Chronic Periodontitis-Human Papillomavirus Synergy in Base of Tongue Cancers
Identifieur interne : 000287 ( PascalFrancis/Checkpoint ); précédent : 000286; suivant : 000288Chronic Periodontitis-Human Papillomavirus Synergy in Base of Tongue Cancers
Auteurs : Mine Tezal [États-Unis] ; Maureen Sullivan Nasca [États-Unis] ; Daniel L. Stoler [États-Unis] ; Thomas Melendy [États-Unis] ; Andrew Hyland [États-Unis] ; Philip J. Smaldino [États-Unis] ; Nestor R. Rigual [États-Unis] ; Thom R. Loree [États-Unis]Source :
- Archives of otolaryngology, head & neck surgery [ 0886-4470 ] ; 2009.
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Abstract
Objective: To assess whether chronic periodontitis history predicts human papillomavirus (HPV) status in patients with base of tongue cancers. Design: Case-control study using existing patient data. Setting: Roswell Park Cancer Institute. Patients: Thirty patients newly diagnosed with base of tongue squamous cell carcinoma between 1999 and 2005 for whom both tumor samples and periodontal records were available. Patients younger than 21 years, edentulous, immunocompromised, and those with a history of cancer were excluded. Periodontitis history was assessed on the basis of alveolar bone loss (in millimeters) from panoramic radiographs by one examiner who was blinded to cancer status. Main Outcome Measure: HPV-16 and HPV-18 DNA were identified on paraffin-embedded tumor samples by polymerase chain reaction. Multiple logistic regression was used to estimate odds ratios and 95% confidence intervals. Results: The prevalence of tumors positive for HPV-16 DNA was 21 of 30 (70%). None of the samples were positive for HPV-18 DNA. Compared with participants with HPV-negative tumors, patients with HPV-positive tumors had significantly higher mean alveolar bone loss (3.90 mm vs 2.85 mm, P=.01). After adjustment for age at diagnosis, sex, race/ethnicity, alcohol use, smoking status, and number of missing teeth, every millimeter of alveolar bone loss was associated with an approximately 4-fold (odds ratio, 3.96; 95% confidence interval, 1.18-13.36) increased risk of HPV-positive tumor status. Number of missing teeth was not associated with tumor HPV status (odds ratio, 0.95; 95% confidence interval, 0.74-1.21). Conclusions: Chronic periodontitis may be a significant factor in the natural history of HPV infection in patients with base of tongue cancers. Additional confirmation in larger studies is required.
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Stoler</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of Microbiology and Immunology, State University of New York</s1><s2>Buffalo</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Buffalo</wicri:noRegion></affiliation></author><author><name sortKey="Melendy, Thomas" sort="Melendy, Thomas" uniqKey="Melendy T" first="Thomas" last="Melendy">Thomas Melendy</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Departmetnt ofSurgery, State University of New York</s1><s2>Buffalo</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Buffalo</wicri:noRegion></affiliation></author><author><name sortKey="Hyland, Andrew" sort="Hyland, Andrew" uniqKey="Hyland A" first="Andrew" last="Hyland">Andrew Hyland</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Social and Preventive Medicine, State University of New York</s1><s2>Buffalo</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Buffalo</wicri:noRegion></affiliation></author><author><name sortKey="Smaldino, Philip J" sort="Smaldino, Philip J" uniqKey="Smaldino P" first="Philip J." last="Smaldino">Philip J. Smaldino</name><affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Department of Dentistry and Maxillofacial Prosthetics, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Rigual, Nestor R" sort="Rigual, Nestor R" uniqKey="Rigual N" first="Nestor R." last="Rigual">Nestor R. Rigual</name><affiliation wicri:level="2"><inist:fA14 i1="08"><s1>Department of Head and Neck Surgery, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Loree, Thom R" sort="Loree, Thom R" uniqKey="Loree T" first="Thom R." last="Loree">Thom R. 