Studying the Association Between Human Papillomavirus and Prostate Cancer by Immunohistochemistry and PCR Techniques in Ahvaz Hospitals

Document Type : Original Article

Authors

Department of Microbiology, Faculty of Basic Sciences, Kazerun Branch, Islamic Azad University, Kazerun, Iran

Abstract

Background and Objective: High risk genotypes of Human Papillomavirus (HPV) induce proliferative changes in prostate epithelium that result prostate cancer. The aim of this study was to detect the association of HPV infection with prostate cancer using immunohistochemistry (IHC) and polymerase chain reaction (PCR) techniques in Ahvaz hospitals.
Subjects and Methods: In this cross-sectional study, 50 paraffin embedded and formalin fixed prostate tissues were collected from the archive of pathology laboratories, Ahvaz Hospitals in 2019. A total of 25 tissues with prostate cancer and 25 tissues with benign prostatic hyperplasia (controls) were selected. HPV detection was performed by IHC and PCR methods.
Results: HPV E7 oncoprotein was positively expressed in 4/25 (16%) prostate cancer specimens by IHC. HPV L1 gene was identified in 4/25 (16%) prostate cancer samples by PCR. Also, HPV16 E7 gene was detected in the same cancer specimens. Correlation between HPV infection and prostate cancer was significant (P = 0.03).
Conclusions: According to these results, HPV16 infection plays an important role in prostate cancer development in Ahvaz hospitals. Furthermore, IHC method can be used for the detection of HPV oncoproteins in prostate cancer patients and this technique is as an alternative method for PCR.

