RSS-Feed abonnieren

DOI: 10.1055/s-0043-1774709
Impact of Human Papillomavirus on Survival, Inflammation, and Immune Function in Patients with Cervical Cancer Undergoing Surgery
Autor*innen
Abstract
No studies have examined the impact of human papillomavirus (HPV)-16 and HPV-18 on survival, inflammation biomarkers, and immune function in early-stage cervical cancer patients undergoing surgery. Patients diagnosed with early-stage cervical cancer were screened for high-risk HPV prior to surgery. The influence of HPV infection on survival, inflammatory markers, and immune function was investigated. Findings revealed that patients in the HPV-18 positive subgroup exhibited poorer disease-free survival (DFS) and elevated levels of interleukin-6 and C-reactive protein, along with decreased CD4+ T cells compared to patients who tested negative for HPV-18. Notably, early-stage cervical cancer patients with HPV-18 infection experienced worse DFS, heightened inflammatory markers, and compromised immune function.
Availability of Data and Material
Data are available from the corresponding author on reasonable request.
Ethics
The study was approved by the Ethics Committee of our hospital (No. 2018920121). All patients signed the written informed consent.
Publikationsverlauf
Artikel online veröffentlicht:
12. September 2023
© 2023. MedIntel Services Pvt Ltd. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India
-
References
- 1 Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin 2018; 68 (01) 7-30
- 2 Arriba LN, Enerson CL, Belinson S, Novick L, Belinson J. Mexican Cervical Cancer Screening Study II: acceptability of human papillomavirus self-sampler. Int J Gynecol Cancer 2010; 20 (08) 1415-1423
- 3 zur Hausen H. Papillomaviruses in the causation of human cancers - a brief historical account. Virology 2009; 384 (02) 260-265
- 4 Arbyn M, Xu L, Simoens C, Martin-Hirsch PP. Prophylactic vaccination against human papillomaviruses to prevent cervical cancer and its precursors. Cochrane Database Syst Rev 2018; 5 (05) CD009069
- 5 Lei J, Ploner A, Lagheden C. et al. High-risk human papillomavirus status and prognosis in invasive cervical cancer: A nationwide cohort study. PLoS Med 2018; 15 (10) e1002666
- 6 Mahantshetty U, Teni T, Naga P. et al. Impact of HPV 16/18 infection on clinical outcomes in locally advanced cervical cancers treated with radical radio (chemo) therapy - a prospective observational study. Gynecol Oncol 2018; 148 (02) 299-304
- 7 Baalbergen A, Smedts F, Ewing P, Snijders PJ, Meijer CJ, Helmerhorst TJ. HPV-type has no impact on survival of patients with adenocarcinoma of the uterine cervix. Gynecol Oncol 2013; 128 (03) 530-534
- 8 Gupta S, Kumar P, Das BC. HPV: molecular pathways and targets. Curr Probl Cancer 2018; 42 (02) 161-174
- 9 Georgescu SR, Mitran CI, Mitran MI. et al. New insights in the pathogenesis of HPV infection and the associated carcinogenic processes: the role of chronic inflammation and oxidative stress. J Immunol Res 2018; 2018: 5315816
- 10 De Marco F, Bucaj E, Foppoli C. et al. Oxidative stress in HPV-driven viral carcinogenesis: redox proteomics analysis of HPV-16 dysplastic and neoplastic tissues. PLoS One 2012; 7 (03) e34366
- 11 Aggarwal BB, Shishodia S, Sandur SK, Pandey MK, Sethi G. Inflammation and cancer: how hot is the link?. Biochem Pharmacol 2006; 72 (11) 1605-1621