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Stoler</name><affiliation wicri:level="1"><inist:fA14 i1="05"><s1>Department of Microbiology and Immunology, State University of New York</s1><s2>Buffalo</s2><s3>USA</s3><sZ>3 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Buffalo</wicri:noRegion></affiliation></author><author><name sortKey="Melendy, Thomas" sort="Melendy, Thomas" uniqKey="Melendy T" first="Thomas" last="Melendy">Thomas Melendy</name><affiliation wicri:level="1"><inist:fA14 i1="06"><s1>Departmetnt ofSurgery, State University of New York</s1><s2>Buffalo</s2><s3>USA</s3><sZ>4 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Buffalo</wicri:noRegion></affiliation></author><author><name sortKey="Hyland, Andrew" sort="Hyland, Andrew" uniqKey="Hyland A" first="Andrew" last="Hyland">Andrew Hyland</name><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Department of Social and Preventive Medicine, State University of New York</s1><s2>Buffalo</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><wicri:noRegion>Buffalo</wicri:noRegion></affiliation></author><author><name sortKey="Smaldino, Philip J" sort="Smaldino, Philip J" uniqKey="Smaldino P" first="Philip J." last="Smaldino">Philip J. Smaldino</name><affiliation wicri:level="2"><inist:fA14 i1="07"><s1>Department of Dentistry and Maxillofacial Prosthetics, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>6 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Rigual, Nestor R" sort="Rigual, Nestor R" uniqKey="Rigual N" first="Nestor R." last="Rigual">Nestor R. Rigual</name><affiliation wicri:level="2"><inist:fA14 i1="08"><s1>Department of Head and Neck Surgery, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>7 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author><author><name sortKey="Loree, Thom R" sort="Loree, Thom R" uniqKey="Loree T" first="Thom R." last="Loree">Thom R. Loree</name><affiliation wicri:level="2"><inist:fA14 i1="09"><s1>Department of Cancer Pathology and Prevention, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation><affiliation wicri:level="2"><inist:fA14 i1="10"><s1>Department of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>8 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">État de New York</region></placeName></affiliation></author></analytic><series><title level="j" type="main">Archives of otolaryngology, head & neck surgery</title><title level="j" type="abbreviated">Arch. otolaryngol. head neck surg.</title><idno type="ISSN">0886-4470</idno><imprint><date when="2009">2009</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Archives of otolaryngology, head & neck surgery</title><title level="j" type="abbreviated">Arch. otolaryngol. head neck surg.