Laryngeal Cancer, HPV DNA vs E6/E7 mRNA Test: A Systematic Review

J Voice. 2017 Mar;31(2):248.e1-248.e5. doi: 10.1016/j.jvoice.2016.08.002. Epub 2016 Sep 6.

Abstract

Objective: The reported range of involvement of human papillomavirus (HPV) in laryngeal squamous cell carcinoma (SCC) is wide because of the methods used to detect HPV.

Data sources: A computerized Medline study was carried out using the following as key words: "Papillomavirus Infections"[Mesh] and "Laryngeal Neoplasms"[Mesh].

Materials and methods: Studies that were included were written in English and reported results of HPV DNA with RNA in laryngeal SCC.

Results: There were six reported HPV mRNA extraction. Among these studies, Lewis et al reported that out of the 31 cases analyzed, only 2 were HPV DNA+ and of these only 1 was mRNA HPV+ (3%). Halec et al reported 102 cases of which 32 were HPV DNA+ cases and of which only 6 were mRNA+ (5%). Chernock et al reported 76 cases of which 13 were HPV DNA+ cases and of which 4 were mRNA+ (5%). Masand et al reported 8 cases of which 1 was HPV DNA+ case and none was mRNA+. Gheit et al reported 43 cases of which 4 were HPV DNA+ cases and of which 2 were mRNA+ (4%). Castellsagné et al reported 1042 cases of which 59 were HPV DNA+ case and of which 51 were mRNA+ (4.8%) CONCLUSIONS: When determining the role of HPV in laryngeal SCC, evidence of HPV DNA warrants further examination for E6/E7 mRNA as simple assays such as p16 are nonspecific in laryngeal SCC. Further studies of HPV and its role in laryngeal SCC are warranted.

Keywords: E6/E7 mRNA; HPV DNA; Human papillomavirus; Laryngeal squamous cell carcinoma; p16.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Blotting, Southern
  • Carcinoma, Squamous Cell / diagnosis
  • Carcinoma, Squamous Cell / virology*
  • Cell Transformation, Viral
  • DNA Probes, HPV
  • DNA, Viral / genetics*
  • Head and Neck Neoplasms / diagnosis
  • Head and Neck Neoplasms / virology*
  • Human Papillomavirus DNA Tests*
  • Humans
  • In Situ Hybridization
  • Laryngeal Neoplasms / diagnosis
  • Laryngeal Neoplasms / virology*
  • Papillomaviridae / genetics*
  • Papillomavirus E7 Proteins / genetics*
  • Papillomavirus Infections / diagnosis
  • Papillomavirus Infections / virology*
  • Polymerase Chain Reaction
  • Predictive Value of Tests
  • RNA, Messenger / genetics*
  • RNA, Viral / genetics*
  • Reproducibility of Results
  • Squamous Cell Carcinoma of Head and Neck

Substances

  • DNA Probes, HPV
  • DNA, Viral
  • Papillomavirus E7 Proteins
  • RNA, Messenger
  • RNA, Viral