Acta Scientific Otolaryngology (ASOL) (ISSN: 2582-5550)

Research Article Volume 6 Issue 2

Laryngeal Carcinoma Associated with Human Papilloma Virus: Place of “P16” Immunomarking as A Real Alternative to Virological Analysis

Otouana Dzon HB1*, Ngouoni GC2, Ondzotto GW2, Tsierie-Tsoba A2, Itiéré-Odzili FA2, Ondzotto G2 and Moukassa D3

1ENT-CCF Department, Talangaï Reference Hospital, Republic of the Congo
2ENT-CCF Department, Brazzaville University Hospital Center, Republic of the Congo
3Molecular Pathology Laboratory, Marien Ngouabi University, Republic of the Congo

*Corresponding Author: Otouana Dzon HB, ENT-CCF Department, Talangaï Reference Hospital, Republic of the Congo.

Received: October 25, 2023; Published: January 21, 2024

Abstract

Introduction: Many HPV-related cell signaling pathways appear to be poorly elucidated in laryngeal carcinogenesis. The objective of this work was to study the expression of the P16 gene by immunostaining in laryngeal carcinomas in order to judge its necessity in place of a virological analysis of oncogenic HPV infection.

Material and Methods: This was a 10-year descriptive and transversal study carried out at the molecular pathology laboratory of the Faculty of Health Sciences in Brazzaville. The study material consisted mainly of biopsies of laryngeal carcinomas with histological proof. The samples excluded were those which had architectural modifications which did not allow immunological marking with anti-P16 monoclonal antibodies.

Results: Squamous cell carcinomas of the larynx represented 35% of ENT and head and neck cancers with a ratio of 6 in favor of men. In all cases, these were squamous cell carcinomas for which immunohistochemistry of the P16 gene had made it possible to identify two molecular profiles, namely: P16+ laryngeal carcinomas (33.3%) and P16 ─ laryngeal carcinomas (66.7%). Virologically, the molecular prevalence of HPV was approximately 33.3%, representing HPV-positive laryngeal carcinomas and correlated with overexpression of the P16 gene (p = 0.004). However, HPV-negative laryngeal carcinomas did not express the P16 gene on immunostaining and remain linked to other risk factors.

Conclusion: Overexpression of the P16 gene is a mutation which would be linked to persistent infection with oncogenic HPV on a squamous mucosa. The P16 gene thus becomes a diagnostic biomarker for HPV-positive laryngeal carcinomas, replacing virological analysis.

Keywords: Laryngeal Carcinomas; HPV; P16 Gene

References

  1. Ayotunde JF., et al. “Malignant tumors of the larynx: clinicopathologic profile and implication for late disease presentation”. Nigerian Medical Journal 5 (2020): 280-285.
  2. Bandhary SK., et al. “Détection du virus du papilloma humain et des facteurs de risque chez les patients atteints de carcinome épidermoïde de la face et du cou en Inde du Sud”. Asian Pacific Journal of Cancer Prevention5 (2020): 1325-1330.
  3. Murphy J., et al. “Squamous cell carcinoma of the tongue during pregnancy: a case report and review of the literature”. Journal of Oral and Maxillofacial Surgery 12 (2019): 2557-2566.
  4. Fitzmaurice C., et al. “Global, regional and national cancer incidence, mortality, year of life lost, year lived with disability, and disability-adjusted life-year for 32 cancer groups, 1990 to 2015: A systematic analysis for the global burden of disease study”. JAMA Oncology 3 (2019): 524-548.
  5. Mighri K., et al. “Cancers du larynx: etude retrospective à propos de 90 cas”. Journal Tunisien d'ORL et de Chirurgie Cervico-Faciale 25 (2019): 31-35.
  6. Luc Z., et al. “Infection et statut d’intégration du virus du papillome humain 16/18 à haut risque dans le cancer du larynx”. Le Journal De Médecine Pratique 32 (2019): 1422-1514.
  7. Gomaa MAM., et al. “Sous-type 16 du papillomavirus humain et caractéristiques pathologiques du cancer du larynx”. OTO ouvert2 (2019): 247-53.
  8. Vourexakis Z and Dulguerov P. “Les cancers ORL HPV positifs”. Revue Médicale Suisse 7 (2019): 191-122.
  9. Onerci Celebi O., et al. “Infection par le papillomavirus humain chez les patients atteints d’un carcinome du larynx”. BMC Cancer1 (2018): 100-105.
  10. Pongsapich W., et al. “Prévalence de l’infection à HPV dans les carcinomes épidermoïde du larynx et de l’hypopharynx au plus grand centre de référence tertiaire de Thaïlande”. Cancer 10 (2019): 13-16.
  11. Morbini P and Benazzo M. “Papillomavirus humain et carcinomes de la tête et du cou : se concentrer sur les preuves publiées dans le babel des données publiées”. ACTA Otorhinolaryngologica Italica4 (2018): 249-258.
  12. Hernandez BY., et al. “p16 (INKA4A) dans les cancers invasifs du larynx”. Papillomavirus Research 2 (2019): 52-55.
  13. Khairunisa A., et al. “p16 Immunohistochemistry is an excellent marker in Primary lung squamous cell carcinoma”. Journal of Pathology and Translational Medicine 5 (2018): 283-289.
  14. Vasca V., et al. “Keratin 5 expression in squamocellular carcinoma of the head and neck”. Oncology Letter 8.6 (2014): 2501-2504.
  15. Hellner K and Münger K. “Human papillomavirus as therapic targets in human cancer”. Journal of Clinical Oncology 29 (2019): 1785-1794.
  16. Taberna M., et al. “Human papillomavirus-related oropharyngeal cancer”. Annals of Oncology 28 (2017): 2386-2398.
  17. Badoual C., et al. “Cancers of the upper aerodigestive tract associated with human papillomavirus”. Medical Science1 (2018): 83-88.
  18. Larsen C., et al. “Correlation betwen human papillomavirus and P16 over expression in oropharyngeal tumor: a systematic review”. British Journal of Cancer6 (2022): 1587-1594.
  19. Ryu H J., et al. “Architectural patterns of p16 immunohistochemical expression associated with cancer immunity and prognosis of head and neck squamous cell carcinoma”. APMIS-Acta Pathologica, Microbiologica et Immunologica Scandinavica11 (2020): 974-984.
  20. Lilit G and Nidhi A. “Research techniques made simple: Polymerase Chain Reaction (PCR)”. Journal of Investigative Dermatology3 (2013): 1345-1349.
  21. Westra WH. “Detection of human papillomavirus (HPV) in clinical samples: evolving methods and strategies for the accurate determination of HPV status and neck carcinomas”. Oral Oncology 50 (2014): 771-779.

Citation

Citation: Otouana Dzon HB., et al. “Laryngeal Carcinoma Associated with Human Papilloma Virus: Place of “P16” Immunomarking as A Real Alternative to Virological Analysis".Acta Scientific Otolaryngology 6.2 (2024): 18-21.

Copyright

Copyright: © 2024 Otouana Dzon HB., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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