Detection of human papillomavirus infection in oral mucosal diseasesWhy Is This Important?

Background: Human papillomavirus (HPV) infection accounts for more than 70% of oropharyngeal cancers but only a small proportion of oral cavity cancers. This study aimed to investigate the presence of HPV DNA in oral diseases to understand better the possible correlation between oral lesions and HPV...

Full description

Saved in:
Bibliographic Details
Main Authors: Paolo Junior Fantozzi, DDS, Umberto Romeo, DDS, Gianluca Tenore, DDS, PhD, Gaspare Palaia, DDS, PhD, Chiara Ciolfi, DDS, Alessandra Pierangeli, PhD, Cira Rosaria Tiziana Di Gioia, MD, PhD, Alessandro Villa, DDS, PhD, MPH
Format: Article
Language:English
Published: Elsevier 2024-01-01
Series:JADA Foundational Science
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2772414X2400001X
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846091609090818048
author Paolo Junior Fantozzi, DDS
Umberto Romeo, DDS
Gianluca Tenore, DDS, PhD
Gaspare Palaia, DDS, PhD
Chiara Ciolfi, DDS
Alessandra Pierangeli, PhD
Cira Rosaria Tiziana Di Gioia, MD, PhD
Alessandro Villa, DDS, PhD, MPH
author_facet Paolo Junior Fantozzi, DDS
Umberto Romeo, DDS
Gianluca Tenore, DDS, PhD
Gaspare Palaia, DDS, PhD
Chiara Ciolfi, DDS
Alessandra Pierangeli, PhD
Cira Rosaria Tiziana Di Gioia, MD, PhD
Alessandro Villa, DDS, PhD, MPH
author_sort Paolo Junior Fantozzi, DDS
collection DOAJ
description Background: Human papillomavirus (HPV) infection accounts for more than 70% of oropharyngeal cancers but only a small proportion of oral cavity cancers. This study aimed to investigate the presence of HPV DNA in oral diseases to understand better the possible correlation between oral lesions and HPV infections. Methods: This was a cross-sectional study of 99 adult patients seen for the evaluation of oral diseases. All patients received an oral biopsy and histopathologic examination and a brush biopsy for HPV-DNA detection and genotyping by real-time polymerase chain reaction. Immunohistochemistry was used to assess p16INK4a expression. Results: HPV was identified in 15 of 99 (15.2%) patients (males, 66.6%). Patients with oral leukoplakia (OL) (46.6%), followed by patients with oral lichen planus (OLP) (33.3%) had the highest rate of HPV infection, with a predilection for the buccal mucosa (17.5%). Most patients with high-risk HPV infections had OLP (4/10, 40.0%), whereas most of the patients with low-risk HPV infections had nonreactive epithelial hyperkeratosis (3/6, 50.0%). Among all benign lesions, 19.0% were positive for any HPV infection. One patient with OL showing mild epithelial dysplasia had a positive p16INK4a expression. Conclusions: The highest rate of HPV infection was in male patients, patients with OL and OLP, and conditions affecting the buccal mucosa. Larger studies are needed to elucidate the role of HPV in the development of these conditions.
format Article
id doaj-art-cad8a231b1d44ea9b08f9ee7d343c595
institution Kabale University
issn 2772-414X
language English
publishDate 2024-01-01
publisher Elsevier
record_format Article
series JADA Foundational Science
spelling doaj-art-cad8a231b1d44ea9b08f9ee7d343c5952025-01-10T04:38:36ZengElsevierJADA Foundational Science2772-414X2024-01-013100031Detection of human papillomavirus infection in oral mucosal diseasesWhy Is This Important?Paolo Junior Fantozzi, DDS0Umberto Romeo, DDS1Gianluca Tenore, DDS, PhD2Gaspare Palaia, DDS, PhD3Chiara Ciolfi, DDS4Alessandra Pierangeli, PhD5Cira Rosaria Tiziana Di Gioia, MD, PhD6Alessandro Villa, DDS, PhD, MPH7Department of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Oral and Maxillofacial Sciences, Sapienza University of Rome, Rome, ItalyLaboratory of Microbiology and Virology, Department of Molecular Medicine, Sapienza University of Rome, Rome, ItalyDepartment of Radiological, Oncological, and Anatomic Pathological Sciences, Sapienza University of Rome, Rome, ItalyDepartment of Orofacial Sciences, University