ASSESSMENT OF HUMAN PAPILLOMA VIRUS SUBTYPES BY POLYMERASE CHAIN REACTION AND THEIR IMPACT ON THE DEGREE OF DYSPLASIA IN ORAL LEUKOPLAKIA
Abstract
Aim: The study was intended to determine the prevalence of HPV subtypes in patients with oral leukoplakia & assess the possible correlation between HPV and dysplastic changes in oral leukoplakia.
Materials and Methods: Research was carried out in 25 patients with oral leukoplakia. HPV DNA was determined in incisional biopsy specimens by PCR and HPV subtypes by direct DNA sequencing.
Results: Statistical analysis was done using the SPSS version 20.0. HPV DNA was detected in 15 patients (60%) out of 25 leukoplakia patients. HPV 16 and 18 were detected in 8 patients (32%), HPV 18 was detected in 6 patients (24%) and HPV16 alone was detected in 1patient (4%). 10 patients (40%) were negative for HPV DNA. There was a statistical significant correlation between HPV DNA and degree of dysplasia (p value 0.037).
Conclusion: An increased prevalence of HPV infection was found in oral leukoplakia; It was observed that HPV might play a crucial role in malignant transformation of potentially malignant lesion like oral leukoplakia.
Downloads
References
2. Giuseppina Campis, Lucia Giovannelli et al. HPV DNA in clinically different variants of oral leukoplakia and lichen planus. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 98: 705-11.
3. Gokul Sridharan, Akhil A Shankar. Toluidine Blue; A Review of its chemistry and clinical utility. Journal of Oral and Maxillofacial Pathology. Vol.16 , Issue 2, May-Aug 2012.
4. S. Warnakulasuriya, J. Rebel et al. Oral epithelial dysplasia classification systems: predictive value, utility, weaknesses and scope for improvement. J Oral Pathol Med (2008) 37: 127–133.
5. Giovannelli L, Campisi G, Lama A, Giambalvo O, Osborn J, Margiotta V, et al. Human papillomavirus DNA in oral mucosal lesions. J Infect Dis 2002; 185:833-6.
6. Acay R, Rezende N, Fontes A, Aburad A. Human papillomavirus as a risk factor in oral carcinogenesis: a study using in situ hybridization with signal amplification. Oral Microbiology Immunology 2008: 23: 271–274.
7. Th. Loning, P. Reichart et al. Occurrence of papilloinavirus structural antigens in oral papillomas and leukoplakias. Journal of Oral Pathology 1984: 13: 155-165.
8. Palefsky JM, Silverman Jr et al. Association between proliferative verrucous leukoplakia and infection with human papillomavirus type 16. J Oral Pathol Med 1995; 24: 193-7.
9. Rajaram Gopalakrishnan, Christopher M. et al. Mutated and wild-type p53 expression and HPV integration in proliferative verrucous leukoplakia and Squamous cell carcinoma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1997, 83:471-477.