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Human papillomavirus DNA and antibodies to human papillomaviruses 16 E2, L2, and E7 peptides as predictors of survival in patients with squamous cell cervical cancer
P Viladiu, FX Bosch, X Castellsague, N Munoz, JM Escriba, E Hamsikova, V Hofmannova, E Guerrero, A Izquierdo, C Navarro, P Moreo, I Izarzugaza, N Ascunce, M Gili, MT Munoz, L Tafur, KV Shah, V Vonka
Language English Country United States
Document type Research Support, Non-U.S. Gov't
Grant support
IZ1914
MZ0
CEP Register
PubMed
9053484
Knihovny.cz E-resources
- MeSH
- Survival Analysis MeSH
- DNA, Viral * isolation & purification MeSH
- Adult MeSH
- Enzyme-Linked Immunosorbent Assay MeSH
- Neoplasm Invasiveness MeSH
- Middle Aged MeSH
- Humans MeSH
- Uterine Cervical Neoplasms * chemistry mortality pathology virology MeSH
- Odds Ratio MeSH
- Papillomaviridae * genetics immunology MeSH
- Polymerase Chain Reaction MeSH
- Predictive Value of Tests MeSH
- Prognosis MeSH
- Antibodies, Viral * blood MeSH
- Risk MeSH
- Carcinoma, Squamous Cell * chemistry mortality pathology virology MeSH
- Neoplasm Staging MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Female MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
PURPOSE: To assess whether human papillomavirus (HPV) DNA detection in cervical cancer specimens, or antibodies to selected HPV 16 peptides are predictors of tumor recurrence and long-term survival in patients with squamous cell invasive cervical cancer. SUBJECTS AND METHODS: Four hundred seventy-one cases included in two population-based case-control studies underwent follow-up evaluation. The survival and cause of death were ascertained for 410 cases (87%), with a median follow-up time of 4.6 years after diagnosis. HPV DNA was assessed using an L1 polymerase chain reaction (PCR)-based system and Southern hybridization (SH) on scraped cytologic specimens or biopsies. HPV 16 antibodies to E2, L2, and E7 peptides were detected with enzyme-linked immunosorbent assay (ELISA). RESULTS: Clinical stage was the only independent prognostic factor for recurrence or survival. Although seropositivity to HPV 16 E7/3 peptide predicted a twofold excess risk of mortality (adjusted hazards ratio [HRa] = 2.0; 95% confidence interval [CI], 1.2 to 3.3), the association was restricted to stage I (HRa = 6.6; 95% CI, 1.2 to 37.6) and II (HRa = 5.9; 95% CI, 2.1 to 16.5) patients. The presence of HPV DNA (HRa = 0.9; 95% CI, 0.5 to 1.5), different estimates of the HPV viral load and the HPV type identified were not predictors of tumor recurrence or survival. CONCLUSION: The presence of antibodies to HPV 16 E7 proteins is of prognostic value in early-stage cervical cancer. Our results provide strong evidence that detection and typing of HPV DNA in cervical cells or tissues is not a prognostic factor for recurrence or survival.
Consejería de Sanidad y Política Social Murcia Spain
Departamento de Sanidad y Consume Vitoria Gasteiz Spain
Facultad de Medicina Universidad de Sevilla Sevilla Spain
Hospital de Santa Caterina Girona Spain
Institut Catala d'Oncologia Servei d'Epidemiologia i Registre del Cancer Barcelona Spain
Institute of Hematology and Blood Transfusion Prague Czech Republic
International Agency for Research on Cancer Lyon France
Programa de Cancer de Mama Pamplona Spain
Servicio Provincial de Sanidad Zaragoza Spain
Servicio Territorial de Sanidad y Bienestar Social Salamanca Spain
The Johns Hopkins University School of Hygiene and Public Health Baltimore MD USA
Obsahuje tabulky
Bibliography, etc.Literatura
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- $a PURPOSE: To assess whether human papillomavirus (HPV) DNA detection in cervical cancer specimens, or antibodies to selected HPV 16 peptides are predictors of tumor recurrence and long-term survival in patients with squamous cell invasive cervical cancer. SUBJECTS AND METHODS: Four hundred seventy-one cases included in two population-based case-control studies underwent follow-up evaluation. The survival and cause of death were ascertained for 410 cases (87%), with a median follow-up time of 4.6 years after diagnosis. HPV DNA was assessed using an L1 polymerase chain reaction (PCR)-based system and Southern hybridization (SH) on scraped cytologic specimens or biopsies. HPV 16 antibodies to E2, L2, and E7 peptides were detected with enzyme-linked immunosorbent assay (ELISA). RESULTS: Clinical stage was the only independent prognostic factor for recurrence or survival. Although seropositivity to HPV 16 E7/3 peptide predicted a twofold excess risk of mortality (adjusted hazards ratio [HRa] = 2.0; 95% confidence interval [CI], 1.2 to 3.3), the association was restricted to stage I (HRa = 6.6; 95% CI, 1.2 to 37.6) and II (HRa = 5.9; 95% CI, 2.1 to 16.5) patients. The presence of HPV DNA (HRa = 0.9; 95% CI, 0.5 to 1.5), different estimates of the HPV viral load and the HPV type identified were not predictors of tumor recurrence or survival. CONCLUSION: The presence of antibodies to HPV 16 E7 proteins is of prognostic value in early-stage cervical cancer. Our results provide strong evidence that detection and typing of HPV DNA in cervical cells or tissues is not a prognostic factor for recurrence or survival.
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