of California San Francisco, San Francisco, CA; Oral Medicine, Oral Oncology and Dentistry, Miami Cancer Institute, Baptist Health South Florida, The Herbert Wertheim College of Medicine, Florida International University, Miami, FL; Address correspondence to Dr Villa.Background: Human papillomavirus (HPV) infection accounts for more than 70% of oropharyngeal cancers but only a small proportion of oral cavity cancers. This study aimed to investigate the presence of HPV DNA in oral diseases to understand better the possible correlation between oral lesions and HPV infections. Methods: This was a cross-sectional study of 99 adult patients seen for the evaluation of oral diseases. All patients received an oral biopsy and histopathologic examination and a brush biopsy for HPV-DNA detection and genotyping by real-time polymerase chain reaction. Immunohistochemistry was used to assess p16INK4a expression. Results: HPV was identified in 15 of 99 (15.2%) patients (males, 66.6%). Patients with oral leukoplakia (OL) (46.6%), followed by patients with oral lichen planus (OLP) (33.3%) had the highest rate of HPV infection, with a predilection for the buccal mucosa (17.5%). Most patients with high-risk HPV infections had OLP (4/10, 40.0%), whereas most of the patients with low-risk HPV infections had nonreactive epithelial hyperkeratosis (3/6, 50.0%). Among all benign lesions, 19.0% were positive for any HPV infection. One patient with OL showing mild epithelial dysplasia had a positive p16INK4a expression. Conclusions: The highest rate of HPV infection was in male patients, patients with OL and OLP, and conditions affecting the buccal mucosa. Larger studies are needed to elucidate the role of HPV in the development of these conditions.http://www.sciencedirect.com/science/article/pii/S2772414X2400001XOral medicineoral HPVHuman papillomavirusoral leukoplakiaoral canceroral infections
spellingShingle Paolo Junior Fantozzi, DDS
Umberto Romeo, DDS
Gianluca Tenore, DDS, PhD
Gaspare Palaia, DDS, PhD
Chiara Ciolfi, DDS
Alessandra Pierangeli, PhD
Cira Rosaria Tiziana Di Gioia, MD, PhD
Alessandro Villa, DDS, PhD, MPH
Detection of human papillomavirus infection in oral mucosal diseasesWhy Is This Important?
JADA Foundational Science
Oral medicine
oral HPV
Human papillomavirus
oral leukoplakia
oral cancer
oral infections
title Detection of human papillomavirus infection in oral mucosal diseasesWhy Is This Important?
title_full Detection of human papillomavirus infection in oral mucosal diseasesWhy Is This Important?
title_fullStr Detection of human papillomavirus infection in oral mucosal diseasesWhy Is This Important?
title_full_unstemmed Detection of human papillomavirus infection in oral mucosal diseasesWhy Is This Important?
title_short Detection of human papillomavirus infection in oral mucosal diseasesWhy Is This Important?
title_sort detection of human papillomavirus infection in oral mucosal diseaseswhy is this important
topic Oral medicine
oral HPV
Human papillomavirus
oral leukoplakia
oral cancer
oral infections
url http://www.sciencedirect.com/science/article/pii/S2772414X2400001X
work_keys_str_mv AT paolojuniorfantozzidds detectionofhumanpapillomavirusinfectioninoralmucosaldiseaseswhyisthisimportant
AT umbertoromeodds detectionofhumanpapillomavirusinfectioninoralmucosaldiseaseswhyisthisimportant
AT gianlucatenoreddsphd detectionofhumanpapillomavirusinfectioninoralmucosaldiseaseswhyisthisimportant
AT gasparepalaiaddsphd detectionofhumanpapillomavirusinfectioninoralmucosaldiseaseswhyisthisimportant
AT chiaraciolfidds detectionofhumanpapillomavirusinfectioninoralmucosaldiseaseswhyisthisimportant
AT alessandrapierangeliphd detectionofhumanpapillomavirusinfectioninoralmucosaldiseaseswhyisthisimportant
AT cirarosariatizianadigioiamdphd detectionofhumanpapillomavirusinfectioninoralmucosaldiseaseswhyisthisimportant
AT alessandrovilladdsphdmph detectionofhumanpapillomavirusinfectioninoralmucosaldiseaseswhyisthisimportant