Title Human Papillomavirus Infection and Esophageal Squamous Cell Carcinoma: A Case-Control Study
Authors Guo, Fangcen
Liu, Ying
Wang, Xueqian
He, Zhonghu
Weiss, Noel S.
Madeleine, Margaret M.
Liu, Fangfang
Tian, Xiuyun
Song, Yuqin
Pan, Yaqi
Ning, Tao
Yang, Haijun
Shi, Xiaotian
Lu, Changdong
Cai, Hong
Ke, Yang
Affiliation Peking Univ, Canc Hosp & Inst, Key Lab Carcinogenesis & Translat Res, Minist Educ,Laab Genet, Beijing 100042, Peoples R China.
Univ Washington, Dept Epidemiol, Seattle, WA 98195 USA.
Fred Hutch Inson Canc Res Ctr, Program Epidemiol, Seattle, WA USA.
Anyang Canc Hosp, Anyang, Henan, Peoples R China.
Peking Univ, Canc Hosp & Inst, Key Lab Carcinogenesis & Translat Res, Minist Educ,Laab Genet, 52 Fucheng Rd, Beijing 100042, Peoples R China.
Keywords HIGH-RISK REGION
POLYMERASE-CHAIN-REACTION
GASTRIC CANCERS
NO ASSOCIATION
HPV DNA
CHINA
COHORT
PREVALENCE
SEROLOGY
SMOKING
Issue Date 2012
Publisher cancer epidemiology biomarkers prevention
Citation CANCER EPIDEMIOLOGY BIOMARKERS & PREVENTION.2012,21,(5),780-785.
Abstract Background: The risk factors for esophageal squamous cell carcinoma (ESCC) in the high-incidence areas of China remain unclear. Methods: A total of 300 patients with ESCC and 900 controls matched for age and sex were enrolled in Anyang (China), a high-risk area for ESCC in China. In tumor tissue of the cases and in esophageal biopsies of controls, the presence of human papillomavirus (HPV) DNA was assessed by an SPF1/GP6(+)-mediated PCR followed by sequencing. The presence of serum antibody against the HPV-16 E7 oncoprotein was assessed by use of the ELISA. ORs with 95% confidence intervals (CI) were calculated via unconditional logistic regression models. Results: The presence of HPV in the esophagus (OR, 6.4; 95% Cl, 4.4-9.2) was associated with increased risk of ESCC. Moreover, infection with "oncogenic" types of HPV (OR, 10.3; 95% Cl, 6.3-16.8) was more strongly associated with ESCC than other types of HPV (OR, 2.4; 95% Cl, 1.4-4.2). The presence of HPV-16 (OR, 12.8; 95% Cl, 7.6-21.7) was particularly strongly associated with ESCC. In addition, a higher proportion of cases than controls had serum antibodies against HPV-16 E7 (OR, 6.1; 95% CI, 3.7-10.0). Conclusion and Impact: This study provides the strongest epidemiologic evidence to date in support of the important role of HPV in the development of ESCC in high-incidence areas of China. Cancer Epidemiol Biomarkers Prey; 21(5); 780-5. (C)2012 AACR.
URI http://hdl.handle.net/20.500.11897/343873
ISSN 1055-9965
DOI 10.1158/1055-9965.EPI-11-1206
Indexed SCI(E)
PubMed
Appears in Collections: 北京肿瘤医院

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