The role of inflammation in HPV infection of the Oesophagus
BMC CANCER
Authors: Schaefer, Georgia; Kabanda, Siti; van Rooyen, Beverly; Marusic, Martina Bergant; Banks, Lawrence; Parker, M. Iqbal
Abstract
Background: Several human cancers are known to be associated with inflammation and/or viral infections. However, the influence of tumour-related inflammation on viral uptake is largely unknown. In this study we used oesophageal squamous cell carcinoma (OSCC) as a model system since this type of cancer is associated with chronic irritation, inflammation and viral infections. Although still debated, the most important viral infection seems to be with Human Papillomavirus (HPV). The present study focused on a possible correlation between inflammation, OSCC development and the influence of HPV infection. Methods: A total of 114 OSCC biopsies and corresponding normal tissue were collected at Groote Schuur Hospital and Tygerberg Hospital, Cape Town (South Africa), that were subjected to RNA and DNA isolation. RNA samples were analysed by quantitative Light Cycler RT-PCR for the expression of selected genes involved in inflammation and infection, while conventional PCR was performed on the DNA samples to assess the presence of integrated viral DNA. Further, an in vitro infection assay using HPV pseudovirions was established to study the influence of inflammation on viral infectivity using selected cell lines. Results: HPV DNA was found in about 9% of OSCC patients, comprising predominantly the oncogenic type HPV18. The inflammatory markers IL6 and IL8 as well as the potential HPV receptor ITGA6 were significantly elevated while IL12A was downregulated in the tumour tissues. However, none of these genes were expressed in a virus-dependent manner. When inflammation was mimicked with various inflammatory stimulants such as benzo-a-pyrene, lipopolysaccharide and peptidoglycan in oesophageal epithelial cell lines in vitro, HPV18 pseudovirion uptake was enhanced only in the benzo-a-pyrene treated cells. Interestingly, HPV pseudovirion infectivity was independent of the presence of the ITGA6 receptor on the surface of the tested cells. Conclusion: This study showed that although the carcinogen benzo-a-pyrene facilitated HPV pseudovirion uptake into cells in culture, HPV infectivity was independent of inflammation and seems to play only a minor role in oesophageal cancer.
Association of CCR1, KLRC4, IL12A-AS1, STAT4, and ERAP1 With Behcet's Disease in Iranians
ARTHRITIS & RHEUMATOLOGY
Authors: Sousa, Ines; Shahram, Farhad; Francisco, David; Davatchi, Fereydoun; Abdollahi, Bahar Sadeghi; Ghaderibarmi, Fahmida; Nadji, Abdolhadi; Shafiee, Niloofar Mojarad; Xavier, Joana M.; Oliveira, Sofia A.
Abstract
Objective. To independently replicate the top findings from 4 published genome-wide association studies (GWAS) of susceptibility genes in Behc, et's disease (BD). Methods. We tested 14 single-nucleotide polymorphisms (SNPs) in 13 genomic loci (excluding the major histocompatibility complex [MHC], IL10, and IL23R-IL12RB2, which have already been associated with BD in Iranians) for allelic and genotypic associations with BD in 973 patients and 828 controls from Iran and performed meta-analyses of the significantly associated markers. Results. Six SNPs (in decreasing order of significance, rs7616215 located 38 kb downstream of CCR1, rs2617170 [p. Asn104Ser] in KLRC4, rs17810546 in IL12A-AS1, rs7574070 in STAT4, and rs10050860 [p. Asp575Asn] and rs13154629 in ERAP1) were nominally associated with BD in both allelic association tests (5.05 x 10(-9) <= P-allele <= 7.55 x 10(-3)) and sex-adjusted genotypic association tests (6.01 x 10(-9) <= adjusted P value <= 1.30 x 10(-2)). For all 6 SNPs tested by meta-analysis (P-meta), the association with BD was strengthened, because the direction and magnitude of association were similar across populations (e.g., for rs7574070, odds ratio [OR] for A allele 1.29 [95% confidence interval (95% CI) 1.21-1.37], P-meta = 52.34 x 10(-16); for rs7616215, OR for C allele 0.70 [95% CI 0.65-0.76], P-meta=1.54 x 10(-19); for rs17810546, OR for A allele 0.60 [95% CI 0.52-0.70], P-meta=6.34 3 10 211; for rs2617170, OR for T allele 0.76 [95% CI 0.70-0.81], P-meta=2.75 3 10 214; for rs13154629, OR for TT genotype 2.76 [95% CI 2.01-3.80], P-meta=3.57 x 10(-10)). Conclusion. This study reinforces the notion that CCR1, KLRC4, IL12A-AS1, STAT4, and ERAP1 are bona fide susceptibility genes for BD, in addition to the MHC, IL10, and IL23R-IL12RB2 loci. Future genetic and functional studies are now warranted to uncover the roles of these genes in the pathogenesis of BD.