- 12 Liu SS, Leung RC, Chan KK, Cheung AN, Ngan HY. Evaluation of a newly developed GenoArray human papillomavirus (HPV) genotyping assay and comparison with the Roche linear array HPV genotyping assay. J Clin Microbiol 2010; 48 (03) 758-764
- 13 Hang D, Jia M, Ma H. et al. Independent prognostic role of human papillomavirus genotype in cervical cancer. BMC Infect Dis 2017; 17 (01) 391
- 14 Kim BH, Chang JH. Differential effect of GLUT1 overexpression on survival and tumor immune microenvironment of human papilloma virus type 16-positive and -negative cervical cancer. Sci Rep 2019; 9 (01) 13301
- 15 Lau YM, Cheung TH, Yeo W. et al. Prognostic implication of human papillomavirus types and species in cervical cancer patients undergoing primary treatment. PLoS One 2015; 10 (04) e0122557
- 16 Yang SH, Kong SK, Lee SH, Lim SY, Park CY. Human papillomavirus 18 as a poor prognostic factor in stage I-IIA cervical cancer following primary surgical treatment. Obstet Gynecol Sci 2014; 57 (06) 492-500
- 17 Fuh KC, Java JJ, Chan JK. et al. Differences in presentation and survival of Asians compared to Caucasians with ovarian cancer: an NRG Oncology/GOG Ancillary study of 7914 patients. Gynecol Oncol 2019; 154 (02) 420-425
- 18 Wang S, Wei H, Wang N. et al. The prevalence and role of human papillomavirus genotypes in primary cervical screening in the northeast of China. BMC Cancer 2012; 12: 160
- 19 Lai CH, Huang HJ, Hsueh S. et al. Human papillomavirus genotype in cervical cancer: a population-based study. Int J Cancer 2007; 120 (09) 1999-2006
- 20 Kawai K, Yamamoto M, Kameyama S, Kawamata H, Rademaker A, Oyasu R. Enhancement of rat urinary bladder tumorigenesis by lipopolysaccharide-induced inflammation. Cancer Res 1993; 53 (21) 5172-5175
- 21 Correa P. Human gastric carcinogenesis: a multistep and multifactorial process–First American Cancer Society Award Lecture on Cancer Epidemiology and Prevention. Cancer Res 1992; 52 (24) 6735-6740
- 22 Tjiong MY, van der Vange N, ten Kate FJ. et al. Increased IL-6 and IL-8 levels in cervicovaginal secretions of patients with cervical cancer. Gynecol Oncol 1999; 73 (02) 285-291
- 23 Song Z, Lin Y, Ye X. et al. Expression of IL-1α and IL-6 is associated with progression and prognosis of human cervical cancer. Med Sci Monit 2016; 22: 4475-4481
- 24 Scartozzi M, Giampieri R, Maccaroni E. et al. Pre-treatment lactate dehydrogenase levels as predictor of efficacy of first-line bevacizumab-based therapy in metastatic colorectal cancer patients. Br J Cancer 2012; 106 (05) 799-804
- 25 Wang H, Wang MS, Zhou YH, Shi JP, Wang WJ. Prognostic values of LDH and CRP in cervical cancer. OncoTargets Ther 2020; 13: 1255-1263
- 26 Bodner-Adler B, Kimberger O, Schneidinger C, Kölbl H, Bodner K. Prognostic significance of pre-treatment serum C-reactive protein level in patients with adenocarcinoma of the uterine cervix. Anticancer Res 2016; 36 (09) 4691-4696
- 27 Enwere EK, Kornaga EN, Dean M. et al. Expression of PD-L1 and presence of CD8-positive T cells in pre-treatment specimens of locally advanced cervical cancer. Mod Pathol 2017; 30 (04) 577-586
- 28 Wang J, Li Z, Gao A, Wen Q, Sun Y. The prognostic landscape of tumor-infiltrating immune cells in cervical cancer. Biomed Pharmacother 2019; 120: 109444
- 29 van der Burg SH, Piersma SJ, de Jong A. et al. Association of cervical cancer with the presence of CD4+ regulatory T cells specific for human papillomavirus antigens. Proc Natl Acad Sci U S A 2007; 104 (29) 12087-12092