</title><idno type="ISSN">0886-4470</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Base</term><term>Chronic</term><term>Human papillomavirus</term><term>Periodontitis</term><term>Tongue cancer</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Parodontite</term><term>Cancer langue</term><term>Chronique</term><term>Base</term><term>Papillomavirus humain</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Objective: To assess whether chronic periodontitis history predicts human papillomavirus (HPV) status in patients with base of tongue cancers. Design: Case-control study using existing patient data. Setting: Roswell Park Cancer Institute. Patients: Thirty patients newly diagnosed with base of tongue squamous cell carcinoma between 1999 and 2005 for whom both tumor samples and periodontal records were available. Patients younger than 21 years, edentulous, immunocompromised, and those with a history of cancer were excluded. Periodontitis history was assessed on the basis of alveolar bone loss (in millimeters) from panoramic radiographs by one examiner who was blinded to cancer status. Main Outcome Measure: HPV-16 and HPV-18 DNA were identified on paraffin-embedded tumor samples by polymerase chain reaction. Multiple logistic regression was used to estimate odds ratios and 95% confidence intervals. Results: The prevalence of tumors positive for HPV-16 DNA was 21 of 30 (70%). None of the samples were positive for HPV-18 DNA. Compared with participants with HPV-negative tumors, patients with HPV-positive tumors had significantly higher mean alveolar bone loss (3.90 mm vs 2.85 mm, P=.01). After adjustment for age at diagnosis, sex, race/ethnicity, alcohol use, smoking status, and number of missing teeth, every millimeter of alveolar bone loss was associated with an approximately 4-fold (odds ratio, 3.96; 95% confidence interval, 1.18-13.36) increased risk of HPV-positive tumor status. Number of missing teeth was not associated with tumor HPV status (odds ratio, 0.95; 95% confidence interval, 0.74-1.21). Conclusions: Chronic periodontitis may be a significant factor in the natural history of HPV infection in patients with base of tongue cancers. Additional confirmation in larger studies is required.</div></front></TEI><inist><standard h6="B"><pA><fA01 i1="01" i2="1"><s0>0886-4470</s0></fA01><fA02 i1="01"><s0>AONSEJ</s0></fA02><fA03 i2="1"><s0>Arch. otolaryngol. head neck surg.</s0></fA03><fA05><s2>135</s2></fA05><fA06><s2>4</s2></fA06><fA08 i1="01" i2="1" l="ENG"><s1>Chronic Periodontitis-Human Papillomavirus Synergy in Base of Tongue Cancers</s1></fA08><fA11 i1="01" i2="1"><s1>TEZAL (Mine)</s1></fA11><fA11 i1="02" i2="1"><s1>SULLIVAN NASCA (Maureen)</s1></fA11><fA11 i1="03" i2="1"><s1>STOLER (Daniel L.)</s1></fA11><fA11 i1="04" i2="1"><s1>MELENDY (Thomas)</s1></fA11><fA11 i1="05" i2="1"><s1>HYLAND (Andrew)</s1></fA11><fA11 i1="06" i2="1"><s1>SMALDINO (Philip J.)</s1></fA11><fA11 i1="07" i2="1"><s1>RIGUAL (Nestor R.)</s1></fA11><fA11 i1="08" i2="1"><s1>LOREE (Thom R.)</s1></fA11><fA14 i1="01"><s1>Department of Oral Diagnostic Sciences, State University of New York</s1><s2>Buffalo</s2><s3>USA</s3><sZ>1 aut.</sZ></fA14><fA14 i1="02"><s1>Department of Oral Biology, State University of New York</s1><s2>Buffalo</s2><s3>USA</s3><sZ>1 aut.</sZ></fA14><fA14 i1="03"><s1>Department of Social and Preventive Medicine, State University of New York</s1><s2>Buffalo</s2><s3>USA</s3><sZ>1 aut.</sZ><sZ>5 aut.</sZ></fA14><fA14 i1="04"><s1>Department of Restorative Dentistry, State University of New York</s1><s2>Buffalo</s2><s3>USA</s3><sZ>2 aut.</sZ></fA14><fA14 i1="05"><s1>Department of Microbiology and Immunology, State University of New York</s1><s2>Buffalo</s2><s3>USA</s3><sZ>3 aut.</sZ></fA14><fA14 i1="06"><s1>Departmetnt ofSurgery, State University of New York</s1><s2>Buffalo</s2><s3>USA</s3><sZ>4 aut.</sZ></fA14><fA14 i1="07"><s1>Department of Dentistry and Maxillofacial Prosthetics, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>6 aut.