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Multicenter Study of the Association between Betapapillomavirus Infection and Cutaneous Squamous Cell Carcinoma

  • Jan Nico Bouwes Bavinck
  • , Rachel E. Neale
  • , Damiano Abeni
  • , Sylvie Euvrard
  • , Adele C. Green
  • , Catherine A. Harwood
  • , Maurits N. C. de Koning
  • , Luigi Naldi
  • , Ingo Nindl
  • , Michael Pawlita
  • , Herbert Pfister
  • , Charlotte M. Proby
  • , Wim G. V. Quint
  • , Jan ter Schegget
  • , Tim Waterboer
  • , Soenke Weissenborn
  • , Mariet C. W. Feltkamp
  • , EPI-HPV-UV-CA Grp

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Human papillomaviruses (betaPV) from the beta genus cannot be classified according to their oncogenicity due to a paucity of information. This study evaluates the association between betaPV infection and cutaneous squamous cell carcinoma in conjunction with measures of UV exposure and susceptibility. We performed case-control studies in the Netherlands, Italy, and Australia, countries with profoundly different UV exposures. The presence of 25 betaPV types in eyebrow hair follicles was determined using a highly sensitive HPV DNA genotyping assay, and antibodies for the 15 most prevalent betaPV types in a total of 689 squamous cell carcinoma cases and 845 controls were detected using multiplex serology. Multivariate logistic regression models were used for case-control comparisons and interaction analyses. BetaPV DNA was detected in eyebrow hairs of more than 90% of all participants. The presence of betaPV DNA was associated with an increased risk of squamous cell carcinoma in the Netherlands (OR 2.8; 95% CI 1.3-5.8) and Italy (OR 1.7; 95% CI 0.79-3.6), but not in Australia (OR 0.91; 95% CI 0.53-1.6). Seropositivity for betaPV in controls ranged between 52% and 67%. A positive antibody response against 4 or more betaPV types was associated with squamous cell carcinoma in Australia (OR 2.2; 95% CI 1.4-3.3), the Netherlands (OR 2.0; 95% CI 1.2-3.4) and fair-skinned Italians (OR 1.6, 95% CI 0.94-2.7). The association between UV susceptibility and squamous cell carcinoma was stronger in betaPV-seropositive people. These combined data support the hypothesis that betaPV may play a role in the development of cutaneous squamous cell carcinoma. Cancer Res; 70(23); 9777-86. (C)2010 AACR.

    Original languageEnglish
    Pages (from-to)9777-9786
    Number of pages10
    JournalCancer Research
    Volume70
    Issue number23
    DOIs
    Publication statusPublished - 1 Dec 2010

    UN SDGs

    This output contributes to the following UN Sustainable Development Goals (SDGs)

    1. SDG 3 - Good Health and Well-being
      SDG 3 Good Health and Well-being

    Keywords

    • HUMAN-PAPILLOMAVIRUS-DNA
    • RENAL-TRANSPLANT RECIPIENTS
    • KERATOTIC SKIN-LESIONS
    • EPIDERMODYSPLASIA-VERRUCIFORMIS
    • ACTINIC KERATOSES
    • E6 PROTEINS
    • INDUCED APOPTOSIS
    • RISK-FACTORS
    • CANCER
    • BETA

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