Presence of beta human papillomaviruses in nonmelanoma skin cancer from organ transplant recipients and immunocompetent patients in the West of Scotland

Mackintosh, L. J., de Koning, M. N. C., Quint, W. G. V., ter Schegget, J., Morgan, I. M., Herd, R. M. and Campo, M. S. (2009) Presence of beta human papillomaviruses in nonmelanoma skin cancer from organ transplant recipients and immunocompetent patients in the West of Scotland. British Journal of Dermatology, 161(1), pp. 56-62. (doi: 10.1111/j.1365-2133.2009.09146.x)

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Publisher's URL: http://dx.doi.org/10.1111/j.1365-2133.2009.09146.x

Abstract

<b>Background</b>  Nonmelanoma skin cancer (NMSC) has been linked to cutaneous human papillomaviruses of the genus beta (betaPV).<p></p> <b>Objectives</b>  We sought to assess the presence of betaPV in NMSC biopsies from a group of Scottish skin cancer patients, both immunocompetent (IC) patients and immunosuppressed (IS) organ transplant recipients.<p></p> <b>Methods</b>  One hundred and twenty-one paraffin-embedded skin tumours (27 actinic keratosis, 41 intraepidermal carcinoma, 53 squamous cell carcinoma) and 11 normal skin samples were analysed for the presence of betaPV by a polymerase chain reaction–reverse hybridization assay designed to detect the presence of the 25 known betaPV genotypes.<p></p> <b>Results</b>  In IC patients, betaPV was detected in 30 of 59 (51%) tumours and two of 11 (18%) normal skin samples (P = 0•046). In IS patients, betaPV was found in 27 of 62 (44%) tumours; no normal skin samples were available for comparison. The most frequently found genotypes were HPV-24, HPV-15 and HPV-38. Of those tumours infected with betaPV, 28 of 57 (49%) were infected with more than one genotype (range 2–8). Tumours from IS patients were from a younger age group (mean age 57•4 years) than IC patients (mean age 73•8 years). Multiple infections were more common in tumours from IC patients (21 of 30; 70%) compared with those from IS patients (seven of 27; 26%) (P < 0•001). In the IC group, age did not appear to influence the distribution of single and multiple infections whereas in IS patients the proportion of multiple infections to single infections increased with age. There were no multiple infections in normal skin.<p></p> <b>Conclusions</b>  A wide spectrum of betaPV types was detected in our samples. Further characterization of betaPV <i>in vivo</i> is needed in order to determine the mechanisms by which the virus contributes to cutaneous carcinogenesis.<p></p>

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Herd, Dr Robert and Morgan, Professor Iain and Campo, M Saveria and Mackintosh, Dr Lorna
Authors: Mackintosh, L. J., de Koning, M. N. C., Quint, W. G. V., ter Schegget, J., Morgan, I. M., Herd, R. M., and Campo, M. S.
College/School:College of Medical Veterinary and Life Sciences
Journal Name:British Journal of Dermatology
Publisher:Wiley-Blackwell Publishing
ISSN:0007-0963
ISSN (Online):1365-2133
Published Online:30 March 2009
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Project CodeAward NoProject NamePrincipal InvestigatorFunder's NameFunder RefLead Dept
446751The role of human papillomaviruses and their oncoproteins in non melanoma skin cancerIain MorganMedical Research Council (MRC)G0601648Centre for Virus Research