High-risk human papillomavirus detection in oropharyngeal cancers: Comparison of saliva sampling methods

Head Neck. 2019 May;41(5):1484-1489. doi: 10.1002/hed.25578. Epub 2018 Dec 23.

Abstract

Background: Accumulating evidence has suggested the utility of salivary oral rinse as a diagnostic fluid to detect oral human papillomavirus (HPV) DNA, but there are many methods for collecting saliva.

Methods: Salivary oral rinse and unstimulated whole mouth saliva samples were collected from 45 oropharyngeal cancer (OPC) patients.

Results: We show a positive correlation of HPV-16 E2 (r = 0.95, P < 0.0001) and E6/7 (r = 0.93, P < 0.0001) relative copy number as well as HPV genotypes in both sample methods. There was a significant correlation between the two sample methods in the ratio of HPV16 E2 to E6/7 DNA (r = 0.46, P < 0.01). Consistent with previous studies, a mixed HPV-16 form (episomal and integrated) was commonly found in both saliva and tumor samples.

Conclusion: Detection of HPV in saliva samples collected by either method yielded comparable results, and showed good sensitivity for detection of HPV derived from OPC.

Keywords: human papillomavirus; oropharyngeal cancer and noninvasive biomarker; physical status; salivary oral rinse; unstimulated whole mouth saliva.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Cardiopulmonary Resuscitation / methods
  • Cohort Studies
  • DNA, Viral / analysis
  • Female
  • Human papillomavirus 16 / isolation & purification*
  • Humans
  • Male
  • Middle Aged
  • Oropharyngeal Neoplasms / diagnosis*
  • Oropharyngeal Neoplasms / epidemiology
  • Oropharyngeal Neoplasms / virology*
  • Papillomavirus Infections / complications*
  • Prognosis
  • Prospective Studies
  • Queensland
  • Saliva / virology*
  • Sensitivity and Specificity
  • Specimen Handling

Substances

  • DNA, Viral