ROLE OF HUMAN PAPILLOMAVIRUS (HPV) IN ORAL CANCERS

Main Article Content

Dr Ahmed Abu Ryash
Dr Amir Sohail
Dr. Muhammad Umair
Dr. Waqar Ali
Dr. Syeda Sadaf Kazmi
Dr Syed Muhammad Faran Ali

Keywords

Abstract

This research explores the intricate relationship between Human Papillomavirus (HPV) and oral cancers, focusing on demographic and clinical factors. The study, conducted with a cohort of 500 patients diagnosed with oral cancers, reveals a substantial HPV prevalence of 30%. Bivariate analysis underscores a significant association between HPV status and tumor characteristics, with chi-square tests indicating a pronounced link to both tumor location (χ² = 16.78, p < 0.001) and histological type (χ² = 10.45, p = 0.005). Multivariate logistic regression, adjusting for age, gender, tumor location, and histological type, further elucidates a robust association between HPV positivity and oropharyngeal cancers (OR = 2.10, 95% CI [1.34-3.29], p = 0.001), while no significant association is observed with oral cavity cancers (OR = 1.18, 95% CI [0.74-1.89], p = 0.525). The findings carry clinical implications, suggesting tailored approaches for screening and treatment. Despite limitations in retrospective data, this study provides a foundational understanding of HPV's nuanced role in oral cancers, paving the way for prospective research and targeted interventions.

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References

1. Aggarwal, N., Yadav, J., Thakur, K., Bibban, R., Chhokar, A., Tripathi, T., . . . Singh, U. (2020). Human papillomavirus infection in head and neck squamous cell carcinomas: transcriptional triggers and changed disease patterns. Frontiers in Cellular and Infection Microbiology, 10, 537650.
2. Alhamlan, F. S., Alfageeh, M. B., Al Mushait, M. A., Al-Badawi, I. A., & Al-Ahdal, M. N. (2021). Human papillomavirus-associated cancers. Microbial Pathogenesis: Infection and Immunity, 1-14.
3. Candotto, V., Lauritano, D., Nardone, M., Baggi, L., Arcuri, C., Gatto, R., . . . Carinci, F. (2017). HPV infection in the oral cavity: epidemiology, clinical manifestations and relationship with oral cancer. ORAL & implantology, 10(3), 209.
4. Damgacioglu, H., Sonawane, K., Zhu, Y., Li, R., Balasubramanian, B. A., Lairson, D. R., . . . Deshmukh, A. A. (2022). Oropharyngeal cancer incidence and mortality trends in all 50 states in the US, 2001-2017. JAMA Otolaryngology–Head & Neck Surgery, 148(2), 155-165.
5. Dong, Z., Hu, R., Du, Y., Tan, L., Li, L., Du, J., . . . Cui, H. (2021). Immunodiagnosis and immunotherapeutics based on human papillomavirus for HPV-induced cancers. Frontiers in Immunology, 11, 586796.
6. Giraldi, L., Collatuzzo, G., Hashim, D., Franceschi, S., Herrero, R., Chen, C., . . . McClean, M. (2021). Infection with Human Papilloma Virus (HPV) and risk of subsites within the oral cancer. Cancer Epidemiology, 75, 102020.
7. Melo, B. A. d. C., Vilar, L. G., Oliveira, N. R. d., Lima, P. O. d., Pinheiro, M. d. B., Domingueti, C. P., & Pereira, M. C. (2021). Human papillomavirus infection and oral squamous cell carcinoma-a systematic review. Brazilian journal of otorhinolaryngology, 87, 346-352.
8. Rapado-González, Ó., Martínez-Reglero, C., Salgado-Barreira, Á., Rodríguez-Fernández, A., Aguín-Losada, S., León-Mateos, L., . . . Suarez-Cunqueiro, M. M. (2020). Association of salivary human papillomavirus infection and oral and oropharyngeal cancer: a meta-analysis. Journal of Clinical Medicine, 9(5), 1305.
9. Ren, Z. H., Hu, C. Y., He, H. R., Li, Y. J., & Lyu, J. (2020). Global and regional burdens of oral cancer from 1990 to 2017: Results from the global burden of disease study. Cancer Communications, 40(2-3), 81-92.
10. Sedgwick, P. (2014). Retrospective cohort studies: advantages and disadvantages. Bmj, 348.
11. Wencel-Wawrzeńczyk, A., Lewitowicz, P., Lewandowska, A., & Saługa, A. (2022). Sexual Behavior and the Awareness Level of Common Risk Factors for the Development of Cervical, Anogenital and Oropharyngeal Cancer among Women Subjected to HR HPV DNA-Testing. International Journal of Environmental Research and Public Health, 19(15), 9580.
12. Wierzbicka, M., San Giorgi, M. R., & Dikkers, F. G. (2023). Transmission and clearance of human papillomavirus infection in the oral cavity and its role in oropharyngeal carcinoma–A review. Reviews in medical virology, 33(1), e2337.
13. Zhu, Y., Zhu, X., Diao, W., Liang, Z., Gao, Z., & Chen, X. (2023). Correlation of immune makers with HPV 16 infections and the prognosis in oropharyngeal squamous cell carcinoma. Clinical Oral Investigations, 27(4), 1423-1433.

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