Keywords


1-Ferlay J, Soerimataram I, Dikshit R, Eser S, Mathers C, Rebelo M, et al. Cancer incidence and mortality: sources, methods and major patterns in Globocan 2012. Int J Cancer. 2015; 136(5): E359-86.
2-Hoffman RM. Screening for prostate cancer. N Engl J Med. 2011; 365(21): 2013‑19.
3-Sutcliffe S, Nevin RL, Pakpahan R, Elliott DJ, Cole SR, De Marzo AM, et al. Prostate involvement during sexually transmitted infections as measured by prostate‑specific antigen concentra­tion. Br J Cancer. 2011; 105(5): 602‑5.
4-Heidegger I, Borena W, Pichler R. The role of human papilloma virus in urological malignancies. Anticancer Res. 2015; 35(5): 2513-19.
5-Videla S, Darwich L, Cañadas M, Clotet B, Sirera G. Incidence and clinical management of oral human papillomavirus infection in men: A series of key short messages. Expert Rev Anti Infect Ther. 2014; 12(8): 947‑57.
6-Taverna G, Pedretti E, Di Caro G, Borroni EM, Marchesi F, Grizzi F. Inflammation and prostate cancer: Friends or foe. Inflamm Res. 2015; 64(5): 275-86.
7-Mokhtari M, Taghizadeh F, Hani M. Is prostatic adenocarcinoma in a relationship with Human Papilloma Virus in Isfahan -Iran. J Res Med Sci. 2013; 18(8): 707–10.
8-Chen AC, Waterboer T, Keleher A, Morrison B, Jindal S, McMillan D, et al. Human papillomavirus in benign prostatic hyper­plasia and prostatic adenocarcinoma patients. Pathol Oncol Res. 2011; 17(3): 613‑17.
9-Egawa N, Egawa K, Griffin H, Doorbar J. Human papillomaviruses; epithelial tropisms, and the development of neoplasia. Viruses. 2015; 7(7): 3863-90.
10-McNicol PJ, Dodd JG. Detection of human papillomavirus DNA in prostate gland tissue by using the polymerase chain reaction amplification assay. J Clin Microbiol. 1990; 28(3):  409‑12.
11-Yang L, Xie S, Feng X, Chen Y, Zheng T, Dai M, et al. Worldwide prevalence of human papillomavirus and relative risk of prostate cancer: A metaanalysis. Sci Rep. 2015; 5: 14667.
12-Ramezani A, Banifazl M, Eslamifar A, Aghakhani A. Association between human papillomavirus infection and risk of prostate cancer. Iranian J Pathol. 2011; 6(1): 3‑7.
13-Al-Maghrabi JA. The role of human papillomavirus infection in prostate cancer. Saudi Med J. 2007; 28(3): 326-33.
14-Shariat A. Detection of LMP1 protein in Breast Cancer tissue samples from Fars province hospitals. Iran J Med Microbiol. 2017; 11(1): 67-74.
15-Lee HS, Lee JH, Choo JY, ByunHJ, Jun JH, Lee JY. Immunohistochemistry and Polymerase Chain Reaction for Detection Human Papilloma Virus in Warts: A Comparative Study. Ann Dermatol. 2016; 28(4): 479-85.
16-Abdolmaleki N, Khodabandehloo M, Ramezanzadeh R, Roshani D. No Association Between Human Papillomavirus and Prostate Cancer. Int J Cancer Manag. 2018; 11(4): e10049.
17-Lesnikova I, Lidang M, Hamilton-Dutoit S, Koch J. Rapid, sensitive, type specific PCR detection of the E7 region of human papillomavirus type 16 and 18 from paraffin embedded sections of cervical carcinoma. Infect Agent Cancer. 2010; 5:2.
18-Mesri EA, Feitelson MA, Munger K. Human viral oncogenesis: a cancer hallmarks analysis. Cell Host Microbe. 2014; 15(3): 266–82.
19-Guma S, Malglantay R, Lau R, Wieczorek R, Melamed J, Deng FM, et al. Papillary urothelial carcinoma with squamous differentiation in association with human papiloma virus: case report and literature review. Am J Clin Exp Urol. 2016; 4(1):12-16.
20-Tolstov Y, Hadaschik B, Pahernik S, Hohenfellner M, Duensing S. Human papillomaviruses in urological malignancies: A critical assessment. Urol Oncol. 2014; 32(1): 46.e19-27.
21-Noda T, Sasagawa T, Dong Y, Fuse H, Namiki M, Inoue M. Detection of human papillomavirus (HPV) DNA in archival specimens of benign prostatic hyperplasia and prostatic cancer using a highly sensitive nested PCR method. Urol Res. 1998; 26(3): 165-9.
22-Martinez-Fierro ML, Leach RJ, Gomez-Guerra LS, Garza- Guajardo R, Johnson-Pais T, Beuten J, et al. Identification of viral infections in the prostate and evaluation of their association with cancer. BMC Cancer. 2010; 10: 326.
23-Michopoulou V, Derdas SP, Symvoulakis E, Mourmouras N, Nomikos A, Delakas D, et al. Detection of human papillomavirus (HPV) DNA prevalence and p53 codon 72 (Arg72Pro) polymorphism in prostate cancer in a Greek group of patients. Tumour Biol. 2014; 35(12): 12765-73.
24-Medel-Flores O, Valenzuela-Rodríguez  VA, Ocadiz-Delgado R, Castro-Muñoz LJ, Hernández-Leyva S, Lara-Hernández G, et al. Association between HPV infection and prostate cancer in a Mexican population. Genetics and Molecular Biology. 2018; 41(4): 781-9.
25-Moghoofei M,  Keshavarz M, Ghorbani S, Babaei F, Sadri Nahand J, Tavakoli A, et al. Association between human papillomavirus infection and prostate cancer: A global systematic review andmeta-analysis. Asia-Pac J Clin Oncol. 2019; 15(5): e59-e67.
26-Atashafrooz  F, Rokhbakhsh-Zamin F. Frequency and Type Distribution of  Human Papilloma Virus in Patients with Prostate Cancer, Kerman, Southeast of Iran. Asian Pac J Cancer Prev. 2016; 17(8): 3953-8.
27-Aydin M, Bozkurt A, Cikman A, Gulhan B, Karabakan M, Gokce A, et al. Lack of evidence of HPV etiology of prostate cancer following radical surgery and higher frequency of the Arg/Pro genotype in turkish men with prostate cancer. IBJU. 2017; 43 (1): 36-46. 
28-Jafari E, Dabiri S, Mortazaeizadeh A, Sayadi AR, Amir Poor Rostami S. Non – Detection of HPV DNA in Prostatic Cancer and Benign Prostatic Hyperplasia: a case- control study in Kerman. J Kerman Univ Med Sci. 2018; 25(1): 77-83.
29-Bae J-M. Human papillomavirus 16 infection as a potential risk factor for prostate cancer: an adaptive meta-analysis. Epidemiol Health. 2015; 37: e2015005.
30-Naryshkin S, Austin RM. Limitations of widely used high-risk human papillomavirus laboratory developed testing in cervical cancer screening. Drug Health Patient Saf. 2012; 4: 167–72.
31-Mokhtari M, Taghizadeh F, Rouzbahani E, Narimani T. Comparison of Relative Frequency of Human Papillomatous Virus by Using of Immiunohistochemistry Method between Patients with Prostatic Adenocarcinoma or Benign Prostatic Hyperplasia. J Isfahan Med Sch. 2011; 29(127): 80-5.
32-Pascale M, Pracella D, Barbazza R, Marongiu B, Roggero E, Bonin S, et al. Is Human Papillomavirus Associated with Prostate Cancer Survival. Disease markers. 2013; 35(6): 607-13.
33-Kim SH, Joung JY, Chung J, Park WS, Lee KH, Seo HK. Detection of Human Papillomavirus Infection and p16 Immunohistochemistry Expression in Bladder Cancer with Squamous Differentiation. PLoS ONE. 2014; 9(3): e93525.