Detection and Significance of Human Papillomavirus and Epstein-Barr Virus in Nasopharyngeal Carcinoma and Laryngeal Squamous Cell Carcinoma |
Hun Ki Min, MD1, Kwang Yoon Jung, MD1, Jong Ouck Choi, MD1, In Sun Kim, MD2, Young Soo Rho, MD3, and Hyun Joon Lim, MD3 |
1;Department of Otolaryngology-Head & Neck Surgery, 2;Pathology, Korea University College of Medicine, Seoul, 3;Department of Otorhinolaryngology, Hallym University College of Medicine, Seoul, Korea |
비인강암종과 후두편평세포암종에서 Human Papillomavirus와 Epstein-Barr Virus의 검출양상과 의의 |
민헌기1 · 정광윤1 · 최종욱1 · 김인선2 · 노영수3 · 임현준3 |
고려대학교 의과대학 이비인후-두경부외과학교실1;병리학교실2;한림대학교 의과대학 이비인후과학교실; |
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ABSTRACT |
Human papillomavirus space (HPV) an
Epstein-Barr virus (EBV) are epitheliotrophic viruses invading the upper aerodigestive tract. HPV produces a diversity of benign or malignant tumors and EBV is known to be a major etiologic factor of
nasopharygeal carcinoma. We evaluated the HPV and EBV infection and co-infection rate in nasopharyngeal carcinoma and squamous cell carcinoma of larynx and the significance of HPV infection of different subtypes in the tumorigenesis of head and neck carcinoma. Thirty-four cases of nasopharyngeal carcinoma and thirty-nine
cases of laryngeal squamous cell carcinomas were analyzed for the detection of HPV DNA and EBV RNA (EBER-1) by in situ hybridization technique. The following results were obtained : 1) HPV DNA was detected from 5 cases of nasopharyngeal carcinomas (21.73%) and 15 cases of laryngeal carcinomas (38.46%), HPV type 18 was most commonly detected from as many as 12 cases. 2) EBER-1 was detected from 29 cases of nasopharyngeal carcinomas (85.29%) and 7 cases of laryngeal carcinomas (17.95%). 3) The co-infection rate was 11.76% (4 cases) in nasopharyngeal carcinomas and 10.26% (4 cases) in laryngeal carcinomas. In conclusion, EBV infection is strongly suspected to be the cause of nasopharyngeal carcinomas, while HPVs, especially the HPV subtype 18, are thought to be in a part, the causes for nasopharyngeal carcinoma and squamous cell carcinoma of larynx. For the
co-infected cases, however, whether these viruses have ""affinity"" to head and
neck tumor tissues or the two viruses together have been the causal factor is uncertain.
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Keywords:
Human papillomavirusㆍEpstein-Barr virusㆍCo-infectionㆍNasopharyngeal carcinomaㆍLaryngeal carcinoma. |
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