</sZ></fA14><fA14 i1="08"><s1>Department of Head and Neck Surgery, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>7 aut.</sZ></fA14><fA14 i1="09"><s1>Department of Cancer Pathology and Prevention, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>8 aut.</sZ></fA14><fA14 i1="10"><s1>Department of Cancer Prevention and Population Sciences, Roswell Park Cancer Institute</s1><s2>Buffalo, New York</s2><s3>USA</s3><sZ>8 aut.</sZ></fA14><fA20><s1>391-396</s1></fA20><fA21><s1>2009</s1></fA21><fA23 i1="01"><s0>ENG</s0></fA23><fA43 i1="01"><s1>INIST</s1><s2>3041</s2><s5>354000186826260110</s5></fA43><fA44><s0>0000</s0><s1>© 2009 INIST-CNRS. All rights reserved.</s1></fA44><fA45><s0>28 ref.</s0></fA45><fA47 i1="01" i2="1"><s0>09-0201714</s0></fA47><fA60><s1>P</s1></fA60><fA61><s0>A</s0></fA61><fA64 i1="01" i2="1"><s0>Archives of otolaryngology, head & neck surgery</s0></fA64><fA66 i1="01"><s0>USA</s0></fA66><fC01 i1="01" l="ENG"><s0>Objective: To assess whether chronic periodontitis history predicts human papillomavirus (HPV) status in patients with base of tongue cancers. Design: Case-control study using existing patient data. Setting: Roswell Park Cancer Institute. Patients: Thirty patients newly diagnosed with base of tongue squamous cell carcinoma between 1999 and 2005 for whom both tumor samples and periodontal records were available. Patients younger than 21 years, edentulous, immunocompromised, and those with a history of cancer were excluded. Periodontitis history was assessed on the basis of alveolar bone loss (in millimeters) from panoramic radiographs by one examiner who was blinded to cancer status. Main Outcome Measure: HPV-16 and HPV-18 DNA were identified on paraffin-embedded tumor samples by polymerase chain reaction. Multiple logistic regression was used to estimate odds ratios and 95% confidence intervals. Results: The prevalence of tumors positive for HPV-16 DNA was 21 of 30 (70%). None of the samples were positive for HPV-18 DNA. Compared with participants with HPV-negative tumors, patients with HPV-positive tumors had significantly higher mean alveolar bone loss (3.90 mm vs 2.85 mm, P=.01). After adjustment for age at diagnosis, sex, race/ethnicity, alcohol use, smoking status, and number of missing teeth, every millimeter of alveolar bone loss was associated with an approximately 4-fold (odds ratio, 3.96; 95% confidence interval, 1.18-13.36) increased risk of HPV-positive tumor status. Number of missing teeth was not associated with tumor HPV status (odds ratio, 0.95; 95% confidence interval, 0.74-1.21). Conclusions: Chronic periodontitis may be a significant factor in the natural history of HPV infection in patients with base of tongue cancers. Additional confirmation in larger studies is required.</s0></fC01><fC02 i1="01" i2="X"><s0>002B10C02</s0></fC02><fC02 i1="02" i2="X"><s0>002B10B01</s0></fC02><fC03 i1="01" i2="X" l="FRE"><s0>Parodontite</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="ENG"><s0>Periodontitis</s0><s5>01</s5></fC03><fC03 i1="01" i2="X" l="SPA"><s0>Parodontitis</s0><s5>01</s5></fC03><fC03 i1="02" i2="X" l="FRE"><s0>Cancer langue</s0><s2>NM</s2><s5>02</s5></fC03><fC03 i1="02" i2="X" l="ENG"><s0>Tongue cancer</s0><s2>NM</s2><s5>02</s5></fC03><fC03 i1="02" i2="X" l="SPA"><s0>Cáncer lengua</s0><s2>NM</s2><s5>02</s5></fC03><fC03 i1="03" i2="X" l="FRE"><s0>Chronique</s0><s5>07</s5></fC03><fC03 i1="03" i2="X" l="ENG"><s0>Chronic</s0><s5>07</s5></fC03><fC03 i1="03" i2="X" l="SPA"><s0>Crónico</s0><s5>07</s5></fC03><fC03 i1="04" i2="X" l="FRE"><s0>Base</s0><s5>08</s5></fC03><fC03 i1="04" i2="X" l="ENG"><s0>Base</s0><s5>08</s5></fC03><fC03 i1="04" i2="X" l="SPA"><s0>Base</s0><s5>08</s5></fC03><fC03 i1="05" i2="X" l="FRE"><s0>Papillomavirus humain</s0><s2>NW</s2><s5>10</s5></fC03><fC03 i1="05" i2="X" l="ENG"><s0>Human papillomavirus</s0><s2>NW</s2><s5>10</s5></fC03><fC03 i1="05" i2="X" l="SPA"><s0>Human papillomavirus</s0><s2>NW</s2><s5>10</s5></fC03><fC07 i1="01" i2="X" l="FRE"><s0>Papillomavirus</s0><s2>NW</s2></fC07><fC07 i1="01" i2="X" l="ENG"><s0>Papillomavirus</s0><s2>NW</s2></fC07><fC07 i1="01" i2="X" l="SPA"><s0>Papillomavirus</s0><s2>NW</s2></fC07><fC07 i1="02" i2="X" l="FRE"><s0>Papovaviridae</s0><s2>NW</s2></fC07><fC07 i1="02" i2="X" l="ENG"><s0>Papovaviridae</s0><s2>NW</s2></fC07><fC07 i1="02" i2="X" l="SPA"><s0>Papovaviridae</s0><s2>NW</s2></fC07><fC07 i1="03" i2="X" l="FRE"><s0>Virus</s0><s2>NW</s2></fC07><fC07 i1="03" i2="X" l="ENG"><s0>Virus</s0><s2>NW</s2></fC07><fC07 i1="03" i2="X" l="SPA"><s0>Virus</s0><s2>NW</s2></fC07><fC07 i1="04" i2="X" l="FRE"><s0>Stomatologie</s0><s5>37</s5></fC07><fC07 i1="04" i2="X" l="ENG"><s0>Stomatology</s0><s5>37</s5></fC07><fC07 i1="04" i2="X" l="SPA"><s0>Estomatología</s0><s5>37</s5></fC07><fC07 i1="05" i2="X" l="FRE"><s0>Parodontopathie</s0><s5>38</s5></fC07><fC07 i1="05" i2="X" l="ENG"><s0>Periodontal disease</s0><s5>38</s5></fC07><fC07 i1="05" i2="X" l="SPA"><s0>Parodontopatía</s0><s5>38</s5></fC07><fC07 i1="06" i2="X" l="FRE"><s0>Tumeur maligne</s0><s2>NM</s2><s5>39</s5></fC07><fC07 i1="06" i2="X" l="ENG"><s0>Malignant tumor</s0><s2>NM</s2><s5>39</s5></fC07><fC07 i1="06" i2="X" l="SPA"><s0>Tumor maligno</s0><s2>NM</s2><s5>39</s5></fC07><fC07 i1="07" i2="X" l="FRE"><s0>Cancer</s0><s2>NM</s2></fC07><fC07 i1="07" i2="X" l="ENG"><s0>Cancer</s0><s2>NM</s2></fC07><fC07 i1="07" i2="X" l="SPA"><s0>Cáncer</s0><s2>NM</s2></fC07><fN21><s1>145</s1></fN21><fN44 i1="01"><s1>OTO</s1></fN44><fN82><s1>OTO</s1></fN82></pA></standard></inist><affiliations><list><country><li>États-Unis</li></country><region><li>État de New York</li></region></list><tree><country name="États-Unis"><noRegion><name sortKey="Tezal, Mine" sort="Tezal, Mine" uniqKey="Tezal M" first="Mine" last="Tezal">Mine Tezal</name></noRegion><name sortKey="Hyland, Andrew" sort="Hyland, Andrew" uniqKey="Hyland A" first="Andrew" last="Hyland">Andrew Hyland</name><name sortKey="Loree, Thom R" sort="Loree, Thom R" uniqKey="Loree T" first="Thom R." last="Loree">Thom R. Loree</name><name sortKey="Loree, Thom R" sort="Loree, Thom R" uniqKey="Loree T" first="Thom R." last="Loree">Thom R. Loree</name><name sortKey="Melendy, Thomas" sort="Melendy, Thomas" uniqKey="Melendy T" first="Thomas" last="Melendy">Thomas Melendy</name><name sortKey="Rigual, Nestor R" sort="Rigual, Nestor R" uniqKey="Rigual N" first="Nestor R." last="Rigual">Nestor R. Rigual</name><name sortKey="Smaldino, Philip J" sort="Smaldino, Philip J" uniqKey="Smaldino P" first="Philip J." last="Smaldino">Philip J. Smaldino</name><name sortKey="Stoler, Daniel L" sort="Stoler, Daniel L" uniqKey="Stoler D" first="Daniel L." last="Stoler">Daniel L. Stoler</name><name sortKey="Sullivan Nasca, Maureen" sort="Sullivan Nasca, Maureen" uniqKey="Sullivan Nasca M" first="Maureen" last="Sullivan Nasca">Maureen Sullivan Nasca</name><name sortKey="Tezal, Mine" sort="Tezal, Mine" uniqKey="Tezal M" first="Mine" last="Tezal">Mine Tezal</name><name sortKey="Tezal, Mine" sort="Tezal, Mine" uniqKey="Tezal M" first="Mine" last="Tezal">Mine Tezal</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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