Germline determinants of humoral immune response to HPV-16 protect against oropharyngeal cancer

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作者
Aida Ferreiro-Iglesias
James D. McKay
Nicole Brenner
Shama Virani
Corina Lesseur
Valerie Gaborieau
Andy R. Ness
Rayjean J. Hung
Geoffrey Liu
Brenda Diergaarde
Andrew F. Olshan
Neil Hayes
Mark C. Weissler
Lea Schroeder
Noemi Bender
Michael Pawlita
Steve Thomas
Miranda Pring
Tom Dudding
Beatriz Kanterewicz
Robert Ferris
Sera Thomas
Yonathan Brhane
Virginia Díez-Obrero
Maja Milojevic
Karl Smith-Byrne
Daniela Mariosa
Mattias J. Johansson
Rolando Herrero
Stefania Boccia
Gabriella Cadoni
Martin Lacko
Ivana Holcátová
Wolfgang Ahrens
Pagona Lagiou
Areti Lagiou
Jerry Polesel
Lorenzo Simonato
Franco Merletti
Claire M. Healy
Bo T. Hansen
Mari Nygård
David I. Conway
Sylvia Wright
Tatiana V. Macfarlane
Max Robinson
Laia Alemany
Antonio Agudo
Ariana Znaor
Christopher I. Amos
机构
[1] Section of Genetics,Department of Environmental Medicine and Public Health
[2] Genetic Epidemiology Group,Bristol Dental School
[3] International Agency for Research on Cancer,Department of Human Genetics, Graduate School of Public Health
[4] World Health Organization,Department of Epidemiology
[5] Section of Genetics,Division of Medical Oncology and Center for Cancer Research
[6] Genetic Cancer Susceptibility Group,Department of Otolaryngology/Head and Neck Surgery
[7] International Agency for Research on Cancer,Section of Hygiene, University Department of Life Sciences and Public Health
[8] World Health Organization,Department of Woman and Child Health and Public Health
[9] Infections and Cancer Epidemiology, Public Health Area
[10] German Cancer Research Center (DKFZ),Department of Head and Neck Surgery
[11] Icahn School of Medicine at Mount Sinai,Department of Otorhinolaryngology, Head and Neck Surgery
[12] National Institute for Health Research (NIHR) Bristol Biomedical Research Centre,School of Medicine
[13] University Hospitals Bristol and Weston NHS Foundation Trust and the University of Bristol,School of Public Health
[14] University of Bristol,Department of Research
[15] Prosserman Centre for Population Health Research,School of Medicine, Dentistry, and Nursing
[16] Lunenfeld-Tanenbaum Research Institute,undefined
[17] Sinai Health System,undefined
[18] Lunenfeld-Tanenbaum Research Institute of Sinai Health System,undefined
[19] University of Toronto,undefined
[20] University of Pittsburgh,undefined
[21] UPMC Hillman Cancer Center,undefined
[22] Gillings School of Global Public Health,undefined
[23] University of North Carolina at Chapel Hill,undefined
[24] University of Tennessee Health Science Center,undefined
[25] University of North Carolina at Chapel Hill,undefined
[26] Chapel Hill,undefined
[27] Oncology Data Analytics Program,undefined
[28] Catalan Institute of Oncology (ICO),undefined
[29] Section of Early Detection and Prevention,undefined
[30] Prevention and Implementation Group,undefined
[31] International Agency for Research on Cancer,undefined
[32] World Health Organization,undefined
[33] Università Cattolica del Sacro Cuore,undefined
[34] Fondazione Policlinico Universitario A.Gemelli IRCCS,undefined
[35] Institute of Clinical Otorhinolaryngology,undefined
[36] Università Cattolica del Sacro Cuore,undefined
[37] Istituto di Clinica Otorinolaringoiatrica,undefined
[38] Fondazione Policlinico Universitario A.Gemelli IRCCS,undefined
[39] Maastricht University Medical Center,undefined
[40] Institute of Hygiene and Epidemiology,undefined
[41] University Bremen,undefined
[42] National and Kapodistrian University of Athens,undefined
[43] University of West Attica,undefined
[44] National Cancer Institute,undefined
[45] IRCCS,undefined
[46] University of Padova,undefined
[47] CeRMS and University of Turin,undefined
[48] Trinity College School of Dental Science,undefined
[49] Cancer Registry of Norway,undefined
[50] Cancer Registry of Norway,undefined
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摘要
Although several oropharyngeal cancer (OPC) susceptibility loci have been identified, most previous studies lacked detailed information on human papillomavirus (HPV) status. We conduct a genome-wide analysis by HPV16 serology status in 4,002 oral cancer cases (OPC and oral cavity cancer (OCC)) and 5,256 controls. We detect four susceptibility loci pointing to a distinct genetic predisposition by HPV status. Our most notable finding in the HLA region, that is now confirmed to be specific of HPV(+)OPC risk, reveal two independent loci with strong protective effects, one refining the previously reported HLA class II haplotype association. Antibody levels against HPV16 viral proteins strongly implicate the protective HLA variants as major determinants of humoral response against L1 capsid protein or E6 oncoprotein suggesting a natural immune response against HPV(+)OPC promoted by HLA variants. This indicates that therapeutic vaccines that target E6 and attenuate viral response after established HPV infections might protect against HPV(+)OPC.
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