression were associated with better survival, although not as independent prognostic factors. Patients with p16-negative HPV-associated CC were older, presented with advanced disease and had worse prognosis. MDPI 2021-02-25 /pmc/articles/PMC7956391/ /pubmed/33669021 http://dx.doi.org/10.3390/ijms22052294 Text en © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
da Mata, Sara
Ferreira, Joana
Nicolás, Inmaculada
Esteves, Susana
Esteves, Gonçalo
Lérias, Sofia
Silva, Fernanda
Saco, Adela
Cochicho, Daniela
Cunha, Mário
del Pino, Marta
Ordi, Jaume
Félix, Ana
P16 and HPV Genotype Significance in HPV-Associated Cervical Cancer—A Large Cohort of Two Tertiary Referral Centers
title P16 and HPV Genotype Significance in HPV-Associated Cervical Cancer—A Large Cohort of Two Tertiary Referral Centers
title_full P16 and HPV Genotype Significance in HPV-Associated Cervical Cancer—A Large Cohort of Two Tertiary Referral Centers
title_fullStr P16 and HPV Genotype Significance in HPV-Associated Cervical Cancer—A Large Cohort of Two Tertiary Referral Centers
title_full_unstemmed P16 and HPV Genotype Significance in HPV-Associated Cervical Cancer—A Large Cohort of Two Tertiary Referral Centers
title_short P16 and HPV Genotype Significance in HPV-Associated Cervical Cancer—A Large Cohort of Two Tertiary Referral Centers
title_sort p16 and hpv genotype significance in hpv-associated cervical cancer—a large cohort of two tertiary referral centers
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7956391/
https://www.ncbi.nlm.nih.gov/pubmed/33669021
http://dx.doi.org/10.3390/ijms22052294
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