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HLA DR–DQ associations with cervical carcinoma show papillomavirus–type specificity

Abstract

Cervical carcinoma is now known to be associated with human papillomaviruses (HPV), but the evidence for a link with specific HLA loci is controversial. The role of genetic variation at the HLA class II loci and among HPV types in cervical carcinoma was investigated by PCR DNA amplification and oligonucleotide probe typing of paraffin–embedded invasive cervical cancer tissue from Hispanic patients and of cervical swabs from Hispanic controls. Certain HLA class II haplotypes (such as DRB1*1501–DQB1*0602) were associated significantly, while DR13 haplotypes were negatively associated with cervical carcinoma. These associations are HPV16–type specific. These results suggest that specific HLA class II haplotypes may influence the immune response to specific HPV–encoded epitopes and affect the risk of cervical neoplasia.

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References

  1. Schiffman, M.H. et al. Epidemiologic evidence showing that human papillomavirus infection causes most cervical intraepithelial neoplasia. J. natn. Cancer Inst. 85, 958–964 (1993).

    Article  CAS  Google Scholar 

  2. Koutsky, L.A. et al. A cohort study of the risk of cervical intraepithelial neoplasia grade 2 or 3 in relation to papillomavirus infection. New Engl. J. Med. 327, 1272–1278 (1992).

    Article  CAS  Google Scholar 

  3. Epidemiology of Cervical Cancer and Human Papillomavirus (eds Muñoz, N., Bosch, F.X., Shah, K.V. & Meheus, A.) (IARC, Lyon, 1992).

  4. Carmichael, J.A. & Maskens, P.D. Cervical dysplasia and human papillomavirus. Am. J. obstet. Gynecol. 162, 645–651 (1990).

    Article  Google Scholar 

  5. Lorincz, A.T. et al. Temporal associations of human papillomavirus infection with cervical cytologic abnormalities. Am. J. obstet. Gynecol. 162, 645–651 (1990).

    Article  CAS  Google Scholar 

  6. Kiviat, N.B. et al. Prevalence of genital papillomavirus infection among women attending a college student health clinic or a sexuaxlly transmitted disease clinic. J. infect. Dis. 159, 293–302 (1989).

    Article  CAS  Google Scholar 

  7. Bauer, H.M. et al. Genital human papillomavirus infection in female university students as determined by a PCR-based method. J. Am. med. Assn. 265, 472–477 (1991).

    Article  CAS  Google Scholar 

  8. Brinton, L.A. Epidemiology of cervical cancer — overview, in Epidemiology of Cervical Cancer and Human Papillomavirus (eds Munoz, N., Bosch, F.X., Shah, K.V. & Meheus A.) 3–23 (IARC, Lyon, 1992).

    Google Scholar 

  9. Han, R., Breitburd, F., Marche, P.N. & Orth, G. Linkage of regression and malignant conversion of rabbit viral papillomas to MHC class II genes. Nature 356, 66–68 (1992).

    Article  CAS  Google Scholar 

  10. Nepom, G.T. & Erlich, H.A. MHC class-ll molecules and autoimmunity. Annu. Rev. Immunol. 9, 493–525 (1991).

    Article  CAS  Google Scholar 

  11. Hill, A.V.S. et al. Common west african HLA antigens are associated with protection from severe malaria. Nature 352, 595–600 (1991).

    Article  CAS  Google Scholar 

  12. Hill, A.V.S. et al. Molecular analysis of the association of HLA-B53 and resistance to severe malaria. Nature 360, 434–439 (1992).

    Article  CAS  Google Scholar 

  13. Lu, S. et al. Linkage of a nasopharyngeal carcinoma susceptibility locus to the HLA region. Nature 346, 470–471 (1990).

    Article  CAS  Google Scholar 

  14. Amiel, J. Study of the leukocyte phenotypes in Hodgkin's disease, in Histocompatibility Testing 1967 (ed. Terasaki, P.I.) 79 (Munksgaard, Copenhagen, 1967).

    Google Scholar 

  15. Klitz, W., Aldrich, C.A., Fildes, N., Horning, S.S. & Begovich, A.B. Localization of predisposition to Hodgkin's disease in the HLA class II region. Am. J. hum. Genet.(in the press).

  16. Wank, R. & Thomssen, C. High risk of squamous cell carcinoma of the cervix for women with HLA-DQw3. Nature 352, 723–725 (1991).

    Article  CAS  Google Scholar 

  17. Helland, A., Børresen, A.L., Kærn, S., Rønningen, K.S. & Thorsby, E. HLA antigens and cervical carcinoma. Nature 356, 23 (1992).

    Article  CAS  Google Scholar 

  18. David, A.L. et al. HLA-DQB1*03 and cervical intraepithelial neoplasia type III. Lancet 340, 52 (1992).

    Article  CAS  Google Scholar 

  19. Glew, S.S., Stern, P.L., Davidson, J.A. & Dyer, P.A. HLA antigens and cervical carcinoma. Nature 356, 22 (1992).

    Article  CAS  Google Scholar 

  20. Vandenvelde, C., De Foor, M. & Van Beers, D. HLA-DQB1*03 and cervical intraepithelial neoplasia grades I–III. Lancet 341, 442–443 (1993).

    Article  CAS  Google Scholar 

  21. Glew, S.S. et al. Lack of association of HLA polymorphism with human papillomavirus-related cervical cancer. Human Immunol. 37, 157–164 (1993).

    Article  CAS  Google Scholar 

  22. Lorincz, A.T. et al. Human papillomavirus infection of the cervix: relative risk associations of 15 common anogenital types. Obstet. Gynecol. 79, 328–337 (1992).

    Article  CAS  Google Scholar 

  23. Saiki, R.K., Bugawan, T.L., Horn, G.T., Mullis, K.B. & Erlich, H.A. Analysis of enzymatically amplified β-globin and HLA-DQα DNA with allele-specific oligonucleotide probes. Nature 324, 163–166 (1986).

    Article  CAS  Google Scholar 

  24. Scharf, S.J., Griffith, R.L. & Erlich, H.A. Rapid typing of DNA sequence polymorphism at the HLA-DRB1 locus using the polymerase chain reaction and non-radioactive oligonucleotide probes. Human Immunol. 32, 190–201 (1991).

    Article  Google Scholar 

  25. Bugawan, T.L. & Erlich, H.A. Rapid typing of the HLA-DQB1 DNA polymorphism using non-radioactive oligonucleotide probes and amplified DNA. Immunogenetics 33, 163–170 (1991).

    Article  CAS  Google Scholar 

  26. Manos, M.M. et al. Use of polymerase chain reaction amplification for the detection of genital human papillomaviruses, in Molecular diagnostics of human cancer:, cancer Cells (eds Furth, M. & Greaves, M.) Vol. 7, 209–214 (Cold Spring Harbor Press, New York, 1989).

    Google Scholar 

  27. Bauer, H., Greer, C. & Manos, M. Determination of genital human papillomavirus infection by consensus PCR amplification, in Diagnostic Molecular Pathology: A Practical Approach. (eds Herrington, C.S. & McGee, J.O'D.) 131–152 (Oxford University Press, Oxford, 1992).

    Google Scholar 

  28. Becker, T.M., Wheeler, C.M., Key, C.R. & Samet, S.M. Cervical cancer incidence and mortality in New Mexico's Hispanics, American Indians, and non-Hispanic whites. West. J. Med. 156, 376–379 (1992).

    CAS  PubMed  PubMed Central  Google Scholar 

  29. Peters, R.K., Thomas, D., Hagan, D.G., Mack, T.M. & Henderson, B.E. Risk factors for invasive cervical cancer among Latinas and non-Latinas in Los Angeles County. J. natn. Cancer Inst. 77, 1063–1077.

  30. Reeves, W.C. et al. Case-control study of cervical cancer in Herrera Province, Republic of Panama. Int. J. Cancer 36, 55–60 (1985).

    Article  CAS  Google Scholar 

  31. Schiffman, M.H. Validation of hybridization assays: correlation of filter in situ, dot blot and PCR with Southern blot, in Epidemiology of Cervical Cancer and Human Papillomavirus (eds Muñoz, N., Bosch, F.X., Shah, K.V. and Meheus, A.) 169–179 (IARC, Lyon, 1992).

    Google Scholar 

  32. Wheeler, C.M. et al. Determinants of genital human papillomavirus infection among cytologically normal women attending the University of New Mexico student health center. J. sex. trans. Dis. 120, 286–289 (1993).

    Article  Google Scholar 

  33. Begovich, A.B. et al. Polymorphism, recombination and linkage disequilibrium within the HLA class II region. J. Immunol. 148, 249–258 (1991).

    Google Scholar 

  34. Erlich, H.A. et al. HLA class II alleles and susceptibility and resistance to insulin dependent diabetes mellitus in Mexican-American families. Nature Genet. 3, 358–364 (1993).

    Article  CAS  Google Scholar 

  35. Sokal, R.R. & Rohlf, F.J. Biometry: The Principals and Practice of Statistics in Biological Research 2nd edn (W.H. Freeman, San Francisco, 1981).

    Google Scholar 

  36. Wank, R., Schendel, D.J. & Thomssen, C. HLA antigens and cervical carcinoma. Nature 356, 22–23 (1992).

    Article  CAS  Google Scholar 

  37. Werness, B.A., Levine, A.J. & Howley, P.M. Associations of human papillomavirus types 16 and 18 E6 proteins with p53. Science 248, 76–79 (1990).

    Article  CAS  Google Scholar 

  38. Dyson, N., Howley, P.M., Münger, K. & Harlow, E. The human papilloma virus-16 E7 oncoprotein is able to bind to the retinoblastoma gene product. Science 243, 934–937 (1989).

    Article  CAS  Google Scholar 

  39. Chen, L., Thomas, E.K., Hu, S.L., Hellström, I. & Hellström, K.E. Human papillomavirus type 16 nucleoprotein E7 is a tumor rejection antigen. Proc. natn. Acad. Sci. U.S.A. 88, 110–114 (1991).

    Article  CAS  Google Scholar 

  40. Danos, O., Giri, I., Thierry, F. & Yaniv, M. Papillomavirus genomes: sequences and consequences. J. invest. Derm. 83, 73–113 (1984).

    Article  Google Scholar 

  41. DeVilliers, E.-M. Heterogeneity of the human papillomavirus group. J. Virol. 63, 4898–4903 (1989).

    CAS  Google Scholar 

  42. Chan, S.-Y. et al. Phylogenetic analysis of 48 papillomavirus types and 28 subtypes and variants: a showcase for the molecular evolution of DNA viruses. J. Virol. 66, 5714–5725 (1992).

    CAS  PubMed  PubMed Central  Google Scholar 

  43. Strang, G. et al. Human T cell responses to human papillomavirus type 16 L1 and E6 synthetic peptides: identification of T cell determinants, HLA-DR restriction and virus type specificity. J. gen. Virol. 71, 423–431 (1990).

    Article  CAS  Google Scholar 

  44. Apple, R.J. & Erlich, H.A. Two new HLA DRB1 alleles found in African Americans: implications for balancing selection at positions 57 and 86. Tissue Antigens 40, 69–74 (1992).

    Article  CAS  Google Scholar 

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Apple, R., Erlich, H., Klitz, W. et al. HLA DR–DQ associations with cervical carcinoma show papillomavirus–type specificity. Nat Genet 6, 157–162 (1994). https://doi.org/10.1038/ng0294